Ascorbic acid blocks hyperglycemic impairment of endothelial function in adolescents with type 1 diabetes

Pediatr Diabetes. 2012 Dec;13(8):607-10. doi: 10.1111/j.1399-5448.2012.00882.x. Epub 2012 Aug 28.

Abstract

Objective: To determine whether acute ascorbic acid infusions alter the effect of hyperglycemia on endothelial function in adolescents with type 1 diabetes.

Research design and methods: The forearm blood flow (FBF) reactive hyperemic response to 5 min of upper arm occlusion was studied in eight adolescents with type 1 diabetes during euglycemic and hyperglycemic insulin clamp (40 mU/m2/min) with and without ascorbic acid infusion (3 mg/min).

Results: The ratio of post- to preocclusion FBF decreased during hyperglycemia without ascorbic acid (p = 0.013), but did not change during hyperglycemia with ascorbic acid. The changes during hyperglycemia were different between the two studies (p = 0.038). Similar results were found when the percent change in forearm vascular resistance following occlusion was assessed.

Conclusions: These results indicate that antioxidant treatment with ascorbic acid blocks acute hyperglycemic impairment of endothelial function in adolescents with type 1 diabetes.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Antioxidants / administration & dosage*
  • Ascorbic Acid / administration & dosage*
  • Blood Flow Velocity
  • Constriction
  • Diabetes Mellitus, Type 1 / physiopathology*
  • Endothelium / drug effects
  • Endothelium / physiopathology*
  • Female
  • Forearm / blood supply
  • Glucose Clamp Technique
  • Humans
  • Hyperemia / etiology
  • Hyperemia / physiopathology
  • Hyperglycemia / complications*
  • Insulin / blood
  • Male
  • Vasodilation / physiology

Substances

  • Antioxidants
  • Insulin
  • Ascorbic Acid