Richards Robert J
Department of Medicine, Louisiana State University Health Sciences Center, New Orleans, USA.
J La State Med Soc. 2003 Sep-Oct;155(5):260-5.
Much attention has been paid to fasting glucose levels in both the diagnosis and management of diabetes mellitus. This test is well ingrained in clinical practice and well accepted by our patients. However, does a fasting glucose level give the clinician a complete picture? Is postprandial hyperglycemia associated with adverse events? This article will explore postprandial glucose levels and compare them to fasting glucose levels. The importance of postprandial and post-challenge (2 hours after a standard oral glucose tolerance test) glucose levels will be discussed. Drugs which address postprandial hyperglycemia will be reviewed briefly.
在糖尿病的诊断和管理中，空腹血糖水平备受关注。这项检查在临床实践中根深蒂固，也为我们的患者所广泛接受。然而，空腹血糖水平能让临床医生全面了解病情吗？餐后高血糖与不良事件有关联吗？本文将探讨餐后血糖水平，并将其与空腹血糖水平进行比较。还将讨论餐后及糖耐量试验（标准口服葡萄糖耐量试验后2小时）后血糖水平的重要性。对治疗餐后高血糖的药物也将作简要综述。
