Diabetes is the leading cause of death in most developed countries, and there is substantial evidence that it is reaching epidemic proportions in many developing and newly industrialized nations.
Poorly controlled diabetes is associated with the development of such complications as neuropathy, renal failure, vision loss, macrovascular diseases and amputations. Macrovascular complications are the major cause of death in people with diabetes. Furthermore, a strong association between poorly controlled diabetes and depression has been reported, which in turn can create significant obstacles to effective diabetes management.
Large controlled clinical trials have demonstrated that intensive treatment of diabetes can significantly decrease the development and/or progression of microvascular complications of diabetes. Furthermore, intensive glycaemic control in people with type 1 diabetes or impaired glucose tolerance (IGT) lowers the risk of cardiovascular diseases. There appears to be no glycaemic threshold for reduction of either microvascular or macrovascular complications; the lower the glycated haemoglobin (HbA1c), the lower the risk.
The purpose of the IDF Guideline for Management of Postmeal Glucose is to present data from reports that describe the relationship between post-meal glucose and the development of diabetic complications. Based on these data, recommendations for the appropriate management of postmeal glucose in type 1 and type 2 diabetes have been developed. Management of postmeal glucose in pregnancy has not been addressed in this guideline.
The recommendations are intended to assist clinicians and organizations in developing strategies to effectively manage postmeal glucose in people with type 1 and type 2 diabetes, taking into consideration locally available therapies and resources.
The Guideline is currently available to download in the languages displayed below. Click on the images to download the pdf version of your choice:
Print copies of the Guideline in the above languages can be ordered from the IDF Shop.
If you are interested in translating and/or reproducing the Guideline, please contact [email protected].
- Press release: "The International Diabetes Federation (IDF) recommends tighter control of blood glucose levels after meals in people with diabetes."
- Diabetes Voice article: "Guideline for the management of post-meal blood glucose" (Vol 52 Issue 3 September 2007)