|
Diabetes Care, Vol 18, Issue 2 258-268, Copyright © 1995 by American Diabetes Association
Hyperglycemia and microvascular and macrovascular disease in diabetes
R Klein
Department of Ophthalmology and Visual Sciences, University of Wisconsin Medical School, Madison, USA.
In summary, over the past 16 years, since the publication of Kelly West's
book, epidemiological study has provided better insight into the relation
of hyperglycemia and diabetic complications. Data from the WESDR
demonstrate a strong consistent relationship between hyperglycemia and the
incidence and progression of microvascular (diabetic retinopathy, loss of
vision, and nephropathy) and macrovascular (amputation and cardiovascular
disease mortality) complications in people with IDDM and NIDDM (Figs. 19
and 20). The DCCT has demonstrated that intensive insulin therapy will
reduce the incidence and progression of microvascular complications in
people with IDDM (22). A number of further challenges await laboratory
scientists and epidemiologists regarding hyperglycemia in people with
diabetes. There is a need to understand the relation of hyperglycemia to
pathogenetic mechanisms that lead to the development of specific
complications, to develop new methods to detect and physiologically treat
hyperglycemia, and to develop better methods of primary and secondary
prevention of diabetic complications in people with IDDM and NIDDM.

CiteULike Del.icio.us Digg Reddit Technorati What's this?
This article has been cited by other articles:

