Medicine. 96(22):e7035, JUN 2017
DOI: 10.1097/MD.0000000000007035
,
PMID: 28562559
Issn Print: 0025-7974
Publication Date: 2017/06/01
Differences between healthy adults and patients with type 2 diabetes mellitus in reactivity of toe microcirculation by ultrasound combined with a warm bath test
Chunpeng Zou;Yan Jiao;Xiuyun Li;Ping Wang;Jinjue Zheng;Yaping Zhao;Dhanesh Boodhun;Zhen Hu;Chao Zheng;
+ Author Information
aDepartment of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical UniversitybObstetrics and Gynecology Ultrasonic Department, Wenzhou City Peoples’ Hospital, WenzhoucDepartment of Ultrasound, Third Affiliated Hospital of Sun Yat-sen University, GuangzhoudDepartment of Chinese and Western Integrative MedicineeDiabetes Center and Department of Endocrinology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Abstract
The aim of this study was to explore the feasibility and clinical value of ultrasound combined with a warm bath test in assessing the differences in reactivity of toe microcirculation between healthy adults and patients with type 2 diabetes mellitus (T2DM).A total of 56 T2DM patients were recruited as case group, whereas 50 healthy volunteers were enrolled as control group.Fasting blood glucose, glycated hemoglobin, total cholesterol, triglyceride, low-density lipoprotein cholesterol in T2DM group were significantly higher than in control group. Under stationary condition, peak systolic velocity (PSV), end-diastolic velocity (EDV), and mean velocity (MV) were lower, but pulsatility index (PI) and resistance index (RI) were higher in patients with T2DM than in controls both in dorsalis pedis artery (DPA) and plantar digital artery (PDA). On response to the warm test, PSV, EDV, and MV increased and PI and RI decreased both in DPA and PDA in these 2 groups. Moreover, the change rate in PSV, EDV, MV, PI, and RI of PDA was significantly lower in T2DM group than in control group.Color Doppler combined with a warm bath test may be used as a new method in evaluating the differences in reactivity of distal limb microvascular between healthy adults and patients with T2DM.
