“…A growing body of data in vitro, in animal models, and in diabetic patients show that excessive amounts of glucose triggers upregulation of aerobic glycolysis, which directly polarizes monocytes-macrophages toward a M1 pro-inflammatory phenotype (Bradshaw et al, 2009;Bustos and Sobrino, 1992;Haidet et al, 2012;Pan et al, 2012;Reinhold et al, 1996;Torres-Castro et al, 2016). Importantly, upon exposure of human monocytes/macrophages to high levels of glucose in vitro, they undergo M1 polarization along with an increased import of glucose, and monocytes/macrophages from patients with Type 1 diabetes exhibit a M1 pro-inflammatory profile (Erbel et al, 2016;Haidet et al, 2012;Kraakman et al, 2014;Pan et al, 2012;Reinhold et al, 1996;Torres-Castro et al, 2016).…”