The effect of intensive risk factor management in type 2 diabetes on inflammatory biomarkers.

Abstract:

AIMS:To determine whether intensive risk factor management reduced markers of inflammation in middle-aged and older people with type 2 diabetes who either had, or were at risk for cardiovascular disease (CVD), and whether these effects were mediated by adiposity. METHODS:The Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial was a multicenter double 2 by 2 factorial randomized controlled trial of 10,251 middle-aged and older people who had type 2 diabetes, a GHbA1c of 7.5% or greater, and evidence of CVD or CVD risk factors. Biomarkers were assessed in a subset of 562 participants. Intervention effects on high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-alpha) were tested using linear regression models. RESULTS:A significantly lower average hs-CRP was noted in the intensive versus the standard glycemic group (p=0.029). Adjusting for change in BMI or waist circumference resulted in larger differences in adjusted hs-CRP (p<0.001 and p<0.002, respectively) between the glycemic intervention groups. CONCLUSIONS:Intensive glycemic control was associated with a reduction in hs-CRP in this study population. Intervention associated increases in adiposity suppressed the beneficial effect of intensive glycemic control on lowering hs-CRP.

authors

Samaropoulos XF,Light L,Ambrosius WT,Marcovina SM,Probstfield J,Goff DC Jr

doi

10.1016/j.diabres.2011.09.027

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

389-98

issue

3

eissn

0168-8227

issn

1872-8227

pii

S0168-8227(11)00529-8

journal_volume

95

pub_type

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