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    Low carbohydrate meals or a small dose of insulin normalises one-hour blood glucose in a woman with normal glucose tolerance and elevated one-hour postload glucose: A case report

    191678_84001_Low_carbohydrate_meals_or_a_small_dose_of_insulin.pdf (367.9Kb)
    Access Status
    Open access
    Authors
    Vindedzis, S.
    Marsh, B.
    Sherriff, Jill
    Dhaliwal, Satvinder
    Stanton, K.
    Date
    2013
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Vindedzis, Sally A. and Marsh, Beryl and Sherriff, Jill L. and Dhaliwal, Satvinder S. and Stanton, Kim G. 2013. Low carbohydrate meals or a small dose of insulin normalises one-hour blood glucose in a woman with normal glucose tolerance and elevated one-hour postload glucose: A case report. The British Journal of Diabetes & Vascular Disease. 13 (2): pp. 103-105.
    Source Title
    The British Journal of Diabetes & Vascular Disease
    DOI
    10.1177/1474651412473343
    ISSN
    1474-6514
    Remarks

    This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/2.0/uk/. Please refer to the licence to obtain terms for any further reuse or distribution of this work.

    URI
    http://hdl.handle.net/20.500.11937/31154
    Collection
    • Curtin Research Publications
    Abstract

    Diabetes is diagnosed by 2-hour BGL ≥ 11.1 mmol/L on OGTT, fasting BGL ≥ 7.0 mmol/L or HbA1C ≥ 6.5%. IFG and IGT are similarly diagnosed by elevated fasting and 2-hour BGLs. Although-hour BGL is routinely measured, results are classified as NGT if fasting and 2-hour levels are normal, irrespective of elevation at 1 hour. It has, however, been shown that 1-hour postload BGL is a strong predictor of future risk for type 2 diabetes and vascular disease, even in those with NGT. Additionally Meisinger et al. identified 1-hour postload glycaemia as a long-term predictor for all-cause mortality in men without diabetes. There is no normal range for 1-hour glucose, but ≥ 8.6 mmol/L has been identified as a cut-off marking increased cardiovascular and diabetes risk. It has been suggested that recognition and management of those with NGT and 1-hour glucose ≥ 8.6mmol/L may reduce incidence of diabetes and vascular events.

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