|
 |

|
 |
 
V. A. Fonseca, J. Rosenstock, A. C. Wang, K. E. Truitt, and M. R. Jones
Colesevelam HCl Improves Glycemic Control and Reduces LDL Cholesterol in Patients With Inadequately Controlled Type 2 Diabetes on Sulfonylurea-Based Therapy
Diabetes Care,
August 1, 2008;
31(8):
1479 - 1484.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. M. Lee
Why Young Adults Hold the Key to Assessing the Obesity Epidemic in Children
Arch Pediatr Adolesc Med,
July 1, 2008;
162(7):
682 - 687.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. V. Howard, M. J. Roman, R. B. Devereux, J. L. Fleg, J. M. Galloway, J. A. Henderson, Wm. J. Howard, E. T. Lee, M. Mete, B. Poolaw, et al.
Effect of Lower Targets for Blood Pressure and LDL Cholesterol on Atherosclerosis in Diabetes: The SANDS Randomized Trial
JAMA,
April 9, 2008;
299(14):
1678 - 1689.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Juutilainen, S. Lehto, T. Ronnemaa, K. Pyorala, and M. Laakso
Similarity of the Impact of Type 1 and Type 2 Diabetes on Cardiovascular Mortality in Middle-Aged Subjects
Diabetes Care,
April 1, 2008;
31(4):
714 - 719.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. P. Stolk, M. J. van Schooneveld, J. K. Cruickshank, A. D. Hughes, A. Stanton, J. Lu, A. Patel, S. A. McG. Thom, D. E. Grobbee, J. R. Vingerling, et al.
Retinal Vascular Lesions in Patients of Caucasian and Asian Origin With Type 2 Diabetes: Baseline results from the ADVANCE Retinal Measurements (AdRem) study
Diabetes Care,
April 1, 2008;
31(4):
708 - 713.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Monnier and C. Colette
Glycemic Variability: Should we and can we prevent it?
Diabetes Care,
February 1, 2008;
31(Supplement_2):
S150 - S154.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
American Diabetes Association
Standards of Medical Care in Diabetes--2008
Diabetes Care,
January 1, 2008;
31(Supplement_1):
S12 - S54.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Shankar, R. Klein, B. E. K. Klein, and S. E. Moss
Association between Glycosylated Hemoglobin Level and Cardiovascular and All-Cause Mortality in Type 1 Diabetes
Am. J. Epidemiol.,
August 15, 2007;
166(4):
393 - 402.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. F. Chowdhry, H. A. Vohra, and M. Galinanes
Diabetes increases apoptosis and necrosis in both ischemic and nonischemic human myocardium: Role of caspases and poly-adenosine diphosphate-ribose polymerase
J. Thorac. Cardiovasc. Surg.,
July 1, 2007;
134(1):
124 - 131.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
I. W Campbell
The role of metformin and pioglitazone in early combination treatment of type 2 diabetes mellitus
The British Journal of Diabetes & Vascular Disease,
September 1, 2006;
6(5):
207 - 215.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
R. Klein and B. E. K. Klein
The Epidemiology of Eye Disease: From Glycemia to Genetics The Friedenwald Lecture
Invest. Ophthalmol. Vis. Sci.,
May 1, 2006;
47(5):
1747 - 1753.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Monnier, E. Mas, C. Ginet, F. Michel, L. Villon, J.-P. Cristol, and C. Colette
Activation of Oxidative Stress by Acute Glucose Fluctuations Compared With Sustained Chronic Hyperglycemia in Patients With Type 2 Diabetes
JAMA,
April 12, 2006;
295(14):
1681 - 1687.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Steed, J. Lankester, M. Barnard, K. Earle, S. Hurel, and S. Newman
Evaluation of the UCL Diabetes Self-management Programme (UCL-DSMP): A Randomized Controlled Trial
J Health Psychol,
March 1, 2005;
10(2):
261 - 276.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Juutilainen, S. Kortelainen, S. Lehto, T. Ronnemaa, K. Pyorala, and M. Laakso
Gender Difference in the Impact of Type 2 Diabetes on Coronary Heart Disease Risk
Diabetes Care,
December 1, 2004;
27(12):
2898 - 2904.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. M. Engelgau, L. S. Geiss, D. Murphy, K M. Venkat Narayan, and F. Vinicor
Translating "Tight Control"?
Ann Intern Med,
November 16, 2004;
141(10):
822 - 823.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. B. Dixon, J. A. Kreyenbuhl, F. B. Dickerson, T. W. Donner, C. H. Brown, K. Wolheiter, L. Postrado, R. W. Goldberg, L. Fang, C. Marano, et al.
A Comparison of Type 2 Diabetes Outcomes Among Persons With and Without Severe Mental Illnesses
Psychiatr Serv,
August 1, 2004;
55(8):
892 - 900.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. Vincze and A. Parthan
The Value of Home Monitoring Kits in Diabetes, Hypertension, Asthma, and Oral Anticoagulation Therapy
Journal of Pharmacy Practice,
June 1, 2004;
17(3):
182 - 196.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. M. Engelgau, L. S. Geiss, J. B. Saaddine, J. P. Boyle, S. M. Benjamin, E. W. Gregg, E. F. Tierney, N. Rios-Burrows, A. H. Mokdad, E. S. Ford, et al.
The Evolving Diabetes Burden in the United States
Ann Intern Med,
June 1, 2004;
140(11):
945 - 950.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Barrett-Connor, E.-G. V. Giardina, A. K. Gitt, U. Gudat, H. O. Steinberg, and D. Tschoepe
Women and Heart Disease: The Role of Diabetes and Hyperglycemia
Arch Intern Med,
May 10, 2004;
164(9):
934 - 942.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
O. Parry, E. Peel, M. Douglas, and J. Lawton
Patients in waiting: a qualitative study of type 2 diabetes patients' perceptions of diagnosis
Fam. Pract.,
April 1, 2004;
21(2):
131 - 136.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
I. M. El-Kebbi, D. C. Ziemer, C. B. Cook, D. L. Gallina, C. S. Barnes, and L. S. Phillips
Utility of Casual Postprandial Glucose Levels in Type 2 Diabetes Management
Diabetes Care,
February 1, 2004;
27(2):
335 - 339.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. S. Soedamah-Muthu, N. Chaturvedi, M. Toeller, B. Ferriss, P. Reboldi, G. Michel, C. Manes, and J. H. Fuller
