Diabetes: Time to Use the Technology We Already Have

Vakali, Elena

doi:10.2174/1573399819666230220120415

Cited by 1 publication

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“…The widespread use of such technology accompanied by automated and standardized reports including indices of interest could lead to a better understanding of several mechanisms with great clinical potential. Wearable devices allowing non-invasive glucose monitoring or cuffless devices performing frequent BP measurements could provide detailed assessments of glucose and BP profiles including GV and BPV [ 41 , 42 , 43 ]; however, such devices have not been validated with respect to their accuracy according to established protocols and, most importantly, in terms of their clinical utility and intended use [ 41 ]. The association between GV and BPV could highlight the importance of several common underlying mechanisms.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Short- and Mid-Term Glucose Variability and Blood Pressure Profile Parameters: A Scoping Review

Vakali

Rigopoulos²,

Dinas

et al. 2023

JCM

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Background. Increased variability of glucose (GV) and blood pressure (BPV) is linked to a higher risk of macro- and microvascular complications and other hard endpoints. This scoping review aims to summarize the existing evidence regarding the association between the parameters of the blood pressure (BP) profile, especially BPV, with indices of short- and mid-term GV. Methods. A literature search was conducted in the MEDLINE/PubMed, Cochrane, Embase, Web of Science, and Wiley Online Library databases. Results. The main findings of this review are as follows: (i) 13 studies were included, mainly with small sample sizes; (ii) there was a considerable degree of heterogeneity in the characteristics of the study participants (age range, individuals with normoglycemia, type 1 or 2 diabetes, normal BP, or hypertension), as well as in the methodologies (mainly in terms of the duration of the data collection period) and variability indices examined (mean amplitude of glycemic excursions and coefficient of glucose variation most frequently reported); and (iii) the results were heterogeneous regarding the association between GV and the parameters of the BP profile. Conclusions. There is a significant lack of evidence on the association between GV and BPV. Future research implementing a standardized methodology should focus on the determinants, association, and clinical relevance of GV and BPV.

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