[Challenges and future perspectives of healthcare networks].

Healthcare networks play a central role in the French healthcare system. A reflection on their future and the evolutions to be envisaged is currently in progress. Moreover, the French Directorate General for Healthcare Provision should soon publish a methodological guide concerning these networks.

Can postprandial blood glucose excursion be predicted in type 2 diabetes?

Objective: We investigated the relationship between carbohydrate intake and postprandial blood glucose (BG) levels to determine the most influential meal for type 2 diabetic subjects treated with basal insulin and needing prandial insulin.

Research Design And Methods: Three-day BG profiles for 37 type 2 diabetic subjects, with A1C levels of 7.7%, treated with sulfonylurea and metformin, and well titrated on insulin glargine, were analyzed using a continuous glucose monitoring system.

Should postprandial hyperglycaemia in prediabetic and type 2 diabetic patients be treated?

Numerous prospective studies support the concept of postprandial glycaemia (PPG) as a risk factor for cardiovascular diseases (CVDs) in individuals with impaired glucose tolerance (IGT). A meta-analysis has demonstrated an exponential relationship between 2-hour postchallenge glucose levels and the incidence of CVD. This relationship is stronger than those observed with fasting glycaemia or glycosylated haemoglobin (HbA(1c)), and persists after adjustment for other vascular risk factors.