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Postprandial hyperglycaemia : a new risk factor for cardiovascular disease

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Ceriello, Antonio (2008) Postprandial hyperglycaemia : a new risk factor for cardiovascular disease. Diabetes, Stoffwechsel und Herz, Vol.17 (No.5). pp. 363-373.

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Abstract

Type 2 diabetes is primarily a disorder of post-prandial glucose regulation, characterized by a gradual decline in insulin secretion in response to nutrient loads. Despite this, physicians continue to rely on fasting blood glucose and glycosylated haemoglobin (HbA(1c)) to guide management.

There is a linear relationship between the risk of cardiovascular death and the 2-hour oral glucose tolerance test (OGTT). A recent study demonstrated that postprandial hyperglycaemia is an independent risk factor for cardiovascular disease in type 2 diabetes. Also, several intervention studies have shown that treating postprandial hyoerglycaemia may reduce the incidence of new cardiovascular events. Evidence supports the hypothesis that post-prandial hyperglycaemia may lead to cardiovascular disease through the generation of oxidative stress. Furthermore, clinical data suggest that post-prandial hyperglycaemia is a common phenomenon, even in patients who may be considered as having good metabolic control.

Item Type: Journal Item
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Hyperglycemia, Cardiovascular system -- Diseases -- Risk factors, Non-insulin-dependent diabetes
Journal or Publication Title: Diabetes, Stoffwechsel und Herz
Publisher: Verlag Kirchheim und Co. GmbH
ISSN: 1861-7603
Official Date: 20 September 2008
Dates:
DateEvent
20 September 2008Published
Volume: Vol.17
Number: No.5
Number of Pages: 11
Page Range: pp. 363-373
Status: Not Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

Data sourced from Thomson Reuters' Web of Knowledge

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