scholarly journals Myogenic vasomotions in postmenopausal women with normoglycemia, prediabetes and diabetes mellitus type 2

2016 ◽  
Vol 15 (3) ◽  
pp. 36-43
Author(s):  
I. S. Iskhakova ◽  
L. A. Ruyatkina ◽  
K. Y. Nikolaev ◽  
D. S. Ruyatkin

The aim of the study. Estimate microcirculatory parameters of myogenic range in postmenopausal women with normoglycemia, prediabetes and diabetes mellitus type 2. Material and methods. Among the surveyed 94 women (58.0 (53.0; 63.0) years old), in the natural menopause (duration 7.0 (2.0; 13.0) years), depending on the status of carbohydrate metabolism (WHO, 2011) by measuring the levels of glycated hemoglobin, we identified three groups: group 1 (n = 52) - with diabetes mellitus 2 type, 2 (n = 16) - with prediabetes, 3 (n = 26) - with normoglycaemia. We evaluated anthropometric and biochemical parameters; microcirculation was assessed by laser Doppler flowmetry. Statistical analysis was performed using the SPSS software (version 17.0). The level of statistical significance of differences was at p ≤ 0.05. Results. Women with impaired glucose metabolism (group 1 and 2) with increased abdominal fat deposition have the elevated basal vasospasm and impaired microvascular reactivity due to increased myogenic tone. We found that group 1 has negative association of LDF parameters of myogenic range with blood pressure and duration of hypertension. We identified that increasing concentrations of atherogenic lipids contribute to basal and postocclusive vasodilation independently of the state of glucose metabolism. Conclusion. Identified associations and differences in the LDF parameters of myogenic range at the basal and reperfusion microcirculation reflect the increase of vasospasm and microcirculatory disturbances during progression of carbohydrate metabolism disorders in postmenopausal women.

Author(s):  
I.O. KOZLOV

The article is devoted to the development of laser Doppler flowmetry and analysis of the recorded signal to study the distribution of perfusion over the frequencies of Doppler broadening of laser radiation. The processing algorithm and the necessary technical conditions for the correct registration of the signal are shown. As examples of the proposed method implementation, the data are obtained from a healthy volunteer and a patient with diabetes mellitus type 2 and analyzed. According to the proposed method, processing of recorded data provides a new feature space for data analysis of laser Doppler flowmetry signal.


Author(s):  
N. V. Pasyechko ◽  
V. M. Kulchinska ◽  
L. V. Radetska ◽  
L. V. Naumova ◽  
I. V. Smachylo ◽  
...  

Background. As it is established that diabetes mellitus causes metabolic disturbances of all types (first of all because of carbohydrate metabolism), affection of blood vessels, nerves, different organs and tissues. However, the influence of DM on the level of microelements is still not investigated enough. Despite the sufficient variety of medicaments, compensation of diabetes mellitus is achieved in less than 30% of patients. For this reason, the search of new ways of treatment which are aimed at the improvement of carbohydrate metabolism is an urgent issue.Objective. The research was aimed to reveal the deficiency of 25-hydroxyvitamin D3 [25(OH)D3] and its correlation with carbohydrate metabolism.Materials and methods. Thirty five patients with diabetes mellitus Type 2 aged 55-74 with illness duration 2-4 years were examined. The control group included 35 healthy people of the same age and sex. Levels of 25-hydroxyvitamin D3 [25(OH)D3] were tested by means of radioimmunoassay. The level of glycated haemoglobin was tested by means of liquid chromatography.Results. Correlation of the level of vitamin D with the degree of diabetes mellitus Type 2 compensation has been detected.Conclusions. A clear tendency to the improvement of diabetes mellitus Type 2 compensation after medication correction with vitamin D was evidenced. 


