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DOC News    November 1, 2007
Volume 4 Number 11 p. 7
© 2007 American Diabetes Association

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IDF Guideline Advises Tighter Postmeal Glucose Control

Bruce Goldfarb

Anew clinical guideline from the International Diabetes Federation (IDF) recommends close monitoring of postmeal glucose levels for people with type 2 diabetes. IDF released the guideline at the 43rd annual meeting of the European Association for the Study of Diabetes, held September 18–21 in Amsterdam.

According to the new guideline, vigilant postmeal glucose monitoring is needed to reduce the risk of complications, such as neuropathy, renal failure, vision loss, macrovascular diseases, and amputations. IDF recommends that people with diabetes keep 2-hour postmeal glucose levels to <140 mg/dl. (The American Diabetes Association recommends postmeal levels of <180 mg/dl.)

Self-monitoring of blood glucose is the most practical way to measure blood glucose and make timely treatment adjustments, according to IDF.

Until now, clinical guidelines have mainly emphasized controlling fasting or premeal blood glucose levels for good diabetes management. IDF's new postmeal emphasis stems from recent clinical studies suggesting a link between postmeal glucose control and improved outcomes for people with type 2 diabetes. {blacksquare}

Footnotes

FYI

The International Diabetes Federation postmeal glucose guideline is available at www.idf.org/webdata/docs/Guideline_PMG_final.pdf.


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