Is glucose intolerance common in Japanese patients with acute coronary syndrome who were not previously diagnosed with diabetes?
Postchallenge hyperglycemia, caused primarily by impaired initial insulin secretion, is commonly found in Japanese ACS patients who have not been previously diagnosed with diabetes, and this phenomenon is considered to be associated with advanced coronary atherosclerosis. Therefore, the present study strongly supports the notion that oral glucose tolerance test assessment of postchallenge hyperglycemia is essential to identify any previously undiagnosed diabetes cases among Japanese ACS patients.
These results will inform healthcare providers of the most effective components of interventions and can be used in cost-effectiveness analyses.