PMID- 16681924 OWN - NLM STAT- MEDLINE DCOM- 20080303 LR - 20060509 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 86 IP - 10 DP - 2006 Mar 14 TI - [Characteristics of the daily blood glucose profiles of impaired glucose tolerance and type 2 diabetes mellitus subjects by continuous glucose monitoring system]. PG - 674-7 AB - OBJECTIVE: To investigate the characteristics of daily glucose profiles of the impaired glucose tolerance (IGT) and type 2 diabetes mellitus (T2DM) subjects by continuous glucose monitoring system (CGMS) so as to instruct the development of rational programs of treatment. METHODS: The CGMS data of 6 normal glucose tolerance (NGT), 10 IGT, and 20 newly diagnosed T2DM subjects were analyzed. RESULTS: (1) The values of average blood glucose, standard deviation of blood glucose, total time of plasma glucose > or = 7.8 mmol/L (T(PG) > or = 7.8 mmol/L) of the T2DM subjects were all significantly higher than those of IGT subjects (all P < 0.05), and these values of the IGI subjects were all significantly higher than those of the NGT subjects (all P < 0.05). The CGMS blood glucose profile excursion were also more and more fluctuant with the deterioration of glucose tolerance. (2) In the IGT group, the time of PG reaching peak was 109 minutes +/- 32 minutes and the daily time of PG > or = 7.8 mmol/L was 3.0 hours +/- 0.8 hours. In the newly diagnosed T2DM group, the time of PG reaching peak was 92 minutes +/- 22 minutes, and the daily time of PG > or = 11.1 mmol/L was 12.6 hours +/- 1.3 hours. The blood glucose increased more quickly and more sharply, and continued for more time after breakfast. CONCLUSIONS: (1) CGMS data accurately display the characteristics of daily 24 h blood glucose profiles of the IGT and newly diagnosed T2DM subjects, and CGMS examination helps instruct the development of rational treatment program. (2) In daily life, the time of PG > or = 7.8 mmol/L in IGT subjects was nearly 3 hours. (3) With the deterioration of glucose tolerance, the postprandial glucose peak is elevated higher and more rapidly, and the daily blood glucose profile excursion becomes more and more fluctuant. FAU - Wang, Xian-ling AU - Wang XL AD - Department of Endocrinology, General Hospital of Chinese People's Liberation Army, Beijing 100853, China. FAU - Lu, Ju-ming AU - Lu JM FAU - Pan, Chang-yu AU - Pan CY FAU - Mu, Yi-ming AU - Mu YM FAU - Dou, Jing-tao AU - Dou JT FAU - Ba, Jian-ming AU - Ba JM LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (Blood Glucose) SB - IM MH - Blood Glucose/*metabolism MH - Diabetes Mellitus, Type 2/*blood MH - Female MH - Glucose Intolerance/*blood MH - Glucose Tolerance Test MH - Humans MH - Male MH - Middle Aged MH - Time Factors EDAT- 2006/05/10 09:00 MHDA- 2008/03/04 09:00 CRDT- 2006/05/10 09:00 PHST- 2006/05/10 09:00 [pubmed] PHST- 2008/03/04 09:00 [medline] PHST- 2006/05/10 09:00 [entrez] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2006 Mar 14;86(10):674-7.