Glycemic variability and oxidative stress: a link between diabetes and cardiovascular disease?

Abstract:

:Diabetes is associated with a two to three-fold increase in risk of cardiovascular disease. However, intensive glucose-lowering therapy aiming at reducing HbA1c to a near-normal level failed to suppress cardiovascular events in recent randomized controlled trials. HbA1c reflects average glucose level rather than glycemic variability. In in vivo and in vitro studies, glycemic variability has been shown to be associated with greater reactive oxygen species production and vascular damage, compared to chronic hyperglycemia. These findings suggest that management of glycemic variability may reduce cardiovascular disease in patients with diabetes; however, clinical studies have shown conflicting results. This review summarizes the current knowledge on glycemic variability and oxidative stress, and discusses the clinical implications.

journal_name

Int J Mol Sci

authors

Saisho Y

doi

10.3390/ijms151018381

subject

Has Abstract

pub_date

2014-10-13 00:00:00

pages

18381-406

issue

10

issn

1422-0067

pii

ijms151018381

journal_volume

15

pub_type

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