This is a prospective and observational study in patients with type two diabetes. The study hypothesis is that chronic hyperglycemia causes an increase in the microcirculation on the carotid artery wall and retina, evaluated by angio-OCT. Furthermore, the reestablishment of normoglycemia would decrease this microcirculation, which could trigger hypoxic and ischemic changes, accelerating preclinical atherosclerosis. The study goal is to describe the microangiopathy in both territories in patients with type two diabetes and chronic hyperglycemia, and to evaluate changes after the reestablishment of normoglycemia.
This is a prospective and observational study in patients with type two diabetes. The study hypothesis is that chronic hyperglycemia causes an increase in the microcirculation on the carotid artery wall (evaluating vasa vasorum by contrast-assessed carotid ultrasound) and retina (evaluated by angio-OCT). Furthermore, the reestablishment of normoglycemia would decrease this microcirculation, which could trigger hypoxic and ischemic changes, accelerating preclinical atherosclerosis. The primary outcome is to describe the microangiopathy in both territories in 20 patients with type two diabetes and chronic hyperglycemia (basal), and to evaluate the changes after the reestablishment of normoglycemia (at 1, 3 and 6 months). Additionally, clinical, laboratory, diet and biomarkers will be evaluated.
Study Type
OBSERVATIONAL
Enrollment
20
Observation of changes in the microcirculation after optimization of antidiabetic therapy by usual care.
Hospital Clínic de Barcelona
Barcelona, Spain
RECRUITINGChanges in retinal microcirculation (perifoveal vessel density)
Changes in perifoveal vessel density, OCTA images will be processed to obtain vascular density measurements in this area (mm-1)
Time frame: 0, 1, 3 and 6 months
Changes in arterial wall microcirculation (vasa-vasorum density)
Changes vasa-vasorum (VV) density, VV signal as the ratio of the contrast agent signal of the VV and that of the lumen of the artery
Time frame: 0, 3 and 6 months
Changes in retinal microcirculation (Parafoveal vessel density )
OCTA images will be processed to obtain vascular density measurements in this area (mm-1)
Time frame: 0, 1, 3 and 6 months
Changes in retinal microcirculation (Total Avascular Area )
OCTA images will be processed to obtain total avascular area measurements (mm2)
Time frame: 0, 1, 3 and 6 months
Changes in retinal microcirculation (Foveal Avascular Area)
OCTA images will be processed to obtain foveal avascular zone area measurements (mm2)
Time frame: 0, 1, 3 and 6 months
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