keyword
https://read.qxmd.com/read/37891536/protective-effects-of-guanxinning-tablet-gxnt-on-diabetic-encephalopathy-in-zucker-diabetic-obesity-zdf-rats
#21
JOURNAL ARTICLE
Yajing Li, Jiaojiao Chen, Haiye Tu, Quanxin Ma, Mulan Wang, Jie Chen, Minli Chen
BACKGROUND: Diabetic encephalopathy (DE) is a complication of diabetes that leads to cognitive and behavioral decline. Utilizing safe and effective complementary and alternative medications for its management is a wise choice. Previous studies have shown that GuanXinNing Tablet (GXNT), an oral preparation primarily derived from two Chinese herbs, Salvia miltiorrhiza Bge. and Ligusticum chuanxiong Hort., exerts a beneficial neuroprotective effect. In this study, we explored the protective effects of GXNT on DE in male Zucker diabetic fatty (ZDF) rats induced by a high-fat diet, aiming to ascertain its significance and potential mechanisms...
October 27, 2023: BMC complementary medicine and therapies
https://read.qxmd.com/read/37787526/association-between-diabetes-mellitus-and-postoperative-urinary-retention-after-cerebral-angiography
#22
JOURNAL ARTICLE
Xiwen Chen, Shaoli Yao, Cheng Peng, Kongyuan Wu, Hui Lang, Ning Chen
AIMS: The aim of this study is to examine the association between diabetes mellitus and postoperative urinary retention on cerebral angiography (including intravascular interventional therapy). METHODS: We collected data on the demographic characteristics and comorbidities, imaging and routine laboratory data, surgical information, and medications of patients who underwent cerebral angiography. Multivariate logistic regression was used to explore the correlation between diabetes and the incidence of postoperative urinary retention...
October 3, 2023: Neurourology and Urodynamics
https://read.qxmd.com/read/37779807/determinants-and-stratification-of-microvascular-complications-of-type-2-diabetes-mellitus
#23
JOURNAL ARTICLE
Priya Reddy Mallimala, Kavita Shah, Mohit Mirchandani, Karan Sharma
Background Diabetes mellitus (DM) is a prevalent metabolic disorder characterized by high blood sugar levels. It is classified into type 1 (T1DM) and type 2 (T2DM), which have different mechanisms and complications. The global prevalence of diabetes, particularly T2DM, has increased significantly in recent decades, leading to a need for standardized data collection of macrovascular and microvascular complications to track disease progression and guide treatment options. This study aims to assess and correlate the prevalence and severity of microvascular complications in patients with T2DM...
August 2023: Curēus
https://read.qxmd.com/read/37761301/retinal-microvascular-alterations-in-a-patient-with-type-1-diabetes-mellitus-hemoglobin-d-hemoglobinopathy-and-high-myopia-case-report-and-review-of-the-literature
#24
Alexandra Oltea Dan, Andrei Theodor Bălășoiu, Ileana Puiu, Andreea Cornelia Tănasie, Anca Elena Târtea, Veronica Sfredel
Type 1 diabetes mellitus (type 1 DM) is one of the most prevalent endocrinological diseases among children and young adults, with a growing incidence rate reaching up to 2.9 new cases per year per 100,000 persons below 15 years of age. We report a rare case of a 20-year-old female patient with type 1 DM, hemoglobin D (HbD) heterozygote variant and high myopia of -10.00 spheric diopters, and describe the retinal microvascular alterations visible on OCT angiography (angio-OCT). The patient also presented with a severe stature deficit (less than three standard deviations) and delayed puberty, which could not be explained only by suboptimal glycemic control and indicated possible hypopituitarism...