Risk Factors for Coronary Heart Disease in Type 1 Diabetic Patients in Europe: The EURODIAB Prospective Complications Study
Diabetes Care,
February 1, 2004;
27(2):
530 - 537.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. H. Saydah, J. Fradkin, and C. C. Cowie
Poor Control of Risk Factors for Vascular Disease Among Adults With Previously Diagnosed Diabetes
JAMA,
January 21, 2004;
291(3):
335 - 342.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. Gadsby
Review: Diabetic dyslipidaemia -- the case for using statins
The British Journal of Diabetes & Vascular Disease,
November 1, 2003;
3(6):
402 - 407.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M.-S. Wong, K. Gu, D. Heng, S.-K. Chew, L.-S. Chew, and E. S. Tai
The Singapore Impaired Glucose Tolerance Follow-Up Study: Does the ticking clock go backward as well as forward?
Diabetes Care,
November 1, 2003;
26(11):
3024 - 3030.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Loimaala, H. V. Huikuri, T. Koobi, M. Rinne, A. Nenonen, and I. Vuori
Exercise Training Improves Baroreflex Sensitivity in Type 2 Diabetes
Diabetes,
July 1, 2003;
52(7):
1837 - 1842.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Li, T. Sawamura, and G. Renier
Glucose Enhances Endothelial LOX-1 Expression: Role for LOX-1 in Glucose-Induced Human Monocyte Adhesion to Endothelium
Diabetes,
July 1, 2003;
52(7):
1843 - 1850.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Patel, J. Chalmers, V. Chaturvedi, R. Currie, H. Monaghan, and B. Neal
Diabetes and Vascular Disease: a New International Trial
Asian Cardiovasc Thorac Ann,
June 1, 2003;
11(2):
180 - 184.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. R. Carnethon, S. H. Golden, A. R. Folsom, W. Haskell, and D. Liao
Prospective Investigation of Autonomic Nervous System Function and the Development of Type 2 Diabetes: The Atherosclerosis Risk In Communities Study, 1987-1998
Circulation,
May 6, 2003;
107(17):
2190 - 2195.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. J. Orchard, J. C. Olson, J. R. Erbey, K. Williams, K. Y.-Z. Forrest, L. Smithline Kinder, D. Ellis, and D. J. Becker
Insulin Resistance-Related Factors, but not Glycemia, Predict Coronary Artery Disease in Type 1 Diabetes: 10-year follow-up data from the Pittsburgh Epidemiology of Diabetes Complications study
Diabetes Care,
May 1, 2003;
26(5):
1374 - 1379.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. E. Bonds, D. J. Zaccaro, A. J. Karter, J. V. Selby, M. Saad, and D. C. Goff Jr
Ethnic and Racial Differences in Diabetes Care: The Insulin Resistance Atherosclerosis Study
Diabetes Care,
April 1, 2003;
26(4):
1040 - 1046.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
I. M. El-Kebbi, C. B. Cook, D. C. Ziemer, C. D. Miller, D. L. Gallina, and L. S. Phillips
Association of Younger Age With Poor Glycemic Control and Obesity in Urban African Americans With Type 2 Diabetes
Arch Intern Med,
January 13, 2003;
163(1):
69 - 75.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Krakoff, R. S. Lindsay, H. C. Looker, R. G. Nelson, R. L. Hanson, and W. C. Knowler
Incidence of Retinopathy and Nephropathy in Youth-Onset Compared With Adult-Onset Type 2 Diabetes
Diabetes Care,
January 1, 2003;
26(1):
76 - 81.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus
Diabetes Care,
January 1, 2003;
26(90001):
s5 - 20.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Z. T. Bloomgarden
European Association for the Study of Diabetes (EASD) 2001 Meeting
Diabetes Care,
July 1, 2002;
25(7):
1229 - 1236.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
V. Kothari, R. J. Stevens, A. I. Adler, I. M. Stratton, S. E. Manley, H. A. Neil, and R. R. Holman
UKPDS 60: Risk of Stroke in Type 2 Diabetes Estimated by the UK Prospective Diabetes Study Risk Engine
Stroke,
July 1, 2002;
33(7):
1776 - 1781.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. V. Howard, B. L. Rodriguez, P. H. Bennett, M. I. Harris, R. Hamman, L. H. Kuller, T. A. Pearson, and J. Wylie-Rosett
Prevention Conference VI: Diabetes and Cardiovascular Disease: Writing Group I: Epidemiology
Circulation,
May 7, 2002;
105
(18):
e132 - e137.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. I. Adler, R. J. Stevens, A. Neil, I. M. Stratton, A. J. M. Boulton, and R. R. Holman
UKPDS 59: Hyperglycemia and Other Potentially Modifiable Risk Factors for Peripheral Vascular Disease in Type 2 Diabetes
Diabetes Care,
May 1, 2002;
25(5):
894 - 899.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. E. Kitabchi
Acute Care of Patients With Diabetes: Preface
Diabetes Spectr,
January 1, 2002;
15(1):
17 - 18.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. I. Osende, J. J. Badimon, V. Fuster, P. Herson, P. Rabito, R. Vidhun, A. Zaman, O. J. Rodriguez, E. I. Lev, U. Rauch, et al.
Blood thrombogenicity in type 2 diabetes mellitus patients is associated with glycemic control
J. Am. Coll. Cardiol.,
November 1, 2001;
38(5):
1307 - 1312.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Gokcel, H. Karakose, E. M. Ertorer, N. Tanaci, N. B. Tutuncu, and N. Guvener
Effects of Sibutramine in Obese Female Subjects With Type 2 Diabetes and Poor Blood Glucose Control
Diabetes Care,
November 1, 2001;
24(11):
1957 - 1960.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. D Timmis
Diabetes: Relationship to ischaemic heart disease
Br. Med. Bull.,
October 1, 2001;
59(1):
159 - 172.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. B. Fleming, S. Greenfield, M. M. Engelgau, L. M. Pogach, S. B. Clauser, and M. A. Parrott
The Diabetes Quality Improvement Project: Moving science into health policy to gain an edge on the diabetes epidemic
Diabetes Care,
October 1, 2001;
24(10):
1815 - 1820.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. K. Campbell, J. R. White, and D. Nomura
The Clinical Importance of Postprandial Hyperglycemia
The Diabetes Educator,
September 1, 2001;
27(5):
624 - 637.
[PDF]
|
 |
|

