Type 1 diabetes

Non-invasive detection of early microvascular changes in juveniles with type 1 diabetes

Cardiovasc DiabetolPublished Cross-sectional study

Authors' conclusion

Capillaroscopic and photoplethysmographic examinations are non-invasive, painless, fast, and inexpensive. They are devoid of side effects, and there are no limitations in the frequency of their use and repetition. The usefulness of capillaroscopy and photoplethysmography in the study of microcirculation in diabetic patients indicates the vast application possibilities of these methods in clinical practice.

Study context

Population
Children and adolescents aged 6–18 with T1D and healthy volunteers
Participants
160 children
Exposure
Children with T1D vs healthy controls
  • T1Dn = 125
  • Healthy controlsn = 35reference
Outcome
Nailfold capillaroscopy findings

Main finding

As reported in the abstract

  • T1D vs Healthy controls: P = 0.019
  • T1D vs Healthy controls: P = 0.006
  • T1D vs Healthy controls: P = 0.026

Observational data: associations, not effects.

Further findings

Meandering capillaries and nutritional status

Meandering capillaries correlated with higher parameters of nutritional status

Photoplethysmography in patients with diagnosed neuropathy

Higher percentage of flow disturbance curves with neuropathy
P < 0.001
Reduced frequency of normal curves with neuropathy
P = 0.050

Original publication

Non-invasive detection of early microvascular changes in juveniles with type 1 diabetes. Cardiovasc Diabetol. Published 21 October 2023. doi:10.1186/s12933-023-02031-y

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