Albuminuria and Carotid Atherosclerosis in Type 1 Diabetes Evaluated Using Three-Dimensional Vascular Ultrasound

Luis F Ferreira-Divino1, Christina G Poulsen1, Viktor Rotbain Curovic1

  • 1Steno Diabetes Center Copenhagen, Herlev, Denmark.

Insights

Individuals with type 1 diabetes exhibit increased carotid plaque volume compared to healthy individuals. Higher albuminuria levels correlate with greater carotid plaque burden in type 1 diabetes patients.

Area of Science:

  • Cardiovascular Medicine
  • Diabetology
  • Vascular Ultrasound Imaging

Background:

  • Albuminuria signifies elevated cardiovascular disease (CVD) and mortality risk in type 1 diabetes.
  • Carotid atherosclerosis is a key indicator of CVD risk.

Purpose of the Study:

  • To compare carotid atherosclerosis between type 1 diabetes patients and healthy controls.
  • To evaluate the association between albuminuria and carotid atherosclerosis in type 1 diabetes.

Main Methods:

  • A cross-sectional study involving 290 type 1 diabetes patients and 60 healthy controls.
  • Three-dimensional vascular ultrasound (3DVUS) measured carotid total plaque volume (TPV); two-dimensional vascular ultrasound (2DVUS) measured carotid maximal plaque thickness (cPTmax).
  • Ordinal logistic regression analyzed TPV and cPTmax in relation to albuminuria categories.

Main Results:

  • Type 1 diabetes patients showed significantly higher median TPV (28 mm³ vs. 9 mm³) and cPTmax (14 mm vs. 11 mm) than controls.
  • Higher albuminuria levels in type 1 diabetes patients were independently associated with increased TPV and cPTmax.
  • Severely increased albuminuria was linked to higher TPV compared to normal albuminuria.

Conclusions:

  • Type 1 diabetes patients have greater carotid plaque volume than healthy individuals, irrespective of other risk factors.
  • Elevated albuminuria levels are directly associated with increased carotid plaque burden in type 1 diabetes.
  • Vascular ultrasound effectively quantifies atherosclerosis in type 1 diabetes and its relation to albuminuria.
Abstract

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