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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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