Importance of Postprandial Glucose Control

Current recommendations of the American Diabetes Association (ADA), which have been used predominantly in the United States, present goals for fasting/preprandial and bedtime glucose levels but do not define a target for postprandial glucose. The ADA guidelines also present a glycated hemoglobin (A1C) goal of less than 7%. The International Diabetes Federation (IDF) and the American College of Endocrinology (ACE) have each published guidelines that define targets for both fasting/preprandial and 2-h postprandial blood glucose and present 6.5% as their A1C goal for glycemic control.