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Hyperglycaemia and Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) may coexist with type 2 diabetes mellitus (T2DM). Patients with COPD have an increased risk of developing T2DM compared with a control but, on the other side, hyperglycaemia and DM have been associated with reduced predicted levels of lung function. The m...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10650064/ https://www.ncbi.nlm.nih.gov/pubmed/37958258 http://dx.doi.org/10.3390/diagnostics13213362 |
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author | Cazzola, Mario Rogliani, Paola Ora, Josuel Calzetta, Luigino Lauro, Davide Matera, Maria Gabriella |
author_facet | Cazzola, Mario Rogliani, Paola Ora, Josuel Calzetta, Luigino Lauro, Davide Matera, Maria Gabriella |
author_sort | Cazzola, Mario |
collection | PubMed |
description | Chronic obstructive pulmonary disease (COPD) may coexist with type 2 diabetes mellitus (T2DM). Patients with COPD have an increased risk of developing T2DM compared with a control but, on the other side, hyperglycaemia and DM have been associated with reduced predicted levels of lung function. The mechanistic relationships between these two diseases are complicated, multifaceted, and little understood, yet they can impact treatment strategy. The potential risks and benefits for patients with T2DM treated with pulmonary drugs and the potential pulmonary risks and benefits for patients with COPD when taking antidiabetic drugs should always be considered. The interaction between the presence and/or treatment of COPD, risk of infection, presence and/or treatment of T2DM and risk of acute exacerbations of COPD (AECOPDs) can be represented as a vicious circle; however, several strategies may help to break this circle. The most effective approach to simultaneously treating T2DM and COPD is to interfere with the shared inflammatory substrate, thus targeting both lung inflammation (COPD) and vascular inflammation (DM). In any case, it is always crucial to establish glycaemic management since the reduction in lung function found in people with diