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What is the clinical importance of differentiating between impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) states?

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Mednet Member
Mednet Member
Endocrinology · MedStar Health

IGT and IFG are different phenotypes of prediabetes. Clinical studies* suggest that IGT may be associated with higher cardiovascular risk than IFG. The molecular mechanisms and the treatments are thus different. IGT, which is due to impairments of beta cell insulin release, can be treated with reduc...

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Mednet Member
Mednet Member
Endocrinology · Michigan State University College of Human Medicine

Just to define, IFG is diagnosed by a fasting plasma glucose of 100-125mg/dl and impaired glucose tolerance by a 2-hour glucose value of 140-199 mg/dl after a glucose load. I agree with Dr. @Dr. First Last that the CV risk may be higher with IGT compared to IFG. Either of these criteria may be used ...

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