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Dermal neurovascular dysfunction in type 2 diabetes.

A I Vinik1, T Erbas, T S Park

  • 1Department of Medicine and Pathology/Anatomy/Neurobiology, the Strelitz Diabetes Research Institutes, Eastern Virginia Medical School, Norfolk, Virginia, USA.

Diabetes Care
|July 27, 2001
PubMed
Summary
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Dermal neurovascular dysfunction is linked to type 2 diabetes and metabolic syndrome. This skin blood flow defect, detectable early, involves C-fiber dysfunction and may be a key component of metabolic syndrome.

Area of Science:

  • Endocrinology
  • Neuroscience
  • Vascular Biology

Background:

  • Metabolic syndrome and type 2 diabetes are associated with various complications.
  • Dermal neurovascular function plays a role in regulating skin blood flow.

Purpose of the Study:

  • To review evidence linking dermal neurovascular dysfunction to metabolic syndrome and type 2 diabetes.
  • To explore the role of skin blood flow regulation in metabolic disorders.

Main Methods:

  • Review of existing data on dermal neurovascular function.
  • Utilizing laser Doppler techniques to measure skin blood flow.
  • Analysis of factors influencing skin vasodilation.

Main Results:

  • Dermal neurovascular dysfunction is identified in most type 2 diabetes patients.

Related Experiment Videos

  • The defect is detectable before diabetes onset and partially reversible with insulin sensitizers.
  • This dysfunction is linked to C-fiber impairment and metabolic syndrome components, involving an imbalance of vasodilators and vasoconstrictors.
  • Conclusions:

    • Dermal neurovascular function, regulated by C-fiber neurons, may be a component of metabolic syndrome in type 2 diabetes.
    • Dysregulation of skin blood flow is a potential marker for metabolic complications.