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Blood glucose and insulin concentrations have been reported to influence cerebral hemodynamics. We studied the relationship between actual blood glucose and insulin concentrations and resting cerebral blood flow velocity in the middle cerebral artery and cerebrovascular reserve capacity after acetazolamide stimulation. Thirty-six insulin-dependent diabetic patients in a state of good glycemic control were studied. Blood samples were taken for determination of glucose and insulin concentrations. Subsequently we measured resting cerebral blood flow velocities in supine position using transcranial Doppler, administered 1 g acetazolamide intravenously, and repeated the measurements after 5, 10, 15 and 20 minutes. Cerebrovascular reserve was calculated as the maximal percent increase after acetazolamide stimulation. Multiple regression was used for statistical analysis.Blood glucose levels were not correlated with resting blood flow velocity (R = 0.21, p = 0.22) nor cerebrovascular reserve capacity (R = 0.17, p = 0.32). Similarly, no correlation was found between insulin concentrations, resting cerebral blood flow velocity (R = 0.24, p = 0.22) and cerebrovascular reserve (R = 0.26, p = 0.24). Studying patients with long-term (> 10 years) and short-term (</= 10 years) disease duration yielded the same lack of correlation.We conclude that there is no significant correlation between contemporaneously measured glucose and insulin concentrations and either cerebral blood flow velocity or cerebrovascular reserve capacity in the middle cerebral artery in type 1 diabetic patients with good control.
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<div class="JournalArticle Publication short-list"> <div class="authors"> <span class="author-name" mtid="10013888"> <a href="/gui2/?type=authors&mode=browse&sel=10013888" target="_blank">Fulesdi, B ✉</a> </span> <span class="author-type"> </span> ; <span class="author-name" > Limburg, M </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10000800"> <a href="/gui2/?type=authors&mode=browse&sel=10000800" target="_blank">Bereczki, D</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10037125"> <a href="/gui2/?type=authors&mode=browse&sel=10037125" target="_blank">Molnar, C</a> </span> <span class="author-type"> </span> ; <span class="author-name" > Michels, RPJ </span> <span class="author-type"> </span> ; <span class="author-name" > Leanyvari, Z </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10000492"> <a href="/gui2/?type=authors&mode=browse&sel=10000492" target="_blank">Csiba, L</a> </span> <span class="author-type"> </span> </div ><div class="title"><a href="/gui2/?mode=browse¶ms=publication;1052914" mtid="1052914" target="_blank">No relationship between cerebral blood flow velocity and cerebrovascular reserve capacity and contemporaneously measured glucose and insulin concentrations in diabetes mellitus</a></div> <div class="pub-info"> <span class="journal-title">ACTA DIABETOLOGICA</span> <span class="journal-volume">36</span> : <span class="journal-issue">4</span> <span class="page"> pp. 191-195. , 5 p. </span> <span class="year">(1999)</span> </div> <div class="pub-end"><div class="identifier-list"> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1007/s005920050166" target="_blank" href="https://doi.org/10.1007/s005920050166"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000085955800005" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000085955800005"> WoS </a> </span> <span class="id identifier oa_CLOSED" title=" Closed "> <a style="color:blue" title="161409" target="_blank" href="http://hdl.handle.net/2437/161409"> DEA </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="0033251238" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-0033251238"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10664327" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10664327&dopt=Abstract"> PubMed </a> </span> </span> </div> <div class="short-pub-prop-list"> <span class="short-pub-mtid"> Publication:1052914 </span> <span class="status-holder"><span class="status-data status-VALIDATED"> Validated </span></span> <span class="pub-core">Core Citing </span> <span class="pub-type">Journal Article (Article ) </span> <!