Glycemic control is not related to cerebral small vessel disease in neurologically asymptomatic individuals with type 1 diabetes Article Swipe
Jussi Inkeri
,
Krishna Adeshara
,
Valma Harjutsalo
,
Carol Forsblom
,
Ron Liebkind
,
Turgut Tatlisumak
,
Lena M. Thorn
,
Per‐Henrik Groop
,
Sara Shams
,
Juha Martola
,
Jukka Putaala
,
Daniel Gordin
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1007/s00592-021-01821-8
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1007/s00592-021-01821-8
Aims To determine if medium- and long-term blood glucose control as well as glycemic variability, which are known to be strong predictors of vascular complications, are associated with underlying cerebral small vessel disease (cSVD) in neurologically asymptomatic individuals with type 1 diabetes. Methods A total of 189 individuals (47.1% men; median age 40.0, IQR 33.0–45.2 years) with type 1 diabetes (median diabetes duration of 21.7, IQR 18.3–30.7 years) were enrolled in a cross-sectional retrospective study, as part of the Finnish Diabetic Nephropathy (FinnDiane) Study. Glycated hemoglobin (HbA 1c ) values were collected over the course of ten years before the visit including a clinical examination, biochemical sampling, and brain magnetic resonance imaging. Markers of glycemic control, measured during the visit, included HbA 1c , fructosamine, and glycated albumin. Results Signs of cSVD were present in 66 (34.9%) individuals. Medium- and long-term glucose control and glycemic variability did not differ in individuals with signs of cSVD compared to those without. Further, no difference in any of the blood glucose variables and cSVD stratified for cerebral microbleeds (CMBs) or white matter hyperintensities were detected. Neither were numbers of CMBs associated with the studied glucose variables. Additionally, after dividing the studied variables into quartiles, no association with cSVD was observed. Conclusions We observed no association between glycemic control and cSVD in neurologically asymptomatic individuals with type 1 diabetes. This finding was unexpected considering the large number of signs of cerebrovascular pathology in these people after two decades of chronic hyperglycemia and warrants further studies searching for underlying factors of cSVD.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00592-021-01821-8
- https://link.springer.com/content/pdf/10.1007/s00592-021-01821-8.pdf
- OA Status
- hybrid
- Cited By
- 7
- References
- 41
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3212056057
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3212056057Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1007/s00592-021-01821-8Digital Object Identifier
- Title
-
Glycemic control is not related to cerebral small vessel disease in neurologically asymptomatic individuals with type 1 diabetesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-11-15Full publication date if available
- Authors
-
Jussi Inkeri, Krishna Adeshara, Valma Harjutsalo, Carol Forsblom, Ron Liebkind, Turgut Tatlisumak, Lena M. Thorn, Per‐Henrik Groop, Sara Shams, Juha Martola, Jukka Putaala, Daniel GordinList of authors in order
- Landing page
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https://doi.org/10.1007/s00592-021-01821-8Publisher landing page
- PDF URL
-
https://link.springer.com/content/pdf/10.1007/s00592-021-01821-8.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://link.springer.com/content/pdf/10.1007/s00592-021-01821-8.pdfDirect OA link when available
- Concepts
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Medicine, Glycemic, Asymptomatic, Diabetes mellitus, Internal medicine, Glycated hemoglobin, Fructosamine, Type 2 diabetes, Hyperintensity, Gastroenterology, Magnetic resonance imaging, Endocrinology, RadiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
7Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 4, 2022: 1Per-year citation counts (last 5 years)
- References (count)
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41Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2398029358, https://openalex.org/W2769264260, https://openalex.org/W1752045965, https://openalex.org/W2398237005, https://openalex.org/W2101457616, https://openalex.org/W2069351074, https://openalex.org/W2903856334, https://openalex.org/W2092829693, https://openalex.org/W2347699238, https://openalex.org/W3035036343, https://openalex.org/W2158742097, https://openalex.org/W1898262019, https://openalex.org/W2157100111, https://openalex.org/W2620519423, https://openalex.org/W2147869695, https://openalex.org/W2967091052, https://openalex.org/W1836902952, https://openalex.org/W2162012210, https://openalex.org/W3088059060, https://openalex.org/W3013603544, https://openalex.org/W2084722875, https://openalex.org/W2149133024, https://openalex.org/W2792599811, https://openalex.org/W2937660253, https://openalex.org/W2170479289, https://openalex.org/W2886853964, https://openalex.org/W2405843155, https://openalex.org/W1992458693, https://openalex.org/W2146289658, https://openalex.org/W3017106275, https://openalex.org/W3109376146, https://openalex.org/W3133695632, https://openalex.org/W2920753542, https://openalex.org/W2076749885, https://openalex.org/W2412931548, https://openalex.org/W3195289631, https://openalex.org/W2070279065, https://openalex.org/W2253292928, https://openalex.org/W2153501721, https://openalex.org/W2900473259, https://openalex.org/W2147602249 |
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| abstract_inverted_index., | 124 |
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