Even though it has been considered true since many years now, Increased levels of Blood Glucose even 2 hours after meals are a more harmful than increased Fasting levels of Blood Glucose. In a recently published 14 year Follow-up of the San Luigi Gonzaga Diabetes Study, in which 505  participants were followed up after 14 years, their Blood Glucose levels were measured in the fasting state, 2 hours post breakfast and lunch and before dinner together with their HbA1c levels.

Analysis of the 14 year data showed that Patients whose Blood Sugar levels were raised after lunch were more prone to suffer from adverse Cardiac events, like heart attacks, stroke etc..as compared to other parameters, of 505 individuals 172 suffered a cardiac event and there were 147 deaths due to theses. This obviously does not mean that High Fasting Sugar levels are tolerable, but this emphasizes the need for Total control of Diabetes. HbA1c was just as useful in predicting the adverse cardiao-vascular events.

The ultimate aim of Diabetes treatment is to prevent complications of Diabetes, this can be achieved only with persistent efforts both on the part of the patients and Diabetes Doctor- Diabetologist.

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