[Specific effect of postprandial glycemic peaks on HBA1c and angiopathy]

Most studies argue for a strong relation between postprandial blood glucose and cardiovascular risk. Thus the DIS study establishes a significant link between postprandial glucose and the incidence of myocardial infarction as well as the occurrence of death. The DECODE study shows that identifying individuals at risk for death can be done through OGTT 2 h blood glucose, whatever fasting glycemia is. Kumamoto study shows a reduction in microangiopathic complications when postprandial blood glucose is corrected by a multiinjection protocol. Finally, a study conducted in Montpellier shows that postprandial blood glucose better reflects the overall diabetes control than fasting glycemia. Altogether, these data suggest that managing postprandial blood glucose is essential for the prevention of vascular outcome in diabetic patients.