Author(s):  
M. I. Zhuravlova

Nowadays, an acute myocardial infarction is one of the leading causes of mortality among the population. The EHS-DH registry data clearly illustrate the association between the comorbidities and high mortality following acute myocardial infarction during a year period of follow up. The pronounced influence of carbohydrate metabolism disturbances on the survival of such patients has already been reported. The aim of the study was to analyze the immune inflammation relationships based on assessing calprotectin and the parameters of lipid and carbohydrate metabolism, to evaluate the presence and nature of the relationship between these parameters and carbohydrate metabolism parameters based on the study of blood glucose, insulin and insulin resistance (by the indices HOMA, QUICKI, Caro), anthropometric indicators and inflammatory indicators (monocyte and neutrophile levels). Materials and methods. The study included 64 patients (mean age 65, 31 ± 1.62 years) with acute myocardial infarction and concomitant diabetes mellitus type 2. The design of the study included the primary laboratory investigation of patients during the first day since the onset of acute myocardial infarction with the elevation of the ST segment before the initiation of thrombolytic therapy or percutaneous intervention. The direct correlation between the calprotectin concentration and the HOMA insulin resistance index (R = 0.52; p <0.05), insulinemia (R = 0.57; p <0.05), fasting glycaemia (R = 0, 59; p <0.05), as well as inverse correlation relationships between the Caro index (R = 0.68; p <0.05) and the QUICKI index (R = 0.59; p <0.05) were found out. Moreover, a direct correlation between calprotectin and triglyceride levels (R = 0.31; p <0.05), and negative correlation with high density lipoprotein (R = 0.35; p <0.05) was established as well. The level of total cholesterol and low density lipoproteins showed no significant association with the proinflammatory factor (R = 0.12; p> 0.05 and R = 0.18; p> 0.05, respectively). Conclusions. The increase in the body mass index and the activity of serum monocytes and neutrophils is associated with high concentrations of calprotectin that is accompanied by disturbances of carbohydrate homeostasis towards the growth of insulin resistance and changes of lipidograms of proatherrogenic nature.


2017 ◽  
Vol 14 (1) ◽  
pp. 54-68 ◽  
Author(s):  
Patricia Davern Soderlund

Objectives This review examines the effectiveness of motivational interviewing for physical activity self-management for adults diagnosed with diabetes mellitus type 2. Motivational interviewing is a patient centered individually tailored counseling intervention that aims to elicit a patient’s own motivation for health behavior change. Review questions include (a) How have motivational interviewing methods been applied to physical activity interventions for adults with diabetes mellitus type 2? (b) What motivational interviewing approaches are associated with successful physical activity outcomes with diabetes mellitus 2? Methods Database searches used PubMed, CINAHL, and PsycINFO for the years 2000 to 2016. Criteria for inclusion was motivational interviewing used as the principal intervention in the tradition of Miller and Rollnick, measurement of physical activity, statistical significance reported for physical activity outcomes, quantitative research, and articles written in English. Results A total of nine studies met review criteria and four included motivational interviewing interventions associated with significant physical activity outcomes. Discussion Findings suggest motivational interviewing sessions should target a minimal number of self-management behaviors, be delivered by counselors proficient in motivational interviewing, and use motivational interviewing protocols with an emphasis placed either on duration or frequency of sessions.


Author(s):  
Vasileios Papaliagkas ◽  
Mara Gkioka ◽  
Athanasios Mousiolis ◽  
Maria Chatzidimitriou ◽  
Petros Skepastianos ◽  
...  

Introduction:  Recent studies have shown that insulin resistance and deficiency, a marker of Diabetes mellitus type 2 (DM), interact with beta amyloid and tau protein phosphorylation, which are the basic neuropathological hallmarks of Alzheimer’s Disease (AD). Based on these results, it was recently proposed that AD might be considered as ‘Diabetes type 3’. Aim of the current study is to assess the cognitive function of DM patients and Mild cognitive impairment (MCI) patients with neurophysiological and neuropsychological measures and seek possible correlations. Methods: The study participants were divided into two groups: group 1 and group 2. Group 1 consisted of 24 DM patients (7 men, 17 women; age 70.6±6.5 (mean ± SD) years; age range 55-86 years. Group 2 consisted of 16 MCI patients  age 72.61±7.42 (mean ± SD)years; age range 58-89 years)   age-matched (t-value=1.06,  p=0.30) and gender matched (χ2=0.084,  p=0.772) with group 1 patients. All patients were assessed with auditory event-related potentials (AERPs) and neuropsychological tests, which include MMSE, MOCA, IADL, and HAMILTON depression scale. Latencies and amplitudes of the major AERP waves (N200, P300 and Slow Wave) were determined, Results: No statistically significant difference was observed in the AERP characteristics and the performance of the patients in the neuropsychological tests between the two groups (p>0.05). Conclusions: From the results of the current study, it appears that the higher cognitive functions of DM patients as assessed with ERPs and neuropsychological tests are affected in a similar way with that of MCI patients; a finding which supports the existence of common pathophysiological mechanisms between the two diseases.


2019 ◽  
Vol 7 (2) ◽  
pp. 101
Author(s):  
Ismana Surkovic ◽  
Diana Bjelopoljak ◽  
Anida Divanovic ◽  
Maida Turan ◽  
Ismet Suljevic

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