Glycemic control for prevention vascular complication in diabetic patient
Journal Title: Universa Medicina - Year 2017, Vol 36, Issue 2
Abstract
Patients with type 1 diabetes (T1D) and type 2 diabetes (T2D) show an increased risk of vascular complications such as cardiovascular disease and an increased mortality rate resulting in a decrease in life expectancy of between 5-15 years, depending on age at diagnosis.There are several methods to establish the diagnosis of T2D. The American Diabetes Association (ADA) recommends the following: i. fasting plasma glucose (FPG126 mg/dL after no caloric intake for at least 8 hours), ii. two hour postprandial glucose (PPG 200 mg/dL after a 75 g oral glucose load), iii. glycated hemoglobin (HbA1c) 6.5%, and iv. random plasma glucose 200 mg/dL in patients with classic symptoms of hyperglycemia. FPG and PPG reflect the random,glucose concentration, whereas HbA1c reflects the mean blood glucose concentration of the previous 2 to 3 months. FPG and PPG contribute to HbA1c, but the interrelationship of the three types of measurements varies between patients and is complex, while the risk of diabetic complications is still unclear.
Authors and Affiliations
Pusparini Pusparini
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