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After-Meal Highs: Immediate
Problems
For example, research in Australia showed how post-meal glucose excursions affect childrens’ day to day performance. In this study, several hundred parents were interviewed to identify aspects of their children’s lives that changed when glucose exceeded 15 mmol/l, or 270 mg/dl. Parents reported a deleterious effect on physical, cognitive and emotional performance at these states of hyperglycemia.
Similar research on adults in the the US and UK found a correlation between post-meal hyperglycemia and several performance-related outcomes, including the ability to think clearly, state of worry, ability to interact on a social level, energy levels, and performance at work.
Long-Term Problems From a long-term standpoint, it has been shown that postprandial glucose levels influence A1c – particularly A1c levels below 7.5. Focusing solely on fasting and premeal glucose levels may limit a person’s ability to achieve A1c levels recommended by the American Diabetes Association. In fact, achieving an A1c of 7% or less hinges largely on one’s ability to manage post-meal glucose levels.
Long-Term Problems (cont'd.) Research conducted years ago showed that the first signs of kidney disease begin to appear much earlier in people with postprandial hyperglycemia. The higher the postprandial glucose, the more rapid the onset of proteinuria.
52 People with type 1 diabetes, similar BP between groups
People with type 2 diabetes, starting on oral medications For those who use oral medications to manage their glucose levels, those who use medications specifically designed to control post-meal glucose maintained healthy cognitive function, while those who used meds designed to control pre-meal glucose levels saw deterioration in cognitive function.
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