Variability of risk factors and diabetes complications

Several studies suggest that, together with glucose variability, the variability of other risk factors, as blood pressure, plasma lipids, heart rate, body weight, and serum uric acid, might play a role in the development of diabetes complications. Moreover, the variability of each risk factor, when...

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Published in:Cardiovascular Diabetology Vol. 20; no. 1; pp. 101 - 11
Main Authors: Ceriello, Antonio, Prattichizzo, Francesco
Format: Journal Article
Language:English
Published: London Springer Science and Business Media LLC 07.05.2021
BioMed Central
Springer Nature B.V
BMC
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ISSN:1475-2840, 1475-2840
Online Access:Get full text
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Summary:Several studies suggest that, together with glucose variability, the variability of other risk factors, as blood pressure, plasma lipids, heart rate, body weight, and serum uric acid, might play a role in the development of diabetes complications. Moreover, the variability of each risk factor, when contemporarily present, may have additive effects. However, the question is whether variability is causal or a marker. Evidence shows that the quality of care and the attainment of the target impact on the variability of all risk factors. On the other hand, for some of them causality may be considered. Although specific studies are still lacking, it should be useful checking the variability of a risk factor, together with its magnitude out of the normal range, in clinical practice. This can lead to an improvement of the quality of care, which, in turn, could further hesitate in an improvement of risk factors variability.
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ISSN:1475-2840
1475-2840
DOI:10.1186/s12933-021-01289-4