open access

Vol 62, No 2 (2011)
Review article
Published online: 2011-04-29
Submitted: 2013-02-15
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Diabetic pulmonary microangiopathy — fact or fiction?

Krzysztof Kuziemski, Krzysztof Specjalski, Ewa Jassem
Endokrynologia Polska 2011;62(2):171-176.

open access

Vol 62, No 2 (2011)
Review article
Published online: 2011-04-29
Submitted: 2013-02-15

Abstract

Elevated levels of serum glucose have deleterious effects on the walls of blood vessels, leading to microangiopathy. Such a destructive process involves also pulmonary circulation, where it is referred to as diabetic pulmonary microangiopathy. This hypothesis has been confirmed in histopathologic examinations of pulmonary parenchyma, as well as in pulmonary function tests. However, so far there have been no clinical implications of these findings.
Another phenomenon requiring further discussion involves diabetics with clinically silent respiratory dysfunction. That may result from significant vascular and ventilation reserves that compensate for partial loss of pulmonary parenchyma in the course of diabetes. In this review, we present an overview of the available publications on pulmonary microangiopathy and its influence on the functioning of the respiratory system. (Pol J Endocrinol 2011; 62 (2): 171–175)

Abstract

Elevated levels of serum glucose have deleterious effects on the walls of blood vessels, leading to microangiopathy. Such a destructive process involves also pulmonary circulation, where it is referred to as diabetic pulmonary microangiopathy. This hypothesis has been confirmed in histopathologic examinations of pulmonary parenchyma, as well as in pulmonary function tests. However, so far there have been no clinical implications of these findings.
Another phenomenon requiring further discussion involves diabetics with clinically silent respiratory dysfunction. That may result from significant vascular and ventilation reserves that compensate for partial loss of pulmonary parenchyma in the course of diabetes. In this review, we present an overview of the available publications on pulmonary microangiopathy and its influence on the functioning of the respiratory system. (Pol J Endocrinol 2011; 62 (2): 171–175)
Get Citation

Keywords

diabetes mellitus; lung microangiopathy; pulmonary function tests; lung diffusing capacity for carbon monoxide

About this article
Title

Diabetic pulmonary microangiopathy — fact or fiction?

Journal

Endokrynologia Polska

Issue

Vol 62, No 2 (2011)

Pages

171-176

Published online

2011-04-29

Bibliographic record

Endokrynologia Polska 2011;62(2):171-176.

Keywords

diabetes mellitus
lung microangiopathy
pulmonary function tests
lung diffusing capacity for carbon monoxide

Authors

Krzysztof Kuziemski
Krzysztof Specjalski
Ewa Jassem

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