Lowering the Criterion for Impaired Fasting Glucose Will Not Provide Clinical Benefit

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Lowering the criterion for impaired fasting glucose will not provide clinical benefit.

In 1997, the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus lowered the fasting criterion for diabetes from 140 (7.8 mmol/l) to 126 mg/dl (7.0 mmol/l) (1). This decision was made to allow the prevalence of diabetes diagnosed by fasting plasma glucose (FPG) concentrations to equal the prevalence of diabetes diagnosed by 2-h values on a glucose tolerance test. The fact ...

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Lowering the criterion for impaired fasting glucose is in order.

Editor’s comment: Because of the controversial nature of the new lowered criterion for IFG, I offered the Chairman of the Expert Committee an opportunity to respond to my commentary on the subject. I would only point out that Dr. Genuth’s reference 8 shows an association between glycemia and cardiovascular disease (as have many other reports), but to date, five prospective studies, analyzed eit...

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Lowering the criterion for impaired fasting glucose: impact on disease prevalence and associated risk of diabetes and ischemic heart disease.

OBJECTIVE To determine the effect of lowering the fasting plasma glucose (FPG) criterion for impaired fasting glucose (IFG) on the prevalence of IFG, the risks of diabetes, and cardiovascular disease (CVD) associated with IFG. RESEARCH DESIGN AND METHODS Three studies were used: 1). the 1998 National Health Survey (NHS98), a randomly selected cross-sectional sample of 4723 subjects; 2). the S...

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Lowering the cut point for impaired fasting glucose: where is the evidence? Where is the logic?

F irst a disclaimer, neither of us is a diabetologist, endocrinologist, or internist. We do not provide chronic care to people with diabetes. Our only credential relevant to the diagnosis of diabetes is our willingness to think logically and our conviction that the goal of guidelines and policies must be to optimize patient outcomes. From this perspective we are befuddled by the Expert Committe...

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The Effect of Lowering the Threshold for Diagnosis of Impaired Fasting Glucose

PURPOSE The aim of this study was to evaluate the effect of lowering the fasting plasma glucose (FPG) criteria for impaired fasting glucose (IFG) on the prevalence of IFG and the risk for the development of diabetes associated with IFG in Koreans. MATERIALS AND METHODS A total of 7,211 subjects who had normal glucose tolerance (NGT) or IFG were recruited. Subjects were evaluated at baseline a...

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ژورنال

عنوان ژورنال: Diabetes Care

سال: 2003

ISSN: 0149-5992,1935-5548

DOI: 10.2337/diacare.26.12.3329