|
 |

|
 |
 
P. Raskin, M. Rendell, M. C. Riddle, J. F. Dole, M. I. Freed, and J. Rosenstock
A Randomized Trial of Rosiglitazone Therapy in Patients With Inadequately Controlled Insulin-Treated Type 2 Diabetes
Diabetes Care,
July 1, 2001;
24(7):
1226 - 1232.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
U. Krishnamurti and M. W. Steffes
Glycohemoglobin: A Primary Predictor of the Development or Reversal of Complications of Diabetes Mellitus
Clin. Chem.,
July 1, 2001;
47(7):
1157 - 1165.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. de Vegt, J. M. Dekker, A. Jager, E. Hienkens, P. J. Kostense, C. D. A. Stehouwer, G. Nijpels, L. M. Bouter, and R. J. Heine
Relation of Impaired Fasting and Postload Glucose With Incident Type 2 Diabetes in a Dutch Population: The Hoorn Study
JAMA,
April 25, 2001;
285(16):
2109 - 2113.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Y. Ousman and M. Sharma
The Irrefutable Importance of Glycemic Control
Clin. Diabetes,
April 1, 2001;
19(2):
71 - 72.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. M. Lasater, A. J. Davidson, J. F. Steiner, and P. S. Mehler
Glycemic Control in English- vs Spanish-Speaking Hispanic Patients With Type 2 Diabetes Mellitus
Arch Intern Med,
January 8, 2001;
161(1):
77 - 82.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R.S. Elkeles
Blood glucose and coronary heart disease
Eur. Heart J.,
November 1, 2000;
21(21):
1735 - 1737.
[PDF]
|
 |
|

|
 |

|
 |
 
I. M Stratton, A. I Adler, H A. W Neil, D. R Matthews, S. E Manley, C. A Cull, D. Hadden, R. C Turner, and R. R Holman
Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study
BMJ,
August 12, 2000;
321(7258):
405 - 412.
[Abstract]
[Full Text]
|
 |
|

|
 |

|
 |
 
A. I Adler, I. M Stratton, H A. W Neil, J. S Yudkin, D. R Matthews, C. A Cull, A. D Wright, R. C Turner, and R. R Holman
Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): prospective observational study
BMJ,
August 12, 2000;
321(7258):
412 - 419.
[Abstract]
[Full Text]
|
 |
|

|
 |

|
 |
 
S. M. Haffner, L. Mykkanen, A. Festa, J. P. Burke, and M. P. Stern
Insulin-Resistant Prediabetic Subjects Have More Atherogenic Risk Factors Than Insulin-Sensitive Prediabetic Subjects : Implications for Preventing Coronary Heart Disease During the Prediabetic State
Circulation,
March 7, 2000;
101(9):
975 - 980.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. A. DeFronzo
Pharmacologic Therapy for Type 2 Diabetes Mellitus
Ann Intern Med,
August 17, 1999;
131(4):
281 - 303.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K. Malmberg, A. Norhammar, H. Wedel, and L. Ryden
Glycometabolic State at Admission: Important Risk Marker of Mortality in Conventionally Treated Patients With Diabetes Mellitus and Acute Myocardial Infarction : Long-Term Results From the Diabetes and Insulin-Glucose Infusion in Acute Myocardial Infarction (DIGAMI) Study
Circulation,
May 25, 1999;
99(20):
2626 - 2632.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. M. Clark Jr.
The National Diabetes Education Program: Changing the Way Diabetes Is Treated
Ann Intern Med,
February 16, 1999;
130(4_Part_1):
324 - 326.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Laakso
Benefits of Strict Glucose and Blood Pressure Control in Type 2 Diabetes : Lessons From the UK Prospective Diabetes Study
Circulation,
February 2, 1999;
99(4):
461 - 462.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Wei, L. W. Gibbons, T. L. Mitchell, J. B. Kampert, C. D. Lee, and S. N. Blair
The Association between Cardiorespiratory Fitness and Impaired Fasting Glucose and Type 2 Diabetes Mellitus in Men
Ann Intern Med,
January 19, 1999;
130(2):
89 - 96.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. B. Goldberg, M. J. Mellies, F. M. Sacks, L. A. Moye, B. V. Howard, W. J. Howard, B. R. Davis, T. G. Cole, M. A. Pfeffer, and E. Braunwald
Cardiovascular Events and Their Reduction With Pravastatin in Diabetic and Glucose-Intolerant Myocardial Infarction Survivors With Average Cholesterol Levels : Subgroup Analyses in the Cholesterol And Recurrent Events (CARE) Trial
Circulation,
December 8, 1998;
98(23):
2513 - 2519.
[Abstract]
[Full Text]
[PDF]
|
 |
|
|