Cardiovascular complications of type 1 diabetes: update on the renal link

Trevor J Orchard1, Tina Costacou2

  • 1Department of Epidemiology, Diabetes and Lipid Research Clinic, University of Pittsburgh, 3512 Fifth Avenue, Pittsburgh, PA, 15213, USA.

Acta Diabetologica
|December 21, 2016
PubMed

Insights

Individuals with type 1 diabetes face increased mortality from cardiovascular and renal complications. Shared risk factors like insulin resistance and glycemic control highlight the need for further research into these cardio-renal issues.

Area of Science:

  • Endocrinology
  • Cardiology
  • Nephrology

Background:

  • Type 1 diabetes (T1D) is associated with significantly higher mortality rates than the general population.
  • Cardiovascular and renal complications are the primary drivers of this increased mortality in T1D.
  • Recent advances have improved life expectancy for T1D individuals, but mortality risks persist.

Purpose of the Study:

  • To review current research on cardiovascular complications in T1D.
  • To examine the intricate links between cardiovascular disease and renal disease in T1D.
  • To synthesize findings on shared mechanisms and predictors of cardio-renal complications in T1D.

Main Methods:

  • A comprehensive review of published literature was conducted.
  • The review focused on studies investigating cardiovascular complications in type 1 diabetes.
  • Particular emphasis was placed on research exploring the relationship between cardiovascular and renal disease in this population.

Main Results:

  • Cardiovascular and renal complications in T1D share common pathophysiological features.
  • Key shared features include insulin resistance, oxidative stress, and genetic predispositions (e.g., Haptoglobin genotype).
  • Glycemic control emerges as a critical factor influencing the progression of both cardiovascular and renal complications.

Conclusions:

  • Knowledge regarding predictors of cardio-renal complications in T1D has advanced.
  • However, a deeper understanding of the underlying mechanisms driving these complications is still needed.
  • Further research is essential to develop more effective prevention and treatment strategies for T1D patients.
Abstract

Related Concept Videos

Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.6K
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
5.7K
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
5.3K
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
860
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
1.4K
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
4.0K