Impaired fasting glucose: Difference between revisions

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{{Diabetes}}
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'''Impaired fasting glycaemia''' (IFG) is a pre-diabetic state of dysglycemia, associated with insulin resistance and increased risk cardiovascular pathology, although of lesser risk than [[Impaired glucose tolerance]] (IGT). IFG may precede [[type 2 diabetes mellitus]] by many years. IFG is also a risk factor for mortality.<ref name="pmid17576864">{{cite journal |author=Barr EL, Zimmet PZ, Welborn TA, ''et al'' |title=Risk of cardiovascular and all-cause mortality in individuals with diabetes mellitus, impaired fasting glucose, and impaired glucose tolerance: the Australian Diabetes, Obesity, and Lifestyle Study (AusDiab) |journal=Circulation |volume=116 |issue=2 |pages=151-7 |year=2007 |pmid=17576864 |doi=10.1161/CIRCULATIONAHA.106.685628}}</ref>
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'''Impaired fasting glycaemia''' (IFG), also called pre-diabetes, is a syndrome of abnormal [[glucose]] metabolism, associated with insulin resistance and increased risk cardiovascular pathology, although of lesser risk than [[Impaired glucose tolerance]] (IGT). IFG may precede [[Diabetes mellitus type 2]] by many years. IFG is also a risk factor for mortality.<ref name="pmid17576864">{{cite journal |author=Barr EL, Zimmet PZ, Welborn TA, ''et al'' |title=Risk of cardiovascular and all-cause mortality in individuals with diabetes mellitus, impaired fasting glucose, and impaired glucose tolerance: the Australian Diabetes, Obesity, and Lifestyle Study (AusDiab) |journal=Circulation |volume=116 |issue=2 |pages=151-7 |year=2007 |pmid=17576864 |doi=10.1161/CIRCULATIONAHA.106.685628}}</ref>


It is characterised by an intermediately raised [[fasting]] [[glucose]] level, but less than would qualify for type 2 diabetes mellitus. On challenging with an [[oral glucose tolerance test]], normal blood glucose levels are maintained after 2 hours, unlike IGT.
It is characterised by an intermediately raised [[fasting]] [[glucose]] level, but less than would qualify for [[Diabetes mellitus type 2]]. On challenging with an [[oral glucose tolerance test]], normal blood glucose levels are maintained after 2 hours, unlike IGT.


===Criteria===
===Criteria===
* [[fasting]] [[glucose]] level >  5.6 mmol/l (100 mg/dl) and <  6.9 mmol/l (125mg/dl).<ref name="who-99">.{{cite web |url=http://www.who.int/diabetes/publications/en/ |author=World Health Organization | title= Definition, diagnosis and classification of diabetes mellitus and its complications: Report of a WHO Consultation. Part 1. Diagnosis and classification of diabetes mellitus |accessdate=2007-05-29 |format= |work=}}</ref><ref name="pmid15618111">{{cite journal |author= |title=Diagnosis and classification of diabetes mellitus |journal=Diabetes Care |volume=28 Suppl 1 |issue= |pages=S37-42 |year=2005 |pmid=15618111 |doi=}}</ref>
* [[fasting]] [[glucose]] level >  5.6 mmol/l (100 mg/dl) and <  6.9 mmol/l (125mg/dl).<ref name="who-99">.{{cite web |url=http://www.who.int/diabetes/publications/en/ |author=World Health Organization | title= Definition, diagnosis and classification of diabetes mellitus and its complications: Report of a WHO Consultation. Part 1. Diagnosis and classification of diabetes mellitus |accessdate=2007-05-29 |format= |work=}}</ref><ref name="pmid15618111">{{cite journal |author= |title=Diagnosis and classification of diabetes mellitus |journal=Diabetes Care |volume=28 Suppl 1 |issue= |pages=S37-42 |year=2005 |pmid=15618111 |doi=}}</ref>
==Treatment==
{{main|Diabetes_mellitus_type_2#Screening_and_prevention}}


==References==
==References==
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==See also==
==See also==
* [[Impaired glucose tolerance]]
* [[Impaired glucose tolerance]]
* [[Glucose tolerance test]]
* [[Diabetes mellitus type 2]]
 
* [[Glucose tolerance test]][[Category:Suggestion Bot Tag]]
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Impaired fasting glycaemia (IFG), also called pre-diabetes, is a syndrome of abnormal glucose metabolism, associated with insulin resistance and increased risk cardiovascular pathology, although of lesser risk than Impaired glucose tolerance (IGT). IFG may precede Diabetes mellitus type 2 by many years. IFG is also a risk factor for mortality.[1]

It is characterised by an intermediately raised fasting glucose level, but less than would qualify for Diabetes mellitus type 2. On challenging with an oral glucose tolerance test, normal blood glucose levels are maintained after 2 hours, unlike IGT.

Criteria

Treatment

For more information, see: Diabetes_mellitus_type_2#Screening_and_prevention.


References

  1. Barr EL, Zimmet PZ, Welborn TA, et al (2007). "Risk of cardiovascular and all-cause mortality in individuals with diabetes mellitus, impaired fasting glucose, and impaired glucose tolerance: the Australian Diabetes, Obesity, and Lifestyle Study (AusDiab)". Circulation 116 (2): 151-7. DOI:10.1161/CIRCULATIONAHA.106.685628. PMID 17576864. Research Blogging.
  2. .World Health Organization. Definition, diagnosis and classification of diabetes mellitus and its complications: Report of a WHO Consultation. Part 1. Diagnosis and classification of diabetes mellitus. Retrieved on 2007-05-29.
  3. (2005) "Diagnosis and classification of diabetes mellitus". Diabetes Care 28 Suppl 1: S37-42. PMID 15618111[e]

See also