[1]孙晶 邵加庆.血糖波动与糖尿病神经病变的关系[J].国际内分泌代谢杂志,2018,38(03):204-208.[doi:10.3760/cma.j.issn.1673-4157.2018.03.015]
 Sun Jing,Shao Jiaqing.Relationship between glycemic variability and diabetic neuropathy[J].International Journal of Endocrinology and Metabolism,2018,38(03):204-208.[doi:10.3760/cma.j.issn.1673-4157.2018.03.015]
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血糖波动与糖尿病神经病变的关系()
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《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
38
期数:
2018年03期
页码:
204-208
栏目:
基础研究
出版日期:
2018-05-20

文章信息/Info

Title:
Relationship between glycemic variability and diabetic neuropathy
作者:
孙晶 邵加庆
210002 南京大学附属金陵医院(解放军南京总医院)内分泌科
Author(s):
Sun Jing Shao Jiaqing
Department of Endocrinology, Jinling Hospital Affiliated to Nanjing University, Nanjing General Hospital of PLA, Nanjing 210002, China
关键词:
血糖波动 糖尿病神经病变 糖尿病
Keywords:
Glycemic variability Diabetic neuropathy Diabetes mellitus
DOI:
10.3760/cma.j.issn.1673-4157.2018.03.015
摘要:
血糖波动是糖尿病慢性并发症的独立危险因素,糖尿病神经病变是糖尿病最常见的慢性并发症,由于具有较高的发病率、致残率和死亡率而一直备受关注。近年来有研究证实,血糖波动与糖尿病神经病变关系密切。血糖波动主要通过激活氧化应激、损伤血管内皮功能以及促发炎性反应等一系列病理生理过程诱导糖尿病神经病变的发生。
Abstract:
Glycemic variability is an independent risk factor for diabetic complications, diabetic neuropathy is the most common chronic complications of diabetes, which has been paid much attention to due to its high incidence, disability rate and mortality. In recent years, studies have confirmed that glycemic variability was closely related to diabetic neuropathy. Glycemic variability induces diabetic neuropathy mainly through a series of pathophysiological processes such as activating oxidative stress, damaging vascular endothelial function and promoting inflammatory reaction.

参考文献/References:


[1] Ceriello A,Esposito K,Piconi L,et al.Oscillating glucose is more deleterious to endothelial function and oxidative stress than mean glucose in normal and type 2 diabetic patients[J].Diabetes,2008,57(5):1349-1354.DOI:10.2337/db08-0063.
[2] Yagihashi S,Mizukami H,Sugimoto K.Mechanism of diabetic neuropathy: where are we now and where to go?[J].J Diabetes Investig,2011,2(1):18-32. DOI:10.1111/j.2040-1124.2010.00070.x.
[3] Jolivalt CG, Frizzi KE, Guernsey L, et al. Peripheral neuropathy in mouse models of diabetes[J].Curr Protoc Mouse Biol,2016,6(3):223-255. DOI:10.1002/cpmo.11.
[4] Papanas N,Ziegler D.Risk factors and comorbidities in diabetic neuropathy: an Update,2015[J].Rev Diabet Stud,2015,12(1-2):48-62. DOI:10.1900/RDS.2015.12.48.
[5] Pop-Busui R,Boulton AJ,Feldman EL,et al.Diabetic neuropathy: a position statement by the American Diabetes Association[J].Diabetes Care,2017,40(1):136-154. DOI:10.2337/dc16-2042.
[6] Xu F,Zhao LH,Su JB,et al.The relationship between glycemic variability and diabetic peripheral neuropathy in type 2 diabetes with well-controlled HbA1c[J].Diabetol Metab Syndr,2014,6(1):139. DOI:10.1186/1758-5996-6-139.
[7] Kwai NC, Arnold R, Poynten AM,et al. Association between glycemic variability and peripheral nerve dysfunction in type 1 diabetes[J].Muscle Nerve,2016,54(5):967-969.DOI:10.1002/mus.25274.
[8] Bragd J,Adamson U,Bäcklund LB,et al.Can glycaemic variability, as calculated from blood glucose self-monitoring, predict the development of complications in type 1 diabetes over a decade?[J].Diabetes Metab,2008,34(6 Pt 1):612-616.DOI:10.1016/j.diabet.2008.04.005.
[9] oupal J,krha J Jr,Fajmon M,et al.Glycemic variability is higher in type 1 diabetes patients with microvascular complications irrespective of glycemic control[J].Diabetes Technol Ther,2014,16(4):198-203.DOI:10.1089/dia.2013.0205.
[10] Virk SA, Donaghue KC,Cho YH,et al. Association between HbA1c variability and risk of microvascular complications in adolescents with type 1 diabetes[J].J Clin Endocrinol Metab,2016,101(9):3257-3263.DOI:10.1210/jc.2015-3604.
[11] Siegelaar SE,Kilpatrick ES,Rigby AS,et al. Glucose variability does not contribute to the development of peripheral and autonomic neuropathy in type 1 diabetes: data from the DCCT[J].Diabetologia,2009,52(10):2229-2232. DOI:10.1007/s00125-009-1473-x.
[12] Oyibo SO, Prasad YD, Jackson NJ,et al. The relationship between blood glucose excursions and painful diabetic peripheral neuropathy: a pilot study[J].Diabet Med,2002,19(10):870-873.
[13] Xu W,Zhu Y,Yang X,et al.Glycemic variability is an important risk factor for cardiovascular autonomic neuropathy in newly diagnosed type 2 diabetic patients[J].Int J Cardiol,2016,215:263-268.DOI:10.1016/j.ijcard.2016.04.078.
[14] Jun JE, Jin SM,Baek J,et al. The association between glycemic variability and diabetic cardiovascular autonomic neuropathy in patients with type 2 diabetes[J].Cardiovasc Diabetol,2015,14:70.DOI:10.1186/s12933-015-0233-0.
[15] Kalopita S,Liatis S,Thomakos P,et al.Relationship between autonomic nervous system function and continuous interstitial glucose measurement in patients with type 2 diabetes[J].J Diabetes Res,2014,2014:835392.DOI:10.1155/2014/835392.
[16] Jaiswal M,McKeon K,Comment N,et al.Association between impaired cardiovascular autonomic function and hypoglycemia in patients with type 1 diabetes[J].Diabetes Care,2014,37(9):2616-2621.DOI:10.2337/dc14-0445.
[17] Iwasaki S,Kozawa J,Fukui K,et al. Coefficient of variation of R-R interval closely correlates with glycemic variability assessed by continuous glucose monitoring in insulin-depleted patients with type 1 diabetes[J].Diabetes Res Clin Pract,2015,109(2):397-403.DOI:10.1016/j.diabres.2015.05.021.
[18] Sharma D,Morrison G,Joseph F,et al. The role of continuous subcutaneous insulin infusion therapy in patients with diabetic gastroparesis[J].Diabetologia,2011,54(11):2768-2770. DOI:10.1007/s00125-011-2282-6.
[19] Samsom M,Akkermans LM,Jebbink RJ,et al.Gastrointestinal motor mechanisms in hyperglycaemia induced delayed gastric emptying in type Ⅰ diabetes mellitus[J].Gut,1997,40(5):641-646.
[20] Sheen YJ,Sheu WH.Association between hypoglycemia and dementia in patients with type 2 diabetes[J].Diabetes Res Clin Pract,2016,116:279-287.DOI:10.1016/j.diabres.2016.04.004.
[21] de Galan BE,Zoungas S,Chalmers J,et al.Cognitive function and risks of cardiovascular disease and hypoglycaemia in patients with type 2 diabetes: the Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified Release Controlled Evaluation(ADVANCE)trial[J].Diabetologia,2009,52(11):2328-2336.DOI:10.1007/s00125-009-1484-7.
[22] Pop-Busui R,Ang L,Holmes C,et al. Inflammation as a therapeutic target for diabetic neuropathies[J].Curr Diab Rep,2016,16(3):29.DOI:10.1007/s11892-016-0727-5.
[23] Monnier L,Mas E,Ginet C,et al.Activation of oxidative stress by acute glucose fluctuations compared with sustained chronic hyperglycemia in patients with type 2 diabetes[J].JAMA,2006,295(14):1681-1687.DOI:10.1001/jama.295.14.1681.
[24] Quagliaro L,Piconi L,Assaloni R,et al.Intermittent high glucose enhances apoptosis related to oxidative stress in human umbilical vein endothelial cells: the role of protein kinase C and NAD(P)H-oxidase activation[J].Diabetes,2003,52(11):2795-2804.
[25] Abdelzaher LA,Imaizumi T,Suzuki T,et al.Astaxanthin alleviates oxidative stress insults-related derangements in human vascular endothelial cells exposed to glucose fluctuations[J].Life Sci,2016,150:24-31.DOI:10.1016/j.lfs.2016.02.087.
[26] Pacher P,Szabó C.Role of poly(ADP-ribose)polymerase-1 activation in the pathogenesis of diabetic complications: endothelial dysfunction, as a common underlying theme[J].Antioxid Redox Signal,2005,7(11-12):1568-1580. DOI:10.1089/ars.2005.7.1568.
[27] Zhang XG,Zhang YQ,Zhao DK,et al.Relationship between blood glucose fluctuation and macrovascular endothelial dysfunction in type 2 diabetic patients with coronary heart disease[J].Eur Rev Med Pharmacol Sci,2014,18(23):3593-3600.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81471018,81774134); 江苏省自然科学基金(BK20171331)
通信作者:邵加庆,Email: shaojiaq@hotmail.com
更新日期/Last Update: 2018-03-30