Email updates

Keep up to date with the latest news and content from BMC Cardiovascular Disorders and BioMed Central.

Open Access Highly Accessed Research article

Relationship between postprandial glucose level and carotid artery stiffness in patients without diabetes or cardiovascular disease

Kentaro Watanabe*, Tatsuya Suzuki, Motoshi Ouchi, Kazunari Suzuki, Makoto Ohara, Masao Hashimoto, Hidetoshi Yamashita, Masaru Okazaki, Kazuhito Ishii and Kenzo Oba

Author Affiliations

Department of Internal Medicine (Divisions of Cardiology, Hepatology, Geriatrics, and Integrated Medicine), Nippon Medical School, 1-1-5 Sendagi, 113-8603, Bunkyo-ku, Tokyo, Japan

For all author emails, please log on.

BMC Cardiovascular Disorders 2013, 13:11  doi:10.1186/1471-2261-13-11

Published: 26 February 2013

Abstract

Background

The aim of this study was to evaluate the relationship between postprandial glucose level and atherosclerosis in patients without diabetes and cardiovascular disease by determining carotid ultrasonographic variables and serum levels of 1,5-anhydroglucitol (1,5-AG).

Methods

The subjects were 72 patients without diabetes and cardiovascular disease being treated for hypertension or dyslipidemia. The clinical characteristics of all subjects, including the serum level of 1,5-AG, which appears to be well suited for monitoring postprandial hyperglycemia, were evaluated after an overnight fast. The average intima-media thickness (IMT) and the average pulsatility index (PI) of the right and left common carotid arteries were determined with high-resolution ultrasonography and used as ultrasonographic variables. The subjects were divided into a Lower 1,5-AG group (nā€‰=ā€‰36) and a Higher 1,5-AG group (nā€‰=ā€‰36). We evaluated the relationship between clinical characteristics and ultrasonographic variables of the carotid artery in both groups.

Results

The average PI in the Lower 1,5-AG group was significantly higher than that in the Higher 1,5-AG group, but the average IMT did not differ between the groups. Linear regression analysis, with the ultrasonographic variables as the dependent variables, with 1,5-AG as the independent variable, and adjusted for other clinical characteristics, showed significant correlation between 1,5-AG and the PI but not between 1,5-AG and IMT.

Conclusion

Our results suggest that postprandial hyperglycemia increases carotid artery stiffness, but not morphological change, in patients without diabetes or cardiovascular disease.

Keywords:
1,5-anhydroglucitol; Pulsatility index; Postprandial glucose; Nondiabetic patients