A Narrative Review: Relationship Between Glycemic Variability and Emerging Complications of Diabetes Mellitus

A growing body of evidence emphasizes the role of glycemic variability (GV) in the development of conventional diabetes-related complications. Furthermore, advancements in diabetes management and increased life expectancy have led to the emergence of new complications, such as cancer, liver disease,...

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Main Authors: Xinxin Wang, Yanli Cao
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/15/2/188
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author Xinxin Wang
Yanli Cao
author_facet Xinxin Wang
Yanli Cao
author_sort Xinxin Wang
collection DOAJ
description A growing body of evidence emphasizes the role of glycemic variability (GV) in the development of conventional diabetes-related complications. Furthermore, advancements in diabetes management and increased life expectancy have led to the emergence of new complications, such as cancer, liver disease, fractures, infections, and cognitive dysfunction. GV is considered to exacerbate oxidative stress and inflammation, acting as a major mechanism underlying these complications. However, few reviews have synthesized the association between GV and these emerging complications or examined their underlying mechanisms. Hence, this narrative review provides a comprehensive discussion of the burden, risks, and mechanisms of GV in these complications, offering further evidence supporting GV as a potential therapeutic target for diabetes management.
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spelling doaj-art-dd9eeaa81ac044a2b99a38f2296029872025-08-20T02:44:59ZengMDPI AGBiomolecules2218-273X2025-01-0115218810.3390/biom15020188A Narrative Review: Relationship Between Glycemic Variability and Emerging Complications of Diabetes MellitusXinxin Wang0Yanli Cao1Department of Endocrinology and Metabolism, Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Diseases, The First Affiliated Hospital of China Medical University, Shenyang 110001, ChinaDepartment of Endocrinology and Metabolism, Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Diseases, The First Affiliated Hospital of China Medical University, Shenyang 110001, ChinaA growing body of evidence emphasizes the role of glycemic variability (GV) in the development of conventional diabetes-related complications. Furthermore, advancements in diabetes management and increased life expectancy have led to the emergence of new complications, such as cancer, liver disease, fractures, infections, and cognitive dysfunction. GV is considered to exacerbate oxidative stress and inflammation, acting as a major mechanism underlying these complications. However, few reviews have synthesized the association between GV and these emerging complications or examined their underlying mechanisms. Hence, this narrative review provides a comprehensive discussion of the burden, risks, and mechanisms of GV in these complications, offering further evidence supporting GV as a potential therapeutic target for diabetes management.https://www.mdpi.com/2218-273X/15/2/188glycemic variabilityoxidative stressdiabetesemerging complications
spellingShingle Xinxin Wang
Yanli Cao
A Narrative Review: Relationship Between Glycemic Variability and Emerging Complications of Diabetes Mellitus
Biomolecules
glycemic variability
oxidative stress
diabetes
emerging complications
title A Narrative Review: Relationship Between Glycemic Variability and Emerging Complications of Diabetes Mellitus
title_full A Narrative Review: Relationship Between Glycemic Variability and Emerging Complications of Diabetes Mellitus
title_fullStr A Narrative Review: Relationship Between Glycemic Variability and Emerging Complications of Diabetes Mellitus
title_full_unstemmed A Narrative Review: Relationship Between Glycemic Variability and Emerging Complications of Diabetes Mellitus
title_short A Narrative Review: Relationship Between Glycemic Variability and Emerging Complications of Diabetes Mellitus
title_sort narrative review relationship between glycemic variability and emerging complications of diabetes mellitus
topic glycemic variability
oxidative stress
diabetes
emerging complications
url https://www.mdpi.com/2218-273X/15/2/188
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AT xinxinwang narrativereviewrelationshipbetweenglycemicvariabilityandemergingcomplicationsofdiabetesmellitus
AT yanlicao narrativereviewrelationshipbetweenglycemicvariabilityandemergingcomplicationsofdiabetesmellitus