Post prandial plasma glucose level less than the fasting level in otherwise healthy individuals during routine screening |
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Authors: | Biswajit Saha |
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Institution: | (1) Dept of Biochemistry, Durgapur Steel Plant Hospital, 713 205 Durgapur, West Bengal, India |
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Abstract: | During routine screening, some otherwise healthy individuals who showed remarkably lower post prandial (at 2 hour) plasma
glucose without any symptom were subjected to extended glucose tolerance test and a few of them to extended post meal tolerance
test as well. It was observed that post prandial (at 2 hour) plasma glucose after glucose administration was significantly
lower than the fasting level (p<0.05−p<0.001). However, post prandial plasma glucose at 2 hour after their usual meal exhibited
a significantly higher level than the fasting and post glucose level (p<0.05−p<0.001). Glucose appears to be a stronger agent
than the more natural mixed meal in these individuals in causing post prandial lowering of plasma glucose. Hence, these individuals
are to be evaluated with their usual meals before considering further investigations. Like upper limit, there is the need
to have a consensus lower limit of reference interval of blood glucose level. |
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Keywords: | Plasma glucose Idiopathic reactive hypoglycemia Extended glucose tolerance test Extended meal tolerance test |
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