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Type: Journal article
Title: Glycemic variability: assessing glycemia differently and the implications for dietary management of diabetes
Author: Tay, J.
Thompson, C.
Brinkworth, G.
Citation: Annual Review of Nutrition, 2015; 35(1):389-424
Publisher: Annual Reviews
Issue Date: 2015
ISSN: 0199-9885
Editor: Bowman, B.A.
Stover, P.J.
Statement of
Jeannie Tay, Campbell H. Thompson, and Grant D. Brinkworth
Abstract: The primary therapeutic target for diabetes management is the achievement of good glycemic control, of which glycated hemoglobin (HbA1c) remains the standard clinical marker. However, glycemic variability (GV; the amplitude, frequency, and duration of glycemic fluctuations around mean blood glucose) is an emerging target for blood glucose control. A growing body of evidence supports GV as an independent risk factor for diabetes complications. Several techniques have been developed to assess and quantify intraday and interday GV. Additionally, GV can be influenced by several nutritional factors, including carbohydrate quality, quantity; and distribution; protein intake; and fiber intake. These factors have important implications for clinical nutrition practice and for optimizing blood glucose control for diabetes management. This review discusses the available evidence for GV as a marker of glycemic control and risk factor for diabetes complications. GV quantification techniques and the influence of nutritional considerations for diabetes management are also discussed.
Keywords: diabetes
glycemic control
Rights: © 2015 by Annual Reviews
DOI: 10.1146/annurev-nutr-121214-104422
Appears in Collections:Aurora harvest 2
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