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Preserved endothelial function in young adults with type 1 diabetes
Martin Heier1,2,3, Cathrine Nygaard Espeland4, Cathrine Brunborg5
1Pediatric Department, Oslo University Hospital, Oslo, Norway.
Plos One
|October 26, 2018
Summary
Young adults with type 1 diabetes (T1D) show preserved endothelial function, measured by reactive hyperemia index (RHI), compared to healthy peers. This suggests T1D does not impair vascular health in this age group.
Area of Science:
- Cardiovascular Health
- Endocrinology
- Vascular Biology
Background:
- Endothelial dysfunction is a key factor in atherosclerosis, often seen in older adults with type 1 diabetes (T1D).
- The impact of T1D on endothelial function in young adults requires further investigation.
Purpose of the Study:
- To evaluate endothelial function in young adults with T1D using peripheral arterial tonometry (PAT).
- To examine the relationship between endothelial function, cardiovascular risk factors, and long-term glycemic control in T1D patients.
Main Methods:
- Assessed endothelial function via reactive hyperemia index (RHI) using PAT in 46 T1D patients and 32 controls.
- Utilized data from the "Atherosclerosis and Childhood Diabetes" study and Norwegian Childhood Diabetes Registry for HbA1c measurements.
Main Results:
- No significant difference in RHI was observed between T1D patients (mean 2.00) and controls (mean 2.21).
- No associations were found between RHI and traditional risk factors, gender, HbA1c, or long-term glycemic burden.
Conclusions:
- Endothelial function, as measured by RHI, is preserved in young adults with type 1 diabetes.
- Early T1D does not appear to negatively impact endothelial function in this cohort.
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