Lowering the Criterion for Impaired Fasting Glucose Is in Order
- Saul Genuth, MD
- Address correspondence to Saul Genuth, MD, Case Western Reserve University, Division of Clinical and Molecular Endocrinology, 10900 Euclid Ave. Cleveland, OH 44106-4951. E-mail: smg15{at}cwru.edu
Abstract
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 either singly or as a metanalysis, have been unable to demonstrate a beneficial effect of lowering glycemia on cardiovascular disease outcomes.
- DPP, Diabetes Prevention Program
- IFG, impaired fasting glucose
- IGT, impaired glucose tolerance
- FPG, fasting plasma glucose
Footnotes
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A table elsewhere in this issue shows conventional and Système International (SI) units and conversion factors for many substances.
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- Accepted September 25, 2003.
- Received September 25, 2003.
- DIABETES CARE
