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Blood thrombogenicity in type 2 diabetes mellitus patients is associated with glycemic control.

Abstract：

OBJECTIVES:This study was designed to determine whether blood thrombogenicity is related to chronic glycemic control in type 2 diabetes mellitus (T2DM). BACKGROUND:Type 2 diabetes mellitus is associated with accelerated atherosclerosis and a high rate of arterial thrombotic complications. Whether increased blood thrombogenicity is associated with glycemic control has not been properly tested. METHODS:Forty patients with T2DM with hemoglobin A1c (HbA1c) > or =7.5% were selected. Maintaining their current hypoglycemic therapies, patients were randomized into a conservative (diet modification plus placebo) or intensive (diet modification plus troglitazone) hypoglycemic regimen for three months. Blood thrombogenicity was measured at baseline and after three months with the Badimon ex vivo perfusion chamber and assessed as platelet-thrombus formation. The repeated measurements allowed every patient to be his/her own control. RESULTS:Patients in both groups (48% and 74% of the conservative and intensive groups, respectively) improved glucose control (HbA1c reduction > or =0.5%), showing a significant decrease in blood thrombogenicity. A significant positive correlation was observed between the reduction in thrombus formation and the reduction in HbA1c (r = 0.47, p < 0.01). The reduction in HbA1c achieved by both treatments was comparable. Patients without glycemic improvement showed no change in blood thrombogenicity. Improved glycemic control was the only significant predictor of a decrease in blood thrombogenicity. CONCLUSIONS:In T2DM, there is an association between improved glycemic control and blood thrombogenicity reduction. The effect of glycemic control on the thrombotic complications of T2DM patients deserves further investigation.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Osende JI,Badimon JJ,Fuster V,Herson P,Rabito P,Vidhun R,Zaman A,Rodriguez OJ,Lev EI,Rauch U,Heflt G,Fallon JT,Crandall JP

doi

10.1016/s0735-1097(01)01555-8

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

1307-12

issue

5

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(01)01555-8

journal_volume

38

pub_type

临床试验,杂志文章,随机对照试验

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