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July 14, 2009Experimental and Clinical Endocrinology & Diabetes

Influence of metabolic control and duration of disease on microvascular dysfunction in diabetes assessed by laser Doppler anemometry

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Key result

Type 1 diabetes was associated with reduced peak capillary blood cell velocity compared to controls (0.69 vs 0.96 mm/s, p<0.05) and prolonged time to peak (33.8 vs 13.6 s, p<0.001).

Why the study?

Does skin microcirculation impairment differ between type 1 and type 2 diabetic patients based on metabolic control and disease duration?

Population

70 subjects: 16 type 1 diabetic patients, 19 type 2 diabetic patients, and 35 age- and sex-matched…

Comparison

Assessment of skin microcirculation using laser… vs Age- and sex-matched non-diabetic controls

Design

Case-control

Authors

MMMartin MeyerHSH. Schatz

Discussion

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Overview

Skin microcirculation impairment appears early in type 1 diabetes; leaves open differential roles of HbA1c versus duration in type 2.

Study Design

Type

Observational (n=70)

Structured PICO

Does skin microcirculation impairment differ between type 1 and type 2 diabetic patients based on metabolic control and disease duration?

P
Population
70 participants including 16 type 1 diabetics, 19 type 2 diabetics, and 35 age- and sex-matched healthy controls assessed for microvascular dysfunction.
E
Exposure
Assessment of skin microcirculation using laser Doppler anemometry
C
Comparator
Age- and sex-matched non-diabetic controls
O
Outcome
Capillary blood cell velocity (CBV), including peak CBV and time to peak CBV, measured in the dorsal middle phalangeal area during rest and after 3-min arterial occlusionsurrogate

Main Result

Absolute Event Rate: 0.69% vs 0.96%

p-value: p=<0.05

Skin capillary circulation is impaired within the first 10 years of both diabetes types, but actual metabolic control (HbA1c) appears more critical for microvascular dysfunction in type 2 than in type 1 diabetes.

Cite This Study

Meyer et al. (2009) conducted an observational in Diabetes (Type 1 and Type 2) (n=70). Diabetes (Type 1 and Type 2) vs. Age- and sex-matched non-diabetic subjects was evaluated on Peak capillary blood cell velocity (CBV) after 3-min arterial occlusion in type 1 diabetic patients (p=<0.05). Type 1 diabetes was associated with reduced peak capillary blood cell velocity compared to controls (0.69 vs 0.96 mm/s, p<0.05) and prolonged time to peak (33.8 vs 13.6 s, p<0.001).

synapsesocial.com/papers/6a8982bf5edafe343d92e4c4https://doi.org/10.1055/s-0029-1212005
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Myogenic Microvascular Responses are Impaired in Long‐duration Type 1 Diabetes1990 · 14 citations
  2. 2The Impact of Disease Duration on Microcirculatory Dysfunction in Young Patients with Uncomplicated Type 1 Diabetes2024 · 2 citations
  3. 3Skin Microvascular Dysfunction in Type 2 Diabetes Mellitus Using Laser Speckle Contrast Analysis and Association with Carotid Intima-Media Thickness2024 · 9 citations
  4. 4Relationship Between Peripheral Diabetic Neuropathy and Microvascular Reactivity in Patients with Type 1 and Type 2 Diabetes Mellitus2006 · 25 citations
  5. 5Severely impaired microvascular reactivity in diabetic patients with an acute coronary syndrome2016 · 23 citations