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March 4, 1990Diabetic Medicine

Myogenic Microvascular Responses are Impaired in Long‐duration Type 1 Diabetes

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Why the study?

Are myogenic microvascular responses impaired in patients with long-duration Type 1 diabetes compared to controls?

Population

75 subjects: 20 control subjects and 55 long-duration Type 1 diabetic patients.

Comparison

Measurement of hyperaemic response on the dorsum… vs Control subjects without diabetes

Design

Cross-sectional

Authors

DWD. WalmsleySt. Olaf CollegePWPhilip WilesPennine Acute Hospitals NHS Trust

Discussion

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Implication

May indicate microvascular impairment in long-duration T1D; hypothesis-generating for neuropathy-linked rigidity, longitudinal studies needed.

Structured PICO

Are myogenic microvascular responses impaired in patients with long-duration Type 1 diabetes compared to controls?

P
Population
75 subjects: 20 control subjects and 55 long-duration Type 1 diabetic patients (divided into uncomplicated, retinopathic, and neuropathic groups).
I
Intervention
Measurement of hyperaemic response on the dorsum of the foot after 10 min ischaemia using laser Doppler flowmetry
C
Comparator
Control subjects without diabetes
O
Outcome
Peak flow and time to half peak flow during post-ischaemic hyperaemiasurrogate

Long-duration Type 1 diabetes impairs the myogenic peak post-ischaemic hyperaemic response, while neuropathic patients exhibit rapid vasodilatation likely reflecting increased arterial rigidity.

Cite This Study

Walmsley et al. (1990) studied this question.

synapsesocial.com/papers/6a74d0db96d04a2f43f55b74https://doi.org/10.1111/j.1464-5491.1990.tb01374.x
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Reversible Vascular Abnormality Associated with Diabetic Ketosis1970 · 34 citations
  2. 2Respiratory influence on heart rate in diabetes mellitus.1979 · 248 citations
  3. 3Evaluation of a Laser Doppler Flowmeter for Measurement of Tissue Blood Flow1980 · 1,105 citations