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Central European Journal of Medicine

, Volume 9, Issue 6, pp 748–753 | Cite as

Markers of inflammation and microvascular complications in type 1 diabetes

  • Milena Mitrović
  • Đorđe S. Popović
  • Dragana Tomić Naglić
  • Jovanka Novaković Paro
  • Tatjana Ilić
  • Branka Kovačev Zavišić
Research Article
  • 247 Downloads

Abstract

Aims

Long-term hyperglycemia, characteristic for type 1 diabetes, causes enhanced oxidative stress, chronic inflammation and endothelial dysfunction which are the key events in the development of vascular complications. On the other hand, some data shows that existence of chronic degenerative complications may cause increased inflammatory marker levels in diabetic patients, mainly as a repercussion of malfunctioned endothelial repair process. Our study aims to determinate a degree of inflammation in type 1 diabetes patients and to investigate its relation to development of the chronic microvascular complications.

Methods

General information, anthropometric, glucose metabolism, lipid and lipoprotein parameters, levels of C reactive protein (CRP), interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) were analyzed and screening tests for detection of the chronic microvascular complications were conducted in 76 type 1 diabetes patients.

Results

Forty six patients had at least one of the complications. They were older and had longer duration of diabetes (p=0.015; p<0.0001) and higher values of total (p=0.021), LDL-cholesterol (p=0.048) and triglycerides (p=0.002). Levels of CRP (p=0.004) and TNF-α (p=0.048) were higher in patients with chronic microvascular complications in regard to patients without diagnosed microangiopathy.

Conclusion

Low grade chronic inflammation is characteristic for type 1 diabetes patients with developed chronic microvascular complications.

Keywords

Type 1 diabetes mellitus Diabetes complications Inflammation 

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Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Milena Mitrović
    • 1
  • Đorđe S. Popović
    • 1
  • Dragana Tomić Naglić
    • 1
  • Jovanka Novaković Paro
    • 1
  • Tatjana Ilić
    • 2
  • Branka Kovačev Zavišić
    • 1
  1. 1.Clinic for Endocrinology, Diabetes and Metabolic Disorders, Clinical Center of Vojvodina, Medical FacultyUniversity of Novi SadNovi SadSerbia
  2. 2.Clinic for Nephrology and Clinical Immunology, Clinical Center of Vojvodina, Medical FacultyUniversity of Novi SadNovi SadSerbia

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