The increasing occurrence of type 2 diabetes and coronary artery disease in the Indian subcontinent is a cause for concern. Currently, there are 69 million people with diabetes in India, and about 77 million have prediabetes. Prediabetes not only increases future risk of diabetes, but it also clusters with cardiovascular risk factors such as central obesity, dyslipidaemia and hypertension. In general, prediabetes is defined by a rise in blood glucose to above normal, but not high enough to qualify as diabetes.
Attached figure illustrates the diagnosis of prediabetes – as suggested by the World Health Organization. In general, there are 3 types of cases with prediabetes- Impaired Glucose Tolerance (IGT) – Normal fasting glucose but high levels (140-199 mg/dl) after a glucose load. Impaired Fasting Glucose (IFG)- High fasting glucose (100-125 mg/dl) but normal levels after a glucose…
