Acta Diabetologica

, Volume 49, Issue 2, pp 159–164

Impaired diffusing capacity for carbon monoxide in children with type 1 diabetes: is this the first sign of long-term complications?

  • Andrea E. Scaramuzza
  • Marco Morelli
  • Maurizio Rizzi
  • Simona Borgonovo
  • Alessandra De Palma
  • Chiara Mameli
  • Elisa Giani
  • Silvia Beretta
  • Gian Vincenzo Zuccotti
Original Article

Abstract

We assessed the presence of lung dysfunction in children with type 1 diabetes, evaluated as reduced diffusing capacity of the lung for carbon monoxide (DLCO), and its components: membrane diffusing capacity (DM) and pulmonary capillary blood volume (Vc). A total of 42 children, aged 15.6 ± 3.8 years, with type 1 diabetes for 8.3 ± 5.5 years, and 30 healthy age and sex-matched peers were recruited for the study. Lung volumes and spirometric dynamic parameters were assessed by plethysmography. Single-breath DLCO was measured according to international recommendation. DM and Vc volume were calculated. Lung volumes were significantly reduced in young patients with type 1 diabetes when compared to controls. Moreover, DLCO was reduced in patients compared to controls (78% ± 16% vs. 120% ± 1%, P = 0.0001). However, when differentiating DM and Vc compartments, we observed a significant impairment only about Vc (34 ± 20 ml vs. 88 ± 18 ml; P = 0.0001), while no difference was observed about DM compartment (23 ± 4 vs. 26 ± 3 ml/min/mmHg, P = 0.798). Whether this might be seen as the “first” sign of microangiopathic involvement in patients with type 1 diabetes has to be confirmed on larger groups but is still fascinating. Meanwhile, we suggest to screen DLCO in all patients with type 1 diabetes.

Keywords

Adolescents Children Lung diffusion Lung function Microangiopathic complications Type 1 diabetes 

Abbreviations

BMI

Body mass index

DLCO

Diffusing capacity of the lung for carbon monoxide

DM

Membrane diffusing capacity

FEV1

Forced expiratory volume in 1 s

FVC

Forced vital capacity

HbA1c

Glycated hemoglobin

KCO

Carbon monoxide transfer coefficient

RV

Residual volume

TLC

Total lung capacity

VC

Vital capacity

Vc

Pulmonary capillary blood volume

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Andrea E. Scaramuzza
    • 1
    • 3
  • Marco Morelli
    • 1
  • Maurizio Rizzi
    • 2
  • Simona Borgonovo
    • 1
  • Alessandra De Palma
    • 1
  • Chiara Mameli
    • 1
  • Elisa Giani
    • 1
  • Silvia Beretta
    • 1
  • Gian Vincenzo Zuccotti
    • 1
  1. 1.Department of Paediatrics, “Luigi Sacco Hospital”University of MilanoMilanItaly
  2. 2.Respiratory Medicine, Luigi Sacco HospitalUniversity of MilanoMilanItaly
  3. 3.Department of Pediatrics, “Ospedale Luigi Sacco”University of MilanoMilanItaly

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