Can Postchallenge Glucose, Fasting Glucose and A1c Predict T2DM?

Postchallenge Glucose, A1C, and Fasting Glucose as Predictors of Type 2 Diabetes and Cardiovascular Disease — Diabetes Care

RESULTS Incidence of diabetes during the follow-up was 17.1%. Two of three of the cases of newly diagnosed diabetes were predicted by a raise in ≥1 of the markers. Elevated A1C, IGT, or IFG preceded diabetes in 32.8, 40.6, and 21.9%, respectively. CVD was predicted by an intermediate and diabetic range of 2-h glucose but only by diabetic A1C levels in women.

CONCLUSIONS A1C predicted 10-year risk of type 2 diabetes at a range of A1C 5.7–6.4% but CVD only in women at A1C ≥6.5%.

Lower T2DM Risk With Veggies

Medical News: Green Veggies Cut Diabetes Risk – in Endocrinology, Diabetes from MedPage Today

Increasing the daily intake of green leafy vegetables could significantly reduce the risk of type 2 diabetes, a British meta-analysis found.

Consuming 1.35 servings of these vegetables per day was associated with a 14% reduction in risk compared with consuming only 0.2 servings (HR 0.86, 95% CI 0.77 to 0.96, P=0.01), according to Patrice Carter, a PhD student at the University of Leicester, and colleagues.

HgbA1c and CVD

Glycemic Control and Cardiovascular Disease in 7,454 Patients With Type 1 Diabetes — Diabetes Care

CONCLUSIONS This observational study of patients in modern everyday clinical practice demonstrates progressively increasing risks for CHD and CVD with higher A1C, independently of traditional risk factors, with no J-shaped risk curves. A baseline mean A1C of 7.2% showed considerably reduced risks of CHD and CVD compared with A1C 9.0%, emphasizing A1C as a strong independent risk factor in type 1 diabetes.