Key Points
New Delhi:The International Diabetes Federation (IDF) has recommended that the 1-hour post-load plasma glucose (1-h PG) test is a more sensitive and practical method to screen for people at increased risk of developing diabetes...
IDF is an umbrella organisation of over 240 national diabetes associations worldwide and issues guidelines periodically related to diagnosis and management of the metabolic condition.. Prediabetes, which is now referred to as intermediate hyperglycemia, is a state between normal glucose regulation and Type 2 diabetes a condition when the body either doesnt produce enough insulin, or resists insulin, altering the way the body processes blood sugar or glucose...
However, evidence shows that this can be prevented by lifestyle modification and medications in people with IGT, which is mostly diagnosed by 2-h PG during a 75-gram oral glucose tolerance test (OGTT), a gold standard for detecting diabetes...
Nearly 90 percent of the labs in the country do not carry out 1-hour PG test as part of the OGTT, Mohan said, adding that talks were ongoing within the Diabetes Association of India and the Research Society for the Study of Diabetes in India to adopt the latest IDF recommendations...
The IDF guidelines will aid in early detection of such cases as the 1-hr PG test can catch those who fall through the gaps and such patients can be guided from progressing to diabetes, he said.. Dr. A. Sharda, consultantendocrinologist and diabetologist with Manipal Hospital in Bengaluru, alsopointed out that there is substantial evidence suggesting that a 1-hour post-75-gram value is very highly predictive of detection to progression to Type 2 diabetes, micro and macrovascular complications, obstructive sleep apnea, and metabolic dysfunction associated with steatotic liver disease...
