Health
International organization recommends more sensitive tests to show risk of developing diabetes


Measuring blood sugar levels one hour after ingesting 75 grams of sugar solution could be a much more sensitive and practical way to screen for moderate hyperglycemia, experts say. It is said to be expensive. | Photo credit: Getty Images/IStockphoto
In a statement, the International Diabetes Federation (IDF) recommended the introduction of an oral glucose tolerance test (OGTT) test that measures blood sugar 1 hour after administering a load (1 hour PG) to check the risk of diabetes. . . They also recommend reviewing blood sugar thresholds to measure and predict the risk of developing diabetes.
Measuring blood sugar levels one hour after ingesting 75 grams of sugar solution is much more sensitive for screening for intermediate hyperglycemia (IH) and type 2 diabetes (T2D), formerly known as prediabetes. This would be a highly practical method. danger. It recommends using a cutoff point of 155 mg/dL for measuring IH and 209 mg/dL for T2D. That is, a number higher than a certain number means that the person is likely to have diabetes, even if she has fasted for two hours. The values were normal.
Oral blood sugar tests are great for detecting future onset of diabetes, but without them, many people remain undiagnosed and untreated. “Rich epidemiological data” makes fasting PG (FPG), HbA1c, and 1-hour PG (plasma glucose) a better objective than 2-hour PG across ethnic, gender, and age categories This has been confirmed.
Michael Bergman, who co-chaired the expert panel with Jaakko Tuomilate, said: “There are many people who are not diagnosed with HbA1c or FPG testing, but who are likely to have IH detected if they undergo an OGTT.'' said. Or T2D. 1-h PG was found to be a more sensitive biomarker for early identification of these high-risk individuals. ”
The statement was prepared by an international committee of 22 experts from 15 countries and was presented at the 17th International Conference on Advanced Technologies and Diabetes Treatment, held recently in Florence, Italy, and published online. Diabetes research and clinical practice.
V. Mohan, chairman of the Madras Diabetes Research Foundation, which represents India on the committee, explained that the hourly value was measured till the 1980s.
“In fact, we used five values measured at different points on the OGTT. Over the years, that was reduced to the value of fasting and two hours. We used one hour of sample collection at the center. I continued, and that's when I realized that 155 mg/dL was an important cutoff.”
In conversations with other experts around the world, including Michael Bergman, it became clear that there is worldwide consensus that the 1-hour cut-off value for OGTT is greater than 155 mg/dL .
“As you go higher than 155 mg/dL, you are more likely to transition to IH,” Dr. Mohan explained. According to his statement, if the value exceeds 209 mg/dL, the person is considered to have diabetes.
Sources 2/ https://www.thehindu.com/sci-tech/health/international-body-recommends-more-sensitive-test-to-indicate-risk-of-developing-diabetes/article67959160.ece The mention sources can contact us to remove/changing this article |
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