Diabetes complications

Cutaneous Carbonyl Stress Is Associated With Nerve Dysfunction in Recent-Onset Type 2 Diabetes

Diabetes CarePublished Cross-sectional study with prospective follow-up of a subgroup

Authors' conclusion

Cutaneous AGE markers were associated with neurophysiological deficits in recent-onset type 2 diabetes and predicted their progression after 5 years, substantiating the role of carbonyl stress in the development of early DSPN.

Study context

Population
Individuals with recent-onset (≤12 months) T2D and with normal glucose tolerance (NGT) from the German Diabetes Study baseline cohortT2D subgroup n = 80 reassessed at 5 years
Participants
160 vs 144
Exposure
Recent-onset T2D vs NGT
  • T2Dn = 160
  • NGTn = 144reference
Outcome
Argpyrimidine area (skin biopsy)
Follow-up
Baseline
Methodological detailsGerman Diabetes Study baseline cohort, skin biopsies, 5-year reassessment of subgroup
  • German Diabetes Study baseline cohort
  • Skin biopsies
  • 5-year reassessment of subgroup

Main finding

As reported in the abstract

P < 0.05

Observational data: associations, not effects.

Further findings

Correlations of AGE autofluorescence in T2D · baseline

AGE autofluorescence vs peroneal motor nerve conduction velocity (inverse), T2D
r = −0.346
AGE autofluorescence vs AGE reader measurements, T2D
r = 0.358
No such correlations in NGT
  • All P < 0.05

Prediction of 5-year progression in T2D subgroup

Higher baseline AGE autofluorescence and lower endothelial cell area predicted deterioration of clinical and neurophysiological measures

Original publication

Cutaneous Carbonyl Stress Is Associated With Nerve Dysfunction in Recent-Onset Type 2 Diabetes. Diabetes Care. Published 25 November 2024. doi:10.2337/dc24-1799

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