Research Article

Does "afternoon diabetes" predict diabetes?

Br Med J 1978; 1 doi: http://dx.doi.org/10.1136/bmj.1.6112.548 (Published 04 March 1978) Cite this as: Br Med J 1978;1:548
  1. R J Jarrett,
  2. G C Viberti,
  3. H A Sayegh

    Abstract

    Twenty-eight men were given morning and afternoon oral glucose tolerance tests in 1969 and again in 1975. According to British Diabetic Association criteria all 28 had normal morning values in 1969 but seven had "afternoon diabetes". Four men had diabetic values in the morning in 1975 but only two of these had had afternoon diabetes in 1969. Better prediction of subsequent diabetes was obtained by calculating the area under the morning glucose tolerance curve in 1969. All four men who progressed to diabetes had areas exceeding 1000 units, which distinguished them absolutely from the other 24. They also tended to be more obese, but this was less predictive of subsequent diabetes.