Diabetes, cardiovascular disease and the microcirculation
Open accessAbstract
Cardiovascular disease (CVD) is the leading cause of mortality in people with type 2 diabetes mellitus (T2DM), yet a significant proportion of the disease burden cannot be accounted for by conventional cardiovascular risk factors. Hypertension occurs in majority of people with T2DM, which is substantially more frequent than would be anticipated based on general population samples. The impact of hypertension is considerably higher in people with diabetes than it is in the general population, suggesting either an increased sensitivity to its effect or a confounding underlying aetiopathogenic mechanism of hypertension associated with CVD within diabetes. In this contribution, we aim to review the changes observed in the vascular tree in people with T2DM compared to the general population, the effects of established anti-diabetes drugs on microvascular outcomes, and explore the hypotheses to account for common causalities of the increased prevalence of CVD and hypertension in people with T2DM.
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CVD remains the leading cause of mortality among diabetic patients.
“CVD, one of the most severe systemic complications of diabetes, remains the leading cause of mortality among diabetic patients [9, 81, 82].”
From Artificial intelligence-powered prediction of diabetic complications: from clinical data to molecular omics (2026) · cites this paper as [81]
The Abstract states that CVD is the leading cause of mortality in people with type 2 diabetes. The citing sentence says this of diabetic patients generally, extending the claim beyond the population specified in the source. (LLM, conf=0.85)
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Cites
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“CVD, one of the most severe systemic complications of diabetes, remains the leading cause of mortality among diabetic patients [9, 81, 82].”
- Authors
- Strain, W. D., & Paldánius, P. M.
- Affiliations
- University of Exeter (GB)
- Novartis (Switzerland) (CH)
- Corresponding author
- Strain, W. David
- Venue
- Cardiovascular Diabetology
- Published
- 2018-04-18
- Volume
- 17
- Issue
- 1
- Pages
- 57-57
- ISSN
- 1475-2840 (ISSN-L)
- PMC
- PMC5905152
- OpenAlex
- W2800981650
- Cited by
- 609
- References
- 9
- Citations by year
- 2026: 49 · 2025: 83 · 2024: 119 · 2023: 103 · 2022: 92 · 2021: 85 · 2020: 60 · 2019: 15 · 2018: 3
- FWCI
- 6.27
- Type
- journal article
- Language
- en
- Update notices
- correction (2021-06-11)
- Open access
- gold
- doi.org
- Locations
- Cardiovascular Diabetology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Open Research Exeter (University of Exeter) (submittedVersion, cc-by)
- Royal Devon and Exeter Research Repository (Royal Devon and Exeter) (submittedVersion, cc-by)
- Funders
- Novartis Pharma AG
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Keywords
- type 2 diabetes, cardiovascular disease, hypertension, microcirculation, vascular changes, antidiabetic drugs, microvascular outcomes, cardiovascular risk factors
- MeSH terms
- Animals, Cardiovascular System, Diabetes Mellitus, Type 2, Diabetic Angiopathies, Humans, Hypertension, Hypoglycemic Agents, Microcirculation, Risk Factors, Prevalence, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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