Within pancreatic Î ² cells, excessive lipid deposition causes the metabolic inhibition of postprandial insulin secretion which, above an individual threshold, will herald the onset
of hyperglycaemia.
Chronic treatment with a glucokinase activator delays the onset
of hyperglycaemia and preserves beta cell mass in the Zucker diabetic fatty rat.
Research is underway to evaluate these closed - loop systems in the very young, in pregnant women with type 1 diabetes, and in hospital in - patients who are suffering episodes
of hyperglycaemia.»
With regard to microvascular complications, the authors say that «a refocus towards intensive management
of hyperglycaemia at diagnosis, particularly in younger people, may be warranted if the long - term risk of microvascular complications is to be minimised.
Not exact matches
It is useful to provide greater insight into glucose levels throughout the day, supply trend information, determine benefits (or otherwise)
of medication changes and may help identify and prevent unwanted periods
of hypo and
hyperglycaemia (2,3)..
The most common, more severe adverse event (grade 3) was
hyperglycaemia, which was observed in 14 %
of patients.
One
of the greatest health concerns in developed countries is the increase in obesity, diabetes, and metabolic syndrome, which is a combination
of high blood pressure (hypertension), blood sugar (
hyperglycaemia), and cholesterol (dyslipidemia) along with increased belly fat.
A cross-sectional study
of glucose regulation in young adults with very low birth weight: impact
of male gender on
hyperglycaemia
Using cut - offs recommended by guidelines, we defined obesity and overweight using body mass index (BMI), and metabolic dysfunction («unhealthy») as ≥ 3
of elevated blood pressure, hypertriglyceridaemia, low HDL - cholesterol,
hyperglycaemia, and elevated waist circumference.
Within diabetic populations,
hyperglycaemia is considered the hallmark diagnostic marker
of metabolic abnormality and a major contributor to T2DM associated macro - and micro - vascular complications.61 One study by Ash et al 36 saw 51 overweight / obese male subjects with T2DM assigned to one
of three groups; (i) IER (four days 50 % ER, three days ad libitum intake / week), (ii) CER (30 % ER / day, all meals provided) and (iii) CER (30 % ER / day, food self - selected by the participant).
Conversely, within non-diabetic populations, periods
of IER (75 - 85 % ER on restricted days) do not typically affect fasting glucose levels 37, 41, 45, 48 or HbA1c 41, 48; results
of which can often be replicated by short term CER studies.62 - 65These findings are unsurprising given that frank
hyperglycaemia within the T2DM diagnostic range is effectively a late - stage manifestation
of IR, which along with compensatory increases insulin secretion, can precede the onset
of T2DM by many years.66, 67 Findings from one large scale prospective cohort study, Whitehall II, reveal a sharp increase in the trajectory towards fasting
hyperglycaemia which is only detectable three years prior to diagnosis with T2DM.67 Consequently, it can be argued that changes in circulating insulin concentrations, fasting (hepatic) insulin sensitivity and glucose uptake / clearance are more sensitive markers
of deteriorating glucose control than fasting glycaemia in non - diabetics.68 - 70
In the past two decades several medical treatments that exert their effects despite
hyperglycaemia have been derived from the experimental pathogenetic concepts
of diabetic neuropathy.
Long - term mortality after community - acquired pneumonia — impacts
of diabetes and newly discovered
hyperglycaemia: a prospective, observational cohort study
Chronic
hyperglycaemia, the main characteristic
of badly managed DM, is associated with a wide range
of acute and chronic complications that can affect all the body's organs and systems, including the gingival and periodontal tissues.