Consensus Statement on Management of Post-Prandial Hyperglycemia in Clinical Practice in India.
Postprandial hyperglycemia (PPHG) is a detrimental factor in the evolution of diabetes related complications. Numerous studies have established the role of PPHG in development of atherosclerosis and associated cardiovascular conditions. It is seen that management of PPHG can be more troublesome than fasting plasma glucose (FPG). Currently, there are various strategies both monitoring as well as therapeutic to control PPHG but there is no uniformity in practicing these strategies. In the absence of any standard guidelines, widespread variations in the management of PPHG are observed among physicians and diabetologists. The objective of this document is to set forth uniform guidelines to manage PPHG. This will not only result in optimal management and prevention of long term complications of diabetes but also better co-ordination and collaboration among the care providers. Moreover, an Indian perspective that can take into consideration the issues relevant to Indian patient pool will be effective. An expert committee comprising of prominent physicians and researchers associated with diabetes care provided their inputs to provide a basic platform for the formulations of guidelines. Their inputs were supplemented by extensive literature search to collect the relevant evidences. An initial draft was prepared which was reviewed by the core committee. Inputs from other experts were also sought and an initial guideline version was formulated that was presented in a conference, discussed and debated among experts. The guidelines on PPHG were then finalized and published.
Director & Chief Diabetologist, Diacon Hospital, Bangalore, Karnataka.
Sr
S
Aravind
Department of Diabetology, Dia Care - Diabetes Care & hormone Clinic, Ahmedabad, Gujarat.
Banshi
B
Saboo
Jaslok Hospital and Research Center, Mumbai, Maharashtra.
Shaukat
S
Sadikot
Hon Diabetologist, Sir. H.N. Hospital, Bhatia Hospital, S.L. Raheja Hospital, Saifee Hospital, Mumbai; Post Graduate Teacher, University of Mumbai, Maharashta.
Siddharth N
SN
Shah
Sr. Consulting Physician, Diabetologist & Obesity Specialist, Sri Balaji Action Medical Institute, Paschim Vihar, New Delhi.
Bm
B
Makkar
Department of Endocrinology, Bharti Research Institute of Diabetes and Endocrinology, Bharti Hospital, Karnal, Haryana.
Sanjay
S
Kalra
Diabetologist, Lakhsore hospital, Kochi.
Johnny
J
Kannampilly
Department of Diabetology, Jothydev's Diabetes and Research Centre (JDC), Trivandrum, Kerala.
Jothydev
J
Kesavadev
Medical Director, Nghtingale Hospital, Kolkata, West Bengal.
Samit
S
Ghoshal
Diabetologist, Advance Centre for Diabetes and Endocrine Care, Srinagar, Jammu and Kashmir.
Ah
A
Zargar
Diabetologist, Nigam Diabetes Center, Jaipur.
Anant
A
Nigam
Department of Medicine, Government Medical College, Agra, Uttar Pradesh.
Dk
D
Hazra
Prof. Dept. of Medicine, Institute of Medical Aciences, Varanasi.
Kamlakar
K
Tripathi
Department of Endocrinology, Bangalore Endocrinology and Diabetes Research Center, Bangalore, Karnataka.
Mala
M
Dharmalingam
Endocrinologist, Gujarat Endocrine Centre, Ahmedabad.
Parag
P
Shah
Diabetologist, Gandhi Research Institute, Ahmedabad, Gujarat.
Pramod
P
Gandhi
Department of Endocrinology, Osmania Medical College and Hospital, Hyderabad.
Rakesh
R
Sahay
Department of Diabetology, Dr. Mohan's Diabetes Specialities Centre and Madras Diabetes Research Foundation, Chennai, Tamil Nadu.
Ranjit
R
Unnikrishnan
Diabetologist, Krishna Diabetes Clinic and Educational Research Centre, Bhopal.
Sachin
S
Gupta
Department of Medicine, MLN Medical College, Allahabad, Gujarat.
Sarita
S
Bajaj
Department of Endocrinology and Metabolism, IPGMER & SSKM Hospital, Kolkata, West Bengal.
Satinath
S
Mukhopadhyay
Diabetologist, Centre of Excellence for Diabetes, Sahayadri Hospital, Pune, Maharashta.
Shailaja
S
Kale
D048909:Diabetes Complications / Q000517:prevention & control*; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D007194:India / Q000453:epidemiology; D010346:Patient Care Management / Q000379:methods