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Lower One-Hour Post-Meal Glucose Levels Linked to Reduced Mortality in 40-Year Study

Assessing one-hour post-load glucose in the Ohasama cohort could reveal early risk of fatal diseases.

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Overview

  • Researchers analyzed oral glucose tolerance tests in 993 participants from Iwate’s Ohasama Study, which has tracked local residents every four years since the 1980s.
  • Subjects with one-hour post-load blood glucose below 170 mg/dL showed nearly 80% survival after 20 years compared to about 50% survival in those above this threshold.
  • The association between lower one-hour glucose levels and reduced mortality held after adjusting for age, obesity, smoking, and other known risk factors.
  • Analysis of cause-of-death records revealed that lower one-hour glucose readings correlated with fewer deaths from atherosclerotic heart disease and malignant tumors.
  • The findings suggest that incorporating one-hour postprandial glucose measurements into routine screenings may enable earlier interventions to prevent cardiovascular disease and cancer.