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Clinicians can help their patients control postprandial hyperglycemia as a means of reducing cardiovascular risk.
Diabetes Educ. 2006 Jul-Aug; 32(4):513-4, 520-2.DE

Abstract

Cardiovascular disease is the leading cause of morbidity and mortality among patients with diabetes. Having diabetes is now recognized as conferring the same risk for cardiovascular disease as hyperlipidemia, hypertension, and smoking. HbA1c levels are the primary indicator of diabetes control and overall glycemic exposure. And recent research has pointed to postprandial hyperglycemia as conferring a greater risk of cardiovascular disease than elevated fasting plasma glucose levels. Unfortunately, clinicians sometimes forget that elevated HbA1c levels can arise from both fasting hyperglycemia and postprandial hyperglycemia. This is particularly important to remember when treating patients whose HbA1c levels may be higher than the desired target while fasting plasma glucose test results are within reference range. This article reviews the evidence supporting the view that postprandial hyperglycemia is a risk factor for cardiovascular disease and therefore should be controlled. Case studies are presented to aid clinicians in helping patients learn how to measure and control their postprandial glucose levels.

Authors+Show Affiliations

General Clinical Research Center, University of Rochester, 601 Elmwood Avenue, Box MED/CRC, Rochester, NY 14642, USA. johngerich@compuserve.com

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16873589

Citation

Gerich, John E.. "Clinicians Can Help Their Patients Control Postprandial Hyperglycemia as a Means of Reducing Cardiovascular Risk." The Diabetes Educator, vol. 32, no. 4, 2006, pp. 513-4, 520-2.
Gerich JE. Clinicians can help their patients control postprandial hyperglycemia as a means of reducing cardiovascular risk. Diabetes Educ. 2006;32(4):513-4, 520-2.
Gerich, J. E. (2006). Clinicians can help their patients control postprandial hyperglycemia as a means of reducing cardiovascular risk. The Diabetes Educator, 32(4), 513-4, 520-2.
Gerich JE. Clinicians Can Help Their Patients Control Postprandial Hyperglycemia as a Means of Reducing Cardiovascular Risk. Diabetes Educ. 2006 Jul-Aug;32(4):513-4, 520-2. PubMed PMID: 16873589.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinicians can help their patients control postprandial hyperglycemia as a means of reducing cardiovascular risk. A1 - Gerich,John E, PY - 2006/7/29/pubmed PY - 2006/9/13/medline PY - 2006/7/29/entrez SP - 513-4, 520-2 JF - The Diabetes educator JO - Diabetes Educ VL - 32 IS - 4 N2 - Cardiovascular disease is the leading cause of morbidity and mortality among patients with diabetes. Having diabetes is now recognized as conferring the same risk for cardiovascular disease as hyperlipidemia, hypertension, and smoking. HbA1c levels are the primary indicator of diabetes control and overall glycemic exposure. And recent research has pointed to postprandial hyperglycemia as conferring a greater risk of cardiovascular disease than elevated fasting plasma glucose levels. Unfortunately, clinicians sometimes forget that elevated HbA1c levels can arise from both fasting hyperglycemia and postprandial hyperglycemia. This is particularly important to remember when treating patients whose HbA1c levels may be higher than the desired target while fasting plasma glucose test results are within reference range. This article reviews the evidence supporting the view that postprandial hyperglycemia is a risk factor for cardiovascular disease and therefore should be controlled. Case studies are presented to aid clinicians in helping patients learn how to measure and control their postprandial glucose levels. SN - 0145-7217 UR - https://www.unboundmedicine.com/medline/citation/16873589/Clinicians_can_help_their_patients_control_postprandial_hyperglycemia_as_a_means_of_reducing_cardiovascular_risk_ L2 - https://journals.sagepub.com/doi/10.1177/0145721706290832?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -