The prevalence of type 1 diabetes (T1D) in youth is rising globally. However, only 20-30% of children and adolescents with T1D achieve glycemic control, increasing their risk of long-term complications. The SEARCH study has shown that youth with T1D often have subclinical cardiovascular disease (CVD), evidenced by increased carotid intima media thickness and pulse wave velocity (PWV). This is likely due to a high prevalence of traditional CVD risk factors such as elevated body mass index, hypert
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Diagnosed with type 1 diabetes per American Diabetes Association criteria, 2. Age at diagnosis equal or less than 18 years, 3. Diabetes duration of more than 1 year, 4. Regular follow up at Pediatric Diabetes Clinic, KKU hospital
Exclusion criteria
Exclusion criteria: 1. HbA1c more than 13%, 2. Creatinine more than 1.5 mg/dL, 3. Smoking, 4. Hypertension, 5. Receive medications that affect insulin resistance or arterial function, such as systemic/inhale glucocorticoids, oral antihyperglycemic drug, immunosuppressive drugs, and atypical antipsychotic drugs, in the 2 months, 5. Pregnancy, 6. Lactation, 7. Incomplete medical record, 8. Diabetic ketoacidosis in the past 2 months, 9. Other chronic illness affecting arterial function
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in carotid-femoral pulse wave velocity At 12-24 months carotid-femoral pulse wave velocity,Cardiac autoantibodies At baseline Cardiac autoantibodies: FL-MYH6, S2-MYH6, FL-MYH7 | — |
Secondary
| Measure | Time frame |
|---|---|
| N-terminal pro-B type natriuretic peptide (NT-proBNP) At 3-6 months before the study serum NT-proBNP concentration | — |
Countries
Thailand
Contacts
Khon Kaen University