Is Postprandial Glucose Control Important? Is It Practical In Primary Care Settings?

There has been much debate aboutthe effect of postprandial glucoselevels on diabetes outcomes and the necessity of treating postprandial hyperglycemia in patients with type 2 diabetes. Current recommendations of the American Diabetes Association (ADA), which have been used predominantly in the United States, present goals for fast-ing/preprandial and bedtime glucose lev-els but do not define a target for post-prandial glucose.1 The ADA guidelines also present a glycated hemoglobin (A1C) goal of <7%, with “additional action suggested ” when A1C is>8%. (See Table 1.) The International Diabete