Type 2 & other diabetes

One-hour glucose is an earlier marker of dysglycemia than two-hour glucose

Diabetes Res Clin PractPublished Secondary analysis of a longitudinal cohort study

Authors' conclusion

1 h-PG ≥ 155 mg/dl is an earlier marker of elevated risk for PreDM and T2D than 2 h-PG ≥ 140 mg/dl.

Study context

Population
Southwest Native Americans followed longitudinally for 6–10 years with at least 3 OGTTs
Participants
201 participants
Comparison
Timing of 1 h-PG vs 2 h-PG threshold crossing
Primary endpoint
Timing of crossing of 1 h-PG thresholds vs current 2 h-PG thresholds for PreDM and T2D
Methodological detailsat least 3 OGTTs per participant
  • At least 3 OGTTs per participant

Primary result

As reported in the abstract

PreDM: time by which 1 h-PG preceded 2 h-PG, median [IQR]
1.7 [−0.25, 4.59] y
PreDM: time by which 1 h-PG preceded 2 h-PG, mean ± SEM
5.3 ± 1.9 y
T2D subset: 1 h-PG reached 209 mg/dl before 2 h-PG reached 200 mg/dl
25/33, 75%
T2D: time by which 1 h-PG preceded 2 h-PG, median [IQR]
1.0 [−0.56, 2.02] y
T2D: time by which 1 h-PG preceded 2 h-PG, mean ± SEM
1.6 ± 0.8 y

Further findings

Subset who first developed T2D
33
1 h-PG reached 209 mg/dl earlier than 2 h-PG reached 200 mg/dl
25/33, 75%
Lead time, median [IQR]
1.0 [−0.56, 2.02] y
Lead time, mean ± SEM
1.6 ± 0.8 y

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

One-hour glucose is an earlier marker of dysglycemia than two-hour glucose. Diabetes Res Clin Pract. Published 21 July 2023. doi:10.1016/j.diabres.2023.110839

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