Low carbohydrate meals or a small dose of insulin normalises one-hour blood glucose in a woman with normal glucose tolerance and elevated one-hour postload glucose: a case report

Sally A Vindedzis,Kim G Stanton,Satvinder S Dhaliwal,Jill L Sherriff,Beryl Marsh

doi:10.1177/1474651412473343

Abstract

Low carbohydrate meals or a small dose of insulin normalises one-hour blood glucose in a woman with normal glucose tolerance and elevated one-hour postload glucose: a case report

Highlights

Diabetes is diagnosed by 2-hour BGL ≥ 11.1 mmol/L on OGTT, fasting BGL ≥ 7.0 mmol/L or HbA1C ≥ 6.5%.1 IFG and IGT are diagnosed by elevated fasting and 2-hour BGLs.[1]
Repeated measures ANOVA showed a significant difference between 1-hour postload rise for low carbohydrate and insulin-treated meals compared with no treatment or sitagliptin (p
We have described a case where two relatively straightforward interventions resulted in normalisation of elevated 1-hour postload BGL

Summary

Introduction

Diabetes is diagnosed by 2-hour BGL ≥ 11.1 mmol/L on OGTT, fasting BGL ≥ 7.0 mmol/L or HbA1C ≥ 6.5%.1 IFG and IGT are diagnosed by elevated fasting and 2-hour BGLs.[1]. Diabetes is diagnosed by 2-hour BGL ≥ 11.1 mmol/L on OGTT, fasting BGL ≥ 7.0 mmol/L or HbA1C ≥ 6.5%.1 IFG and IGT are diagnosed by elevated fasting and 2-hour BGLs.[1] 1-hour BGL is routinely measured, results are classified as NGT if fasting and 2-hour levels are normal, irrespective of elevation at 1 hour. One-hour postprandial levels were often above 10 mmol/L when she ate a carbohydratecontaining meal.

Results

Conclusion