Does oscillating glucose worsen endothelial function and oxidative stress compared to constant high glucose in normal and type 2 diabetic patients?
Normal and Type 2 Diabetic Patients
Oscillating glucose (with or without concomitant vitamin C infusion)
Constant high glucose (mean glucose)
Endothelial function and oxidative stresssurrogate
Oscillating glucose levels are more harmful to endothelial function and oxidative stress than sustained hyperglycemia, highlighting the cardiovascular risk of glycemic variability.
These data suggest that oscillating glucose can have more deleterious effects than constant high glucose on endothelial function and oxidative stress, two key players in favoring cardiovascular complications in diabetes. Concomitant vitamin C infusion can reverse this impairment.
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Antonio Ceriello
Katherine Esposito
Ludovica Piconi
Diabetes
University of Warwick
Istituti di Ricovero e Cura a Carattere Scientifico
University of Naples Federico II
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Ceriello et al. (Tue,) studied this question.
www.synapsesocial.com/papers/69d56e2975589c71d767d45c — DOI: https://doi.org/10.2337/db08-0063
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