September 13, 2023: Diagnostics
https://read.qxmd.com/read/37740747/alterations-of-outer-retinal-reflectivity-in-diabetic-patients-without-clinically-detectable-retinopathy
#25
JOURNAL ARTICLE
Feng Zhang, Zijing Du, Xiayin Zhang, Yaxin Wang, Yesheng Chen, Guanrong Wu, Yingying Liang, Dan Cao, Jun Zhao, Ying Fang, Jianhua Ma, Honghua Yu, Yijun Hu
PURPOSE: This study aimed to investigate alterations of outer retinal reflectivity on spectral-domain optical coherence tomography (OCT) in diabetic patients without clinically detectable retinopathy (NDR). METHODS: In this retrospective study, 64 NDR patients and 71 controls were included. Relative reflectivity (RR) of the ellipsoid zone (EZ), photoreceptor outer segment (OS) and inner segment (IS), and outer nuclear layer (ONL) at the foveola and at 500 μm, 1000 μm, and 2000 μm nasal (N), temporal (T), superior (S), and inferior (I) to the foveola was measured by cross-line OCT and ImageJ...
September 23, 2023: Graefe's Archive for Clinical and Experimental Ophthalmology
https://read.qxmd.com/read/37725677/complete-revascularization-versus-culprit-lesion-only-pci-in-stemi-patients-with-diabetes-and-multivessel-coronary-artery-disease-results-from-the-complete-trial
#26
RANDOMIZED CONTROLLED TRIAL
Zardasht Oqab, Vijay Kunadian, David A Wood, Robert F Storey, Sunil V Rao, Roxana Mehran, Natalia Pinilla-Echeverri, Thenmozhi Mani, Robert H Boone, Saleem Kassam, Matthias Bossard, Samer Mansour, Warren Ball, Matthew Sibbald, Nicholas Valettas, Raul Moreno, Philippe Gabriel Steg, John A Cairns, Shamir R Mehta
BACKGROUND: In the COMPLETE trial (Complete Versus Culprit-Only Revascularization to Treat Multivessel Disease After Early PCI for STEMI), a strategy of complete revascularization reduced the risk of major cardiovascular events compared with culprit-lesion-only percutaneous coronary intervention in patients presenting with ST-segment-elevation myocardial infarction (STEMI) and multivessel coronary artery disease. Patients with diabetes have a worse prognosis following STEMI. We evaluated the consistency of the effects of complete revascularization in patients with and without diabetes...
September 2023: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/37634169/influence-of-atherosclerotic-burden-on-adult-patients-with-ischemic-moyamoya-disease-combined-analysis-of-two-prospective-cohorts
#27
JOURNAL ARTICLE
Kuniaki Ogasawara, Yosuke Akamatsu, Kohei Chida, Masakazu Kobayashi, Kenji Yoshida, Shunrou Fujiwara, Kazunori Terasaki, Takahiro Koji, Yoshitaka Kubo
OBJECTIVE: This study aimed to determine the influence of atherosclerotic risk factors on initial and further cerebrovascular events in adult patients with moyamoya disease (MMD) by combined analysis of two prospective cohorts in which patients received pharmacotherapy alone and were prospectively followed-up for 5 years. METHODS: In 71 patients, smoking status, home blood pressure, hemoglobin (Hb)A1c and low-density lipoprotein cholesterol (LDL-chol) were checked at inclusion and at further cerebrovascular event or at the end of 5-year follow-up...
August 27, 2023: Neurological Research
https://read.qxmd.com/read/37592260/clusters-of-prediabetes-and-type-2-diabetes-stratify-all-cause-mortality-in-a-cohort-of-participants-undergoing-invasive-coronary-diagnostics
#28
JOURNAL ARTICLE
Katsiaryna Prystupa, Graciela E Delgado, Angela P Moissl, Marcus E Kleber, Andreas L Birkenfeld, Martin Heni, Andreas Fritsche, Winfried März, Robert Wagner
BACKGROUND: Heterogeneous metabolic clusters have been identified in diabetic and prediabetic states. It is not known whether such pathophysiologic clusters impact survival in at-risk persons being evaluated for coronary heart disease. METHODS: The LURIC Study recruited patients referred for coronary angiography at a median age of 63 (IQR 56-70) with a follow-up of 16.1 (IQR 9.6, 17.7) years. Clustering of 1269 subjects without diabetes was performed with oGTT-derived glucose and insulin; fasting triglyceride, high-density lipoprotein, BMI, waist and hip circumference...
