PMID- 30020454 OWN - NLM STAT- MEDLINE DCOM- 20190528 LR - 20190528 IS - 1945-7197 (Electronic) IS - 0021-972X (Linking) VI - 103 IP - 9 DP - 2018 Sep 1 TI - One-Hour Postload Hyperglycemia: Implications for Prediction and Prevention of Type 2 Diabetes. PG - 3131-3143 LID - 10.1210/jc.2018-00468 [doi] AB - CONTEXT: Recently, a value of 1-hour postload glucose concentration (1-h-PG) >/=155 mg/dL (8.6 mmol/L) in individuals with normal glucose tolerance (NGT) has been found to be associated with an increased risk for future type 2 diabetes mellitus (T2DM). In this review, we analyze the implication of 1-h-PG determination in prediction of T2DM and cardiovascular disease. DESIGN: A literature search was performed using MEDLINE. We included all English studies published up to February 2018 in peer-reviewed journals that examined the relationship between 1-h-PG and diabetes, cardiometabolic alterations, organ damage, and cardiovascular disease. RESULTS: Several longitudinal studies have consistently shown that 1-h-PG >/=155 mg/dL can recognize individuals at increased risk for future T2DM among subjects with NGT. Additionally, we describe the pathophysiological abnormalities associated with 1-h-PG >/=155 mg/dL including impaired insulin sensitivity, beta-cell dysfunction, and increased glucose intestinal absorption, which are known to be involved in T2DM pathogenesis. Importantly, numerous studies have demonstrated that a value of 1-h-PG >/=155 mg/dL in individuals with NGT is not only linked to an increased risk for future T2DM, but also able to identify those having a worse cardiovascular phenotype and an increased risk of adverse cardiovascular outcomes. CONCLUSIONS: Although 1-h-PG determination is not currently recommended by the American Diabetes Association for identifying high-risk individuals, the available evidence indicates that a value of 1-h-PG >/=155 mg/dL may be a useful tool to recognize, among subjects with NGT, those at increased risk of T2DM and cardiovascular disease. FAU - Fiorentino, Teresa Vanessa AU - Fiorentino TV AD - Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, Italy. FAU - Marini, Maria Adelaide AU - Marini MA AD - Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy. FAU - Succurro, Elena AU - Succurro E AD - Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, Italy. FAU - Andreozzi, Francesco AU - Andreozzi F AD - Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, Italy. FAU - Perticone, Maria AU - Perticone M AD - Department of Experimental and Clinical Medicine, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, Italy. FAU - Hribal, Marta Letizia AU - Hribal ML AD - Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, Italy. FAU - Sciacqua, Angela AU - Sciacqua A AD - Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, Italy. FAU - Perticone, Francesco AU - Perticone F AD - Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, Italy. FAU - Sesti, Giorgio AU - Sesti G AD - Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, Italy. LA - eng PT - Journal Article PT - Review PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Blood Glucose) SB - IM CIN - J Clin Endocrinol Metab. 2019 Mar 1;104(3):674-675. PMID: 30239758 CIN - J Clin Endocrinol Metab. 2019 Mar 1;104(3):676-677. PMID: 30239916 MH - Blood Glucose/analysis MH - Cardiovascular Diseases/blood/etiology MH - Diabetes Mellitus, Type 2/blood/*diagnosis/prevention & control MH - Glucose Tolerance Test/methods MH - Humans MH - Hyperglycemia/*blood/complications MH - Insulin Resistance/physiology MH - Prediabetic State/blood/diagnosis MH - Prognosis EDAT- 2018/07/19 06:00 MHDA- 2019/05/29 06:00 CRDT- 2018/07/19 06:00 PHST- 2018/02/26 00:00 [received] PHST- 2018/07/12 00:00 [accepted] PHST- 2018/07/19 06:00 [pubmed] PHST- 2019/05/29 06:00 [medline] PHST- 2018/07/19 06:00 [entrez] AID - 5055108 [pii] AID - 10.1210/jc.2018-00468 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2018 Sep 1;103(9):3131-3143. doi: 10.1210/jc.2018-00468.