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September 25, 2012Diabetic Medicine

Elevated 1‐h plasma glucose following 75‐g oral glucose load is a predictor of arterial stiffness in subjects with normal glucose tolerance

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Key result

Elevated 1-h post-challenge plasma glucose was significantly correlated with increased brachial-ankle pulse wave velocity (r = 0.340, P < 0.0001) in subjects with normal glucose tolerance.

Why the study?

Does elevated 1-h post-challenge plasma glucose predict arterial stiffness in subjects with normal glucose tolerance?

Population

2059 subjects with normal glucose tolerance from Takasaki city, Japan

Comparison

Higher 1-h post-challenge plasma glucose levels… vs Lower 1-h post-challenge plasma glucose levels

Design

Cross-sectional

Authors

KNKatsura NiijimaYMYoshinori MuranakaTATetsu Ando

Discussion

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Member takes

Overview

May mark early stiffness in normoglycemia; hypothesis-generating and requires longitudinal confirmation before clinical use.

Study Design

Type

Cross-Sectional (n=2,059)

Multicenter

No

Structured PICO

Does elevated 1-h post-challenge plasma glucose predict arterial stiffness in subjects with normal glucose tolerance?

P
Population
2,059 subjects from Japan with normal glucose tolerance following a 75-g oral glucose tolerance test.
E
Exposure
Higher 1-h post-challenge plasma glucose levels following a 75-g oral glucose tolerance test (≥ 10.17 mmol/l or 8.56-10.17 mmol/l)
C
Comparator
Lower 1-h post-challenge plasma glucose levels (< 8.56 mmol/l)
O
Outcome
Arterial stiffness measured by brachial-ankle pulse wave velocitysurrogate

Main Result

Effect estimate: r = 0.340

Absolute Event Rate: 1473% vs 1275%

p-value: p=< 0.0001

Elevated 1-hour post-challenge plasma glucose is associated with increased arterial stiffness in individuals with normal glucose tolerance, suggesting it may be an early risk marker.

Cite This Study

Niijima et al. (2012) conducted a cross-sectional in Normal glucose tolerance (n=2,059). Elevated 1-h post-challenge plasma glucose vs. Lower 1-h plasma glucose (< 8.56 mmol/l) was evaluated on Brachial-ankle pulse wave velocity (r = 0.340, p=< 0.0001). Elevated 1-h post-challenge plasma glucose was significantly correlated with increased brachial-ankle pulse wave velocity (r = 0.340, P < 0.0001) in subjects with normal glucose tolerance.

synapsesocial.com/papers/6a9567033d7e4fca39b2e3c1https://doi.org/10.1111/dme.12026
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impaired glucose tolerance, but not impaired fasting glucose, is a risk factor for early‐stage atherosclerosis2010 · 36 citations
  2. 2Increased Arterial Stiffness in Subjects with Impaired Glucose Tolerance and Newly Diagnosed Diabetes But Not Isolated Impaired Fasting Glucose2012 · 79 citations
  3. 3Pulse Wave Velocity as an Indicator of Atherosclerosis in Impaired Fasting Glucose2003 · 181 citations
  4. 4Impaired fasting glucose is not a risk factor for atherosclerosis1999 · 86 citations
  5. 5Increased Arterial Wall Stiffness Limits Flow Volume in the Lower Extremities in Type 2 Diabetic Patients2001 · 200 citations