Limited impact of impaired awareness of hypoglycaemia and severe hypoglycaemia on the inflammatory profile of people with type 1 diabetes

Namam Ali*, Anna W. M. Janssen, Martin Jaeger, Lisa Van de Wijer, Wouter van Der Heijden, Rob ter Horst, Priya Vart, Alain van Gool, Leo A. B. Joosten, Mihai G. Netea, Rinke Stienstra, Bastiaan E. De Galan, Cees J. Tack

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Aim To investigate whether a history of severe hypoglycaemia (SH) or the associated presence of impaired awareness of hypoglycaemia (IAH) is characterized by a pro-inflammatory profile in people with type 1 diabetes. Research design and methods We measured circulating inflammatory markers and pro- and anti-inflammatory cytokine production afterex vivostimulation of peripheral blood mononuclear cells (PBMCs) in a well-characterized cohort of individuals with type 1 diabetes (n = 239) and in people without diabetes (n = 56). Data were corrected for confounders by using multivariate linear regression models. Results People with type 1 diabetes had higher circulating concentrations of high-sensitivity C-reactive protein (hs-CRP; 0.91 [0.36-2.25] vs. 0.52 [0.20-0.98] pg/mL,P

Original languageEnglish
Pages (from-to)2427-2436
Number of pages10
JournalDiabetes Obesity & Metabolism
Volume22
Issue number12
Early online date22 Sept 2020
DOIs
Publication statusPublished - Dec 2020

Keywords

  • cardiovascular disease
  • cohort study
  • diabetes complications
  • hypoglycaemia
  • type 1 diabetes
  • CARDIOVASCULAR-DISEASE
  • INTERLEUKIN-18
  • ATHEROSCLEROSIS
  • MORTALITY
  • EVENTS
  • IMMUNE
  • SERUM
  • RISK
  • ASSOCIATION
  • MECHANISMS

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