Perusicová J
Diabetologické centrum VFN, III. interní klinika 1. lékarské fakulty UK a VFN, Praha.
Vnitr Lek. 2003 Dec;49(12):907-10.
Chronic hyperglycaemia, confirmed with HbA1c levels, is a leading cause of diabetic complications. Recent studies point to a significant effect of postprandial glycaemia which results from an impaired ability of early secretion of insulin in type II diabetes. Postprandial hyperglycaemia is a frequent phenomenon in people with diabetes with satisfactory control of diabetes based on checks of HbA1c levels. Many authors demonstrate statistically more significant correlations between postprandial hyperglycaemia and HbA1c levels, compared to correlation of fasting glycaemia. Monitoring of postprandial glycaemia is a significant means for improving co-operation with a patient and provides a physician with a possibility of choice between an appropriate type of peroral antidiabetic or insulin.
糖化血红蛋白水平确诊的慢性高血糖是糖尿病并发症的主要原因。近期研究指出,II型糖尿病患者早期胰岛素分泌能力受损导致的餐后血糖具有显著影响。基于糖化血红蛋白水平检查,餐后高血糖在糖尿病控制良好的人群中是一种常见现象。与空腹血糖的相关性相比,许多作者证明餐后高血糖与糖化血红蛋白水平之间的统计学相关性更显著。监测餐后血糖是改善医患合作的重要手段,为医生提供了选择合适类型的口服降糖药或胰岛素的可能性。