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CC BY-NC-ND 4.0 · Horm Metab Res 2022; 54(07): 419-428
DOI: 10.1055/a-1880-0978
Review

Endothelial Dysfunction and Platelet Hyperactivation in Diabetic Complications Induced by Glycemic Variability

Ye Huang 
1   Emergency Department, China Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China
,
Long Yue
1   Emergency Department, China Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China
,
Jiahuang Qiu
2   Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, China
,
Ming Gao
2   Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, China
,
Sijin Liu
2   Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, China
,
Jingshang Wang
3   Department of Traditional Chinese Medicine, Capital Medical University Beijing Obstetrics and Gynecology Hospital, Beijing, China
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Abstract

The development and progression of the complications of chronic diabetes mellitus are attributed not only to increased blood glucose levels but also to glycemic variability. Therefore, a deeper understanding of the role of glycemic variability in the development of diabetic complications may provide more insight into targeted clinical treatment strategies in the future. Previously, the mechanisms implicated in glycemic variability-induced diabetic complications have been comprehensively discussed. However, endothelial dysfunction and platelet hyperactivation, which are two newly recognized critical pathogenic factors, have not been fully elucidated yet. In this review, we first evaluate the assessment of glycemic variability and then summarise the roles of endothelial dysfunction and platelet hyperactivation in glycemic variability-induced complications of diabetes, highlighting the molecular mechanisms involved and their interconnections.

Key words

diabetes mellitus - glycaemic variability - endothelial dysfunction - platelet hyperactivation


Publication History

Received: 08 January 2022

Accepted after revision: 30 May 2022

Article published online:
14 July 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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