Measurement and Treatment Goal of Postprandial Hyperglycemia.

Kim,  Soo Kyung

doi:2012.13.1.27

J Korean Diabetes > Volume 13(1); 2012 > Article

Focused Issue

The Journal of Korean Diabetes 2012;13(1):27-32.
DOI: https://doi.org/10.4093/jkd.2012.13.1.27 Published online March 31, 2012.

식후 고혈당의 측정 및 치료 목표

김수경

Measurement and Treatment Goal of Postprandial Hyperglycemia.

Soo Kyung Kim

Division of Endocrinology, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Sungnam, Korea. imdrksk@chollian.net

Abstract

Poorly controlled diabetes is associated with development of various diabetic complications. Large controlled clinical trials have demonstrated that intensive glycemic control can significantly decrease the development and/or progression of microvascular complications of diabetes. Until recently, the goal of treatment in diabetic subjects has been reducing HbA1c level, with a strong emphasis on fasting plasma glucose. Although control of fasting hyperglycemia is necessary, that alone is not sufficient to obtain optimal glycemic control. Recently, a growing body of evidence has suggested that postprandial hyperglycemia has greater impact on diabetes complications than does average blood glucose as measured by HbA1c or fasting plasma glucose. This report briefly reviews the measurement and treatment goal of postprandial glucose.

Key Words: Complication, Diabetes mellitus, Hyperglycemia