Oxidative stress and the use of antioxidants in diabetes: Linking basic science to clinical practice

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This is a great article in line with some of my own personal feeling regarding why there is such a high degree of heart disease amongst those with diabetes.  Clearly from the content on this site alone it is apparent I am not a beleiver in the lipid hypothesis which has been disproven as far as I am concerned.  I am much more aligned with this review in beleiving that heart disease is more closely associated and potentially caused by the higher blood glucose levels.  Read this article for details on a study that both looks at this correlation as well as treatment using antioxidants.

ABSTRACT 

Cardiovascular complications, characterized by endothelial dysfunction and accelerated atherosclerosis, are the leading cause of morbidity and mortality associated with diabetes. There is growing evidence that excess generation of highly reactive free radicals, largely due to hyperglycemia, causes oxidative stress, which further exacerbates the development and progression of diabetes and its complications. Overproduction and/or insufficient removal of these free radicals result in vascular dysfunction, damage to cellular proteins, membrane lipids and nucleic acids. Despite overwhelming evidence on the damaging consequences of oxidative stress and its role in experimental diabetes, large scale clinical trials with classic antioxidants failed to demonstrate any benefit for diabetic patients. As our understanding of the mechanisms of free radical generation evolves, it is becoming clear that rather than merely scavenging reactive radicals, a more comprehensive approach aimed at preventing the generation of these reactive species as well as scavenging may prove more beneficial. Therefore, new strategies with classic as well as new antioxidants should be implemented in the treatment of diabetes.

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