August 17, 2023: Cardiovascular Diabetology
https://read.qxmd.com/read/37592025/association-between-paroxysmal-or-persistent-atrial-fibrillation-and-hyperuricemia-in-patients-who-underwent-coronary-computed-tomography-angiography-from-the-fu-ccta-af-registry
#29
JOURNAL ARTICLE
Masashi Mikagi, Kohei Tashiro, Tomo Komaki, Yuhei Shiga, Tetsuro Tachibana, Sara Higashi, Yuto Kawahira, Yasunori Suematsu, Akihito Ideishi, Masahiro Ogawa, Shin-Ichiro Miura
BACKGROUND: Hyperuricemia (HU) and hypertension (HTN) contribute to atherosclerotic cardiovascular disease, and both are also involved in the onset and development of atrial fibrillation (AF). OBJECTIVE: In the present study, we investigated the association between risk factors for atherosclerosis [including HU, HTN, blood pressure and serum uric acid (UA) levels] and paroxysmal atrial fibrillation (Paro-AF) or persistent atrial fibrillation (Pers-AF) in patients who underwent coronary computed tomography angiography (CCTA)...
August 17, 2023: Heart and Vessels
https://read.qxmd.com/read/37519117/limb-and-cardiovascular-event-risk-in-type-1-and-2-diabetic-patients-with-peripheral-artery-disease
#30
JOURNAL ARTICLE
Daniel Sykora, Christine Firth, Marlene Girardo, Andrew Tseng, Paul Wennberg, David Liedl, Fadi Shamoun
<b/> Background: Peripheral artery disease (PAD) is a risk factor for adverse limb events (LE) and cardiovascular events (CVE) that coexists with type 1 (T1) and 2 (T2) diabetes mellitus (DM). Little is known about comparative risk of LE and CVE in T1/T2 DM patients with PAD. Patients and methods: We queried our database of 40,144 patients ≥18 years old who underwent ankle brachial index (ABI) measurement from 01/1996-02/2020. We isolated T1/T2 DM patients with PAD diagnosed by ankle brachial index (ABI; low [<1...
September 2023: VASA. Zeitschrift Für Gefässkrankheiten
https://read.qxmd.com/read/37495830/foveal-avascular-zone-size-and-mferg-metrics-in-diabetes-and-prediabetes-a-pilot-study-of-the-relationship-between-structure-and-function
#31
JOURNAL ARTICLE
Allison Jussel Zagst, Jennyffer D Smith, Rachel Wang, Wendy W Harrison
PURPOSE: Previous studies have demonstrated functional and structural retinal changes in type 2 diabetes (T2DM). However, less is understood in prediabetes, which is an important precursor to T2DM. Here, we evaluate the microvasculature structure of the foveal avascular zone (FAZ) and how it is correlated with retinal function as measured by the multifocal electroretinogram (mfERG) across levels of glucose dysfunction to uncover how T2DM and prediabetes alter this structure-function relationship...
October 2023: Documenta Ophthalmologica. Advances in Ophthalmology
https://read.qxmd.com/read/37470245/comparison-of-optical-coherence-tomography-angiography-findings-between-healthy-children-and-children-with-type-1-diabetes-mellitus-and-autoimmune-thyroiditis
#32
JOURNAL ARTICLE
Hüseyin Anıl Korkmaz, Ali Devebacak, Ibrahim Mert Erbaş, Cumali Değirmenci, Nilufer Uyar, Filiz Afrashi, Behzat Ozkan
AIM: This study aimed to compare the development of early diabetic retinopathy (DR) findings, a microvascular complication, between patients with type 1 DM and autoimmune thyroiditis (AT) (group 1), patients with isolated type 1 diabetes mellitus (DM) (group 2), and healthy controls (group 3), who were matched for age, sex, number, and body mass index for comparison. METHODS: In this prospective observational study, individuals aged 10-20 years were included, and patients in groups 1 and 2 were followed up for ≥5 years...
July 20, 2023: Journal of Clinical Research in Pediatric Endocrinology
https://read.qxmd.com/read/37416918/deep-learning-based-prediction-for-significant-coronary-artery-stenosis-on-coronary-computed-tomography-angiography-in-asymptomatic-populations
#33
JOURNAL ARTICLE
Heesun Lee, Bong Gyun Kang, Jeonghee Jo, Hyo Eun Park, Sungroh Yoon, Su-Yeon Choi, Min Joo Kim
BACKGROUND: Although coronary computed tomography angiography (CCTA) is currently utilized as the frontline test to accurately diagnose coronary artery disease (CAD) in clinical practice, there are still debates regarding its use as a screening tool for the asymptomatic population. Using deep learning (DL), we sought to develop a prediction model for significant coronary artery stenosis on CCTA and identify the individuals who would benefit from undergoing CCTA among apparently healthy asymptomatic adults...
2023: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/37344962/can-prediabetes-diagnosed-using-hemoglobina1c-or-oral-glucose-tolerance-test-predict-presence-and-severity-of-coronary-artery-disease-in-symptomatic-patients
#34
JOURNAL ARTICLE
Katrine S Overgaard, Thomas R Andersen, Roda A Mohamed, Laurits J Heinsen, Helle G Binderup, Sören Möller, Søren Auscher, Jess Lambrechtsen, Kenneth Egstrup
We investigated whether prediabetes diagnosed by hemoglobinA1c (HbA1c) or oral glucose tolerance test (OGTT) could predict presence and severity of coronary artery disease (CAD) in symptomatic patients. The presence of plaque, stenosis, plaque characteristics, and coronary artery calcium (CAC) were evaluated by coronary CT angiography in 702 patients with suspicion of CAD. Patients were classified by glycemic status using the American Diabetes Association criteria for HbA1c and OGTT, and compared to their respective normal ranges...
2023: Diabetes & Vascular Disease Research
https://read.qxmd.com/read/37292080/prevalence-of-coronary-artery-disease-in-asymptomatic-type-2-diabetes-mellitus-patients-with-invasive-correlation-in-north-india
#35
JOURNAL ARTICLE
Vinod Kumar, Bharat Yadav, Amit Nachankar
INTRODUCTION: Type 2 diabetes mellitus (T2DM) is the risk factor for coronary artery disease (CAD). MATERIAL AND METHODS: In this study, we assessed the prevalence of CAD in asymptomatic T2DM patients and its correlation with invasive testing in treadmill testing (TMT)-positive cases. A total of 90 patients with asymptomatic T2DM were recruited and subjected to TMT TMT-positive patients were subjected to coronary angiography (CAG). RESULTS: At baseline, the mean duration of T2DM (years) was 4...
2023: Indian Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/37291258/right-versus-left-eye-asymmetry-of-microvasculature-in-diabetes-revealed-by-optical-coherence-tomography-angiography
#36
JOURNAL ARTICLE
Tong Zhao, Sawarin Laotaweerungsawat, Yi Chen, Xiuyun Liu, Dongwei Liu, Jay M Stewart
In this study, we explored inter-ocular asymmetry (between the two eyes of the same patient) using optical coherence tomography angiography (OCTA) in patients with diabetes mellitus (DM) at different retinopathy stages. A total of 258 patients were divided into four groups: no DM, DM without diabetic retinopathy (DR), non-proliferative DR (NPDR), and proliferative DR (PDR). Superficial and deep vessel density (SVD, DVD), superficial and deep perfusion density (SPD, DPD), foveal avascular zone (FAZ) area, perimeter and circularity were calculated, and asymmetry index (AI) was used to evaluate the asymmetry of two eyes of the same subject...
June 8, 2023: Scientific Reports
https://read.qxmd.com/read/37280352/association-of-oct-and-oct-angiography-measures-with-the-development-and-worsening-of-diabetic-retinopathy-in-type-2-diabetes
#37
JOURNAL ARTICLE
Sangeetha Srinivasan, Sobha Sivaprasad, Ramachandran Rajalakshmi, Ranjit Mohan Anjana, Rayaz A Malik, Vaitheeswaran Kulothungan, Rajiv Raman, Muna Bhende
OBJECTIVE: To assess if optical coherence tomography (OCT) and OCT angiography (OCTA) measures are associated with the development and worsening of diabetic retinopathy (DR) over four years. METHODS: 280 participants with type 2 diabetes underwent ultra-wide field fundus photography, OCT and OCTA. OCT-derived macular thickness measures, retinal nerve fibre layer and ganglion cell-inner plexiform layer thickness and OCTA-derived foveal avascular zone area, perimeter, circularity, vessel density (VD) and macular perfusion (MP) were examined in relation to the development and worsening of DR over four years...
June 6, 2023: Eye
https://read.qxmd.com/read/37227747/progression-biomarkers-of-microvascular-and-photoreceptor-changes-upon-long-term-evaluation-in-type-1-diabetes
#38
JOURNAL ARTICLE
Serena Fragiotta, Eliana Costanzo, Fabiana Picconi, Paola Giorno, Daniele De Geronimo, Daniela Giannini, Simona Frontoni, Monica Varano, Mariacristina Parravano
PURPOSE: To assess demographic, metabolic, and imaging predictors influencing microvasculature and photoreceptors changes over a 4-year follow-up in type 1 diabetes mellitus (DM1). METHODS: This prospective cohort study enrolled patients with DM1 with mild non-proliferative diabetic retinopathy. Complete medical records, glycosylated hemoglobin (HbA1c), optical coherence tomography angiography, and adaptive optics were collected for the 4 years of follow-up. The main outcome measures included perfusion density at the superficial capillary plexus (SCP) and deep capillary plexus (DCP), choriocapillaris (CC) flow deficits (FDs, %), cone density, linear dispersion index (LDi), and heterogeneity packing index (HPi)...
May 1, 2023: Investigative Ophthalmology & Visual Science
https://read.qxmd.com/read/37208427/angiographic-biomarkers-are-significant-predictors-of-treatment-response-to-intravitreal-aflibercept-in-diabetic-macular-edema
#39
JOURNAL ARTICLE
Martin Hein, Aleksandar Vukmirovic, Ian J Constable, Vignesh Raja, Arman Athwal, K Bailey Freund, Chandrakumar Balaratnasingam
This prospective single-center study aims to identify biomarkers that predict improvement in best-corrected visual acuity (BCVA) and central retinal thickness (CRT) at 6 months, in 76 eyes with diabetic macular edema (DME) treated monthly with intravitreal aflibercept. At baseline, all patients underwent standardized imaging with color photography, optical coherence tomography (OCT), fluorescein angiography (FA) and OCT angiography (OCTA). Glycosylated hemoglobin, renal function, dyslipidemia, hypertension, cardiovascular disease and smoking were recorded...
May 19, 2023: Scientific Reports
https://read.qxmd.com/read/37202824/macular-vascular-features-of-different-types-of-diabetic-macular-edema-using-ocular-coherence-tomography-angiography-a-comparative-study
#40
JOURNAL ARTICLE
Ghada A Nassar, Ibrahim M Maqboul, Ayman Gehad El-Nahry, Lameece Moustafa Hassan, Ahmed B Shalash
BACKGROUND: To compare the microvascular features of different subtypes of diabetic macular edema (DME) by optical coherence tomography angiography (OCTA). METHODS: A cross-sectional study including treatment-naive patients with DME. Eyes were divided according to optical coherence tomography determined morphology into two groups: cystoid macular edema (CME) and diffuse retinal thickening (DRT), with further subdivision according to the presence of subretinal fluid...
May 18, 2023: International Journal of Retina and Vitreous
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