An elevated 1-h post- load glucose level during the oral glucose tolerance test detects prediabetes
The objective of the study was to compare the diagnosis of dysglycemic states by conventional oral glucose tolerance test (OGTT) criteria (fasting and 2-h plasma glucose) with the 1-h post-load plasma glucose level. 34 individuals (mean age: 55±13years; BMI: 27.7±6.3kg/m2) at risk for prediabetes we...
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| Published in | Diabetes & metabolic syndrome clinical research & reviews Vol. 11; no. 2; pp. 137 - 139 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Elsevier Ltd
01.04.2017
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| Abstract | The objective of the study was to compare the diagnosis of dysglycemic states by conventional oral glucose tolerance test (OGTT) criteria (fasting and 2-h plasma glucose) with the 1-h post-load plasma glucose level.
34 individuals (mean age: 55±13years; BMI: 27.7±6.3kg/m2) at risk for prediabetes were administered a 75g OGTT. Individuals with normal glucose tolerance (NGT) or prediabetes were identified according to fasting and/or 2-h plasma glucose (PG) concentrations. Subsequently, subjects were divided in 2 groups: group 1 (n=21) with a 1-h PG<155mg/dl and group 2 (n=13) with a 1-h PG≥155mg/dl. HOMA was performed to assess β-cell function and insulin sensitivity.
NGT or prediabetes based on conventional criteria correlated with the 1-h PG<or≥155mg/dl (p<0.001). Moreover, the 1-h PG≥155mg/dl was associated with higher HbA1c levels (6.1±0.5 vs. 5.5±0.3%, p<0.001) and significantly impaired insulin secretion and hyperbolic product (BxS) on HOMA test vs. 1-h PG<155mg/dl.
The 1-h post-load plasma glucose value ≥155mg/dl is strongly associated with conventional criteria for (pre)diabetes and alterations of β-cell function. |
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| AbstractList | The objective of the study was to compare the diagnosis of dysglycemic states by conventional oral glucose tolerance test (OGTT) criteria (fasting and 2-h plasma glucose) with the 1-h post-load plasma glucose level.
34 individuals (mean age: 55±13years; BMI: 27.7±6.3kg/m
) at risk for prediabetes were administered a 75g OGTT. Individuals with normal glucose tolerance (NGT) or prediabetes were identified according to fasting and/or 2-h plasma glucose (PG) concentrations. Subsequently, subjects were divided in 2 groups: group 1 (n=21) with a 1-h PG<155mg/dl and group 2 (n=13) with a 1-h PG≥155mg/dl. HOMA was performed to assess β-cell function and insulin sensitivity.
NGT or prediabetes based on conventional criteria correlated with the 1-h PG<or≥155mg/dl (p<0.001). Moreover, the 1-h PG≥155mg/dl was associated with higher HbA
levels (6.1±0.5 vs. 5.5±0.3%, p<0.001) and significantly impaired insulin secretion and hyperbolic product (BxS) on HOMA test vs. 1-h PG<155mg/dl.
The 1-h post-load plasma glucose value ≥155mg/dl is strongly associated with conventional criteria for (pre)diabetes and alterations of β-cell function. Abstract Aim The objective of the study was to compare the diagnosis of dysglycemic states by conventional oral glucose tolerance test (OGTT) criteria (fasting and 2-h plasma glucose) with the 1-h post-load plasma glucose level. Material and methods 34 individuals (mean age: 55 ± 13 years; BMI: 27.7 ± 6.3 kg/m2 ) at risk for prediabetes were administered a 75 g OGTT. Individuals with normal glucose tolerance (NGT) or prediabetes were identified according to fasting and/or 2-h plasma glucose (PG) concentrations. Subsequently, subjects were divided in 2 groups: group 1 (n = 21) with a 1-h PG < 155 mg/dl and group 2 (n = 13) with a 1-h PG ≥ 155 mg/dl. HOMA was performed to assess β-cell function and insulin sensitivity. Results NGT or prediabetes based on conventional criteria correlated with the 1-h PG < or ≥ 155 mg/dl ( p < 0.001 ). Moreover, the 1-h PG ≥ 155 mg/dl was associated with higher HbA1c levels (6.1 ± 0.5 vs. 5.5 ± 0.3%, p < 0.001 ) and significantly impaired insulin secretion and hyperbolic product (BxS) on HOMA test vs. 1-h PG < 155 mg/dl. Conclusion The 1-h post-load plasma glucose value ≥155 mg/dl is strongly associated with conventional criteria for (pre)diabetes and alterations of β-cell function. The objective of the study was to compare the diagnosis of dysglycemic states by conventional oral glucose tolerance test (OGTT) criteria (fasting and 2-h plasma glucose) with the 1-h post-load plasma glucose level. 34 individuals (mean age: 55±13years; BMI: 27.7±6.3kg/m2) at risk for prediabetes were administered a 75g OGTT. Individuals with normal glucose tolerance (NGT) or prediabetes were identified according to fasting and/or 2-h plasma glucose (PG) concentrations. Subsequently, subjects were divided in 2 groups: group 1 (n=21) with a 1-h PG<155mg/dl and group 2 (n=13) with a 1-h PG≥155mg/dl. HOMA was performed to assess β-cell function and insulin sensitivity. NGT or prediabetes based on conventional criteria correlated with the 1-h PG<or≥155mg/dl (p<0.001). Moreover, the 1-h PG≥155mg/dl was associated with higher HbA1c levels (6.1±0.5 vs. 5.5±0.3%, p<0.001) and significantly impaired insulin secretion and hyperbolic product (BxS) on HOMA test vs. 1-h PG<155mg/dl. The 1-h post-load plasma glucose value ≥155mg/dl is strongly associated with conventional criteria for (pre)diabetes and alterations of β-cell function. The objective of the study was to compare the diagnosis of dysglycemic states by conventional oral glucose tolerance test (OGTT) criteria (fasting and 2-h plasma glucose) with the 1-h post-load plasma glucose level.AIMThe objective of the study was to compare the diagnosis of dysglycemic states by conventional oral glucose tolerance test (OGTT) criteria (fasting and 2-h plasma glucose) with the 1-h post-load plasma glucose level.34 individuals (mean age: 55±13years; BMI: 27.7±6.3kg/m2) at risk for prediabetes were administered a 75g OGTT. Individuals with normal glucose tolerance (NGT) or prediabetes were identified according to fasting and/or 2-h plasma glucose (PG) concentrations. Subsequently, subjects were divided in 2 groups: group 1 (n=21) with a 1-h PG<155mg/dl and group 2 (n=13) with a 1-h PG≥155mg/dl. HOMA was performed to assess β-cell function and insulin sensitivity.MATERIAL AND METHODS34 individuals (mean age: 55±13years; BMI: 27.7±6.3kg/m2) at risk for prediabetes were administered a 75g OGTT. Individuals with normal glucose tolerance (NGT) or prediabetes were identified according to fasting and/or 2-h plasma glucose (PG) concentrations. Subsequently, subjects were divided in 2 groups: group 1 (n=21) with a 1-h PG<155mg/dl and group 2 (n=13) with a 1-h PG≥155mg/dl. HOMA was performed to assess β-cell function and insulin sensitivity.NGT or prediabetes based on conventional criteria correlated with the 1-h PG<or≥155mg/dl (p<0.001). Moreover, the 1-h PG≥155mg/dl was associated with higher HbA1c levels (6.1±0.5 vs. 5.5±0.3%, p<0.001) and significantly impaired insulin secretion and hyperbolic product (BxS) on HOMA test vs. 1-h PG<155mg/dl.RESULTSNGT or prediabetes based on conventional criteria correlated with the 1-h PG<or≥155mg/dl (p<0.001). Moreover, the 1-h PG≥155mg/dl was associated with higher HbA1c levels (6.1±0.5 vs. 5.5±0.3%, p<0.001) and significantly impaired insulin secretion and hyperbolic product (BxS) on HOMA test vs. 1-h PG<155mg/dl.The 1-h post-load plasma glucose value ≥155mg/dl is strongly associated with conventional criteria for (pre)diabetes and alterations of β-cell function.CONCLUSIONThe 1-h post-load plasma glucose value ≥155mg/dl is strongly associated with conventional criteria for (pre)diabetes and alterations of β-cell function. |
| Author | Buysschaert, Martin Preumont, Vanessa Bergman, Michael Buysschaert, Benoit Yanogo, Donald Jagannathan, Ram |
| Author_xml | – sequence: 1 givenname: Martin surname: Buysschaert fullname: Buysschaert, Martin email: martin.buysschaert@uclouvain.be organization: Cliniques Universitaires Saint-Luc, Service d’Endocrinologie et Nutrition, B-1200 Bruxelles, Belgium – sequence: 2 givenname: Michael surname: Bergman fullname: Bergman, Michael organization: NYU School of Medicine, Department of Medicine, Division of Endocrinology and Metabolism, NYU Langone Diabetes Prevention Program, 530 First Avenue, Schwartz East, New-York, NY10.016, USA – sequence: 3 givenname: Donald surname: Yanogo fullname: Yanogo, Donald organization: Hôpital National Blaise Compaoré, Ouagadougou, Burkina Faso – sequence: 4 givenname: Ram surname: Jagannathan fullname: Jagannathan, Ram organization: NYU School of Medicine, Department of Population Health Center for Healthful Behavior Change, New York, NY 10016, USA – sequence: 5 givenname: Benoit surname: Buysschaert fullname: Buysschaert, Benoit organization: Cliniques Universitaires Saint-Luc, Service d’Endocrinologie et Nutrition, B-1200 Bruxelles, Belgium – sequence: 6 givenname: Vanessa surname: Preumont fullname: Preumont, Vanessa organization: Cliniques Universitaires Saint-Luc, Service d’Endocrinologie et Nutrition, B-1200 Bruxelles, Belgium |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27986405$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1007_s12020_017_1236_2 crossref_primary_10_1111_cen_13859 crossref_primary_10_1002_jmri_25942 crossref_primary_10_3390_ijerph20115961 crossref_primary_10_1016_j_mmm_2020_06_022 |
| Cites_doi | 10.1007/s00125-014-3390-x 10.1007/s12020-014-0436-2 10.1016/j.atherosclerosis.2009.04.006 10.2337/dc07-9920 10.1007/s00125-014-3361-2 10.4093/dmj.2015.39.2.147 10.1002/dmrr.2618 10.2337/diabetes.48.9.1779 10.1007/s001250051215 10.2337/dc16-S005 10.1007/s12020-015-0746-z 10.2337/dc11-2181 10.1016/j.pcd.2008.12.002 10.2217/dmt.12.34 10.1016/j.mcna.2010.11.002 10.1016/j.diabres.2007.05.004 10.1056/NEJMoa0908359 10.1210/jc.2012-3971 10.2337/dc09-S309 10.2337/dc09-9033 10.1007/s00592-015-0829-6 10.1111/dme.13116 10.1016/j.jacc.2009.10.060 |
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| Keywords | 1-h post-load glycemia HOMA Diagnosis Prediabetes OGTT HbA1c HbA 1c HbA(1c) |
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| Title | An elevated 1-h post- load glucose level during the oral glucose tolerance test detects prediabetes |
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