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May 16, 2026Scripta MedicaOpen Access

Pathophysiological pathways linking diabetes to cardiac hypertrophy: From insulin resistance to personalised cardioprotection

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Why the study?

Diabetes and cardiac hypertrophy are closely interconnected via overlapping metabolic and cardiovascular pathways, requiring an investigation into the underlying mechanisms and an evaluation of diagnostic and therapeutic strategies.

Design

Literature review

Key result

Diabetes significantly contributes to the progression of cardiac hypertrophy through metabolic dysregulation and persistent low-grade inflammation, necessitating integrated diagnostic and therapeutic approaches.

Authors

GJGaurav JoshiNGNishant GoutamSSS Shivani

Discussion

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Overview

Warrants vigilance for hypertrophy in diabetes without practice change; extends pathway knowledge but leaves optimal strategies unresolved.

Key Points

  • This review investigates the mechanisms connecting diabetes to cardiac hypertrophy and evaluates diagnostic and therapeutic strategies.
  • Comprehensive literature review of metabolic and cardiovascular pathways related to diabetes and cardiac hypertrophy.
  • Examined advanced imaging techniques and emerging biomarkers for early detection and intervention.
  • Reviewed pharmacological treatments such as metformin and SGLT2 inhibitors.
  • Diabetes significantly contributes to cardiac hypertrophy via metabolic dysregulation and inflammation.
  • Innovative diagnostics like biomarker profiling are crucial for effective intervention.
  • Therapeutic agents including metformin and SGLT2 inhibitors show promise in reducing cardiovascular complications.

PICO

P
Population
Diabetes mellitus and cardiac hypertrophy

The robust association between diabetes and cardiac hypertrophy underscores the necessity for an integrated approach combining early detection with targeted pharmacotherapy such as SGLT2 inhibitors and GLP-1 receptor agonists.

Limitations

  • Extensive clinical trials are necessary to assess the efficacy and safety of emerging treatments like GLP-1 receptor agonists and SGLT2 inhibitors in preventing or reversing cardiac hypertrophy in diabetic patients.

Cite This Study

Joshi et al. (2026) conducted a review in Diabetes mellitus and cardiac hypertrophy. Diabetes significantly contributes to the progression of cardiac hypertrophy through metabolic dysregulation and persistent low-grade inflammation, necessitating integrated diagnostic and therapeutic approaches.

synapsesocial.com/papers/6a0809bea487c87a6a40b8aahttps://doi.org/10.5937/scriptamed57-60346
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