Abstract
Chronic hyperglycemia is an established risk factor for the development of complications in both type 1 and type 2 diabetes, but glycemic variability has emerged as a possible independent risk factor for diabetes complications, possibly through oxidative stress. In this review, methods to access glycemic variability and oxidative stress, as well as their correlations, are discussed. Non-pharmacological and pharmacological strategies are also debated to achieve better glycemic control, not only by HbA1c target but also with reduced glycemic fluctuations, possibly minimizing the risk of diabetes complications.
Keywords: Glycemic variability, oxidative stress, type 2 diabetes, complications, hyperglycemia, type 1 diabetes.
[http://dx.doi.org/10.2337/diacare.20.12.1822] [PMID: 9405900]
[http://dx.doi.org/10.1056/NEJM199309303291401] [PMID: 8366922]
[http://dx.doi.org/10.2337/diacare.22.1.99] [PMID: 10333910]
[http://dx.doi.org/10.1016/S0140-6736(98)07019-6] [PMID: 9742976]
[http://dx.doi.org/10.2337/diacare.25.4.750] [PMID: 21617111]
[http://dx.doi.org/10.1007/s00125-005-0073-7] [PMID: 16378164]
[http://dx.doi.org/10.2337/dc10-S011] [PMID: 20042772]
[http://dx.doi.org/10.2337/dc08-s241] [PMID: 18227477]
[http://dx.doi.org/10.1001/jama.295.14.1707] [PMID: 16609094]
[http://dx.doi.org/10.1111/j.1464-5491.2010.02967.x] [PMID: 20653741]
[http://dx.doi.org/10.2337/dc17-1600] [PMID: 29162583]
[http://dx.doi.org/10.2337/dc17-1339] [PMID: 29061593]
[http://dx.doi.org/10.1210/er.2009-0021] [PMID: 19966012]
[http://dx.doi.org/10.1016/j.diabres.2014.06.007] [PMID: 25023992]
[PMID: 18438540]
[http://dx.doi.org/10.1089/dia.2005.7.253] [PMID: 15857227]
[http://dx.doi.org/10.1016/j.diabet.2018.02.008] [PMID: 29602622]
[http://dx.doi.org/10.1089/dia.2008.0132]
[http://dx.doi.org/10.2337/diab.26.8.717] [PMID: 885295]
[http://dx.doi.org/10.2337/dci17-0043] [PMID: 29070577]
[http://dx.doi.org/10.2337/dci18-0040] [PMID: 30787056]
[http://dx.doi.org/10.2337/dc15-1188] [PMID: 26604281]
[http://dx.doi.org/10.1002/dmrr.3047]
[http://dx.doi.org/10.1001/jama.295.14.1681] [PMID: 16609090]
[http://dx.doi.org/10.2337/dc06-1610]
[http://dx.doi.org/10.1002/dmrr.196] [PMID: 11424232]
[http://dx.doi.org/10.1038/414813a] [PMID: 11742414]
[http://dx.doi.org/10.1016/S0891-5849(99)00264-6] [PMID: 10719231]
[http://dx.doi.org/10.1016/S0014-5793(98)00481-5] [PMID: 9645469]
[http://dx.doi.org/10.1177/193229681100500112] [PMID: 21303629]
[http://dx.doi.org/10.1016/j.jacc.2008.10.038] [PMID: 19179212]
[http://dx.doi.org/10.1007/s12020-009-9296-6] [PMID: 20963571]
[http://dx.doi.org/10.1016/j.diabres.2016.09.025] [PMID: 27810687]
[http://dx.doi.org/10.1186/s13098-019-0425-y] [PMID: 31044019]
[http://dx.doi.org/10.1007/s00592-012-0398-x] [PMID: 22547264]
[http://dx.doi.org/10.1007/s13340-010-0008-5]
[http://dx.doi.org/10.2337/db08-0063] [PMID: 18299315]
[http://dx.doi.org/10.1177/193229680800200614] [PMID: 19885294]
[http://dx.doi.org/10.2337/dc18-1131]
[http://dx.doi.org/10.1007/s00592-013-0459-9] [PMID: 23417155]
[http://dx.doi.org/10.1186/1475-2840-12-15] [PMID: 23316958]
[http://dx.doi.org/10.1007/s00380-019-01353-w]
[http://dx.doi.org/10.1186/1475-2840-10-19] [PMID: 21349201]
[http://dx.doi.org/10.1186/1475-2840-12-33] [PMID: 23399749]
[http://dx.doi.org/10.2337/dc18-2047]
[http://dx.doi.org/10.2337/dc10-1684] [PMID: 21447661]
[http://dx.doi.org/10.1093/eurheartj/ehs384] [PMID: 23144046]
[http://dx.doi.org/10.1056/NEJMoa1003795] [PMID: 20925543]
[http://dx.doi.org/10.2337/dc11-0996] [PMID: 22179956]
[http://dx.doi.org/10.1136/bmj.b4909] [PMID: 20061358]
[http://dx.doi.org/10.1007/s00125-012-2700-4] [PMID: 22923064]
[http://dx.doi.org/10.1007/s00125-012-2572-7] [PMID: 22580991]
[http://dx.doi.org/10.1155/2020/7462158]
[http://dx.doi.org/10.1186/s12882-016-0300-0] [PMID: 27386849]
[http://dx.doi.org/10.2337/dc12-2264] [PMID: 23491522]
[http://dx.doi.org/10.1007/BF00401838] [PMID: 7672488]
[http://dx.doi.org/10.1186/s12933-019-0975-1] [PMID: 31830993]
[http://dx.doi.org/10.1111/ceo.13728] [PMID: 32065699]
[http://dx.doi.org/10.1177/1479164115579003] [PMID: 25994591]
[http://dx.doi.org/10.1210/jcem-72-3-642] [PMID: 1997519]
[http://dx.doi.org/10.1089/dia.2017.0035] [PMID: 28585879]
[http://dx.doi.org/10.1016/j.tcm.2017.01.009] [PMID: 28291655]
[http://dx.doi.org/10.1016/j.ejim.2014.03.005] [PMID: 24694879]
[http://dx.doi.org/10.1080/00325481.2017.1342509] [PMID: 28657399]
[http://dx.doi.org/10.1007/s12325-013-0039-y] [PMID: 23797471]
[http://dx.doi.org/10.2337/dc12-0749] [PMID: 22923682]
[http://dx.doi.org/10.2147/VHRM.S33934] [PMID: 23637538]
[http://dx.doi.org/10.2337/diacare.11.9.725] [PMID: 3066604]
[http://dx.doi.org/10.2337/dc15-0099.]
[http://dx.doi.org/10.1210/jc.2005-1566] [PMID: 16368744]
[http://dx.doi.org/10.1016/0168-8227(95)01089-V] [PMID: 8529504]
[http://dx.doi.org/10.1089/dia.2016.0372] [PMID: 28771387]
[http://dx.doi.org/10.1038/s41598-019-49803-9.]
[http://dx.doi.org/10.1016/j.jdiacomp.2014.12.004] [PMID: 25572605]
[http://dx.doi.org/10.1089/dia.2013.0038] [PMID: 24050737]
[http://dx.doi.org/10.1016/j.diabres.2018.03.035] [PMID: 29596951]
[http://dx.doi.org/10.1016/j.jdiacomp.2009.01.004] [PMID: 19261490]
[http://dx.doi.org/10.1016/j.diabet.2012.06.001] [PMID: 22809630]
[http://dx.doi.org/10.1056/NEJMoa1501352] [PMID: 26052984]
[http://dx.doi.org/10.1089/dia.2018.0052] [PMID: 30222367]
[http://dx.doi.org/10.1111/dom.13913] [PMID: 31709738]
[http://dx.doi.org/10.1186/s13098-017-0255-8] [PMID: 28725273]
[http://dx.doi.org/10.2337/dc16-0041.]
[http://dx.doi.org/10.1056/NEJMoa1812389] [PMID: 30415602]
[http://dx.doi.org/10.1016/S2213-8587(18)30141-4] [PMID: 29937267]
[http://dx.doi.org/10.2337/dc15-2782]
[http://dx.doi.org/10.1111/dom.12705] [PMID: 27279266]
[http://dx.doi.org/10.1507/endocrj.EJ19-0016]
[http://dx.doi.org/10.1016/j.mehy.2019.109504] [PMID: 31794876]
[http://dx.doi.org/10.1089/dia.2017.0306] [PMID: 29293363]
[http://dx.doi.org/10.1001/jama.2016.1252] [PMID: 26934259]
[http://dx.doi.org/10.2337/dc16-1495] [PMID: 27650977]
[http://dx.doi.org/10.2337/dc17-1597] [PMID: 29191845]
[http://dx.doi.org/10.1177/193229680800200618] [PMID: 19885298]
[http://dx.doi.org/10.1007/s00125-007-0820-z] [PMID: 17882397]
[http://dx.doi.org/10.1089/dia.2011.0049] [PMID: 21561372]
[PMID: 22080923]
[http://dx.doi.org/10.2337/db14-0059] [PMID: 24962915]
[http://dx.doi.org/10.1186/1477-7525-2-54] [PMID: 15385049]
[http://dx.doi.org/10.1111/j.1464-5491.2009.02682.x] [PMID: 19388959]
[http://dx.doi.org/10.1186/1477-7525-9-115] [PMID: 22182307]
[http://dx.doi.org/10.2337/diacare.21.2.231] [PMID: 9539987]
[http://dx.doi.org/10.2337/diacare.24.11.1923] [PMID: 11679458]
[http://dx.doi.org/10.2337/dc06-2480] [PMID: 17473060]
[http://dx.doi.org/10.1089/dia.2011.0191] [PMID: 22324383]
[http://dx.doi.org/10.1007/s12325-013-0001-z] [PMID: 23430354]
[http://dx.doi.org/10.1177/1932296814565661] [PMID: 25555391]
[http://dx.doi.org/10.1210/jc.2010-2756] [PMID: 21976745]
[http://dx.doi.org/10.1177/0897190014549840] [PMID: 25292442]
[http://dx.doi.org/10.1016/j.sapharm.2018.05.003] [PMID: 29776663]
[http://dx.doi.org/10.3803/EnM.2015.30.2.167] [PMID: 26194076]
[http://dx.doi.org/10.1089/dia.2017.0021]
[http://dx.doi.org/10.1177/193229680900300449] [PMID: 20144351]
[http://dx.doi.org/10.1089/dia.2015.0296] [PMID: 26784130]
[http://dx.doi.org/10.1177/1932296816628547] [PMID: 26843480]
[http://dx.doi.org/10.4158/EP161392.CS] [PMID: 27214060]
[http://dx.doi.org/10.1089/dia.2015.0417] [PMID: 26784127]