-- && !record.category.scientific --> <span class="pub-category">Scientific</span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="" class="citingPub-count">Citing papers: 6</span> | Independent citation: 4 | Self citation: 2 | Unknown citation: 0 | Number of citations in WoS: 6 | Number of citations in Scopus: 6 | WoS/Scopus assigned: 6 | Number of citations with DOI: 6 </div> </div> </div> </div><div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10013888"><a href="/gui2/?type=authors&mode=browse&sel=10013888" target="_blank">Fulesdi B ✉ (<span class="authorship-author-name">Fülesdi Béla</span> <span class="authorAux-mtmt"> Aneszteziológia és intenzív terápia</span>) </a> </span> <span class="author-affil"><span title="University of Debrecen">UD</span>/<span title="Faculty of Medicine">Faculty of Medicine</span>/Department of Anesthesiology and Intensive Care</span> ; <span class="author-name" >Limburg M </span> ; <span class="author-name" mtid="10000800"><a href="/gui2/?type=authors&mode=browse&sel=10000800" target="_blank">Bereczki D (<span class="authorship-author-name">Bereczki Dániel</span> <span class="authorAux-mtmt"> Stroke</span>) </a> </span> ; <span class="author-name" mtid="10037125"><a href="/gui2/?type=authors&mode=browse&sel=10037125" target="_blank">Molnar C (<span class="authorship-author-name">Molnár Csilla</span> <span class="authorAux-mtmt"> aneszteziológia-intenzív terápia</span>) </a> </span> <span class="author-affil"><span title="University of Debrecen">UD</span>/<span title="Faculty of Medicine">Faculty of Medicine</span>/Department of Anesthesiology and Intensive Care</span> ; <span class="author-name" >Michels RPJ </span> ; <span class="author-name" >Leanyvari Z </span> ; <span class="author-name" mtid="10000492"><a href="/gui2/?type=authors&mode=browse&sel=10000492" target="_blank">Csiba L (<span class="authorship-author-name">Csiba László</span> <span class="authorAux-mtmt"> Neurológia</span>) </a> </span> <span class="author-affil"><span title="University of Debrecen">UD</span>/<span title="Faculty of Medicine">Faculty of Medicine</span>/Department of Neurology</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse¶ms=publication;1052914" target="_blank">No relationship between cerebral blood flow velocity and cerebrovascular reserve capacity and contemporaneously measured glucose and insulin concentrations in diabetes mellitus</a></div> <div> <span class="journal-title">ACTA DIABETOLOGICA</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0940-5429">0940-5429</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1432-5233">1432-5233</a>)</span>: <span class="journal-volume">36</span> <span class="journal-issue">4</span> <span class="page"> pp 191-195 </span> <span class="year">(1999)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Language: English | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1007/s005920050166" target="_blank" href="https://doi.org/10.1007/s005920050166"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000085955800005" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000085955800005"> WoS </a> </span> <span class="id identifier oa_CLOSED" title=" Closed "> <a style="color:blue" title="161409" target="_blank" href="http://hdl.handle.net/2437/161409"> DEA </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="0033251238" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-0033251238"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10664327" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10664327&dopt=Abstract"> PubMed </a> </span> </span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="" class="citingPub-count">Citing papers: 6</span> | Independent citation: 4 | Self citation: 2 | Unknown citation: 0 | Number of citations in WoS: 6 | Number of citations in Scopus: 6 | WoS/Scopus assigned: 6 | Number of citations with DOI: 6 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;1052914&sort=publishedYear,desc&sort=title"> Number of cited publications: 3 </a> </div> <div class="mtid"><span class="long-pub-mtid">Publication: 1052914</span> | <span class="status-data status-VALIDATED"> Validated </span> <span class="oldId">Old id: 1052914</span> | Core Citing | <span class="type-subtype">Journal Article ( Article ) </span> | <span class="pub-category">Scientific</span> | <span class="publication-sourceOfData">WOS</span> </div> <div class="lastModified">Last Modified: 2022.04.11. 14:49 Rita Tichy (SE_KK_Admin5_TR, admin) </div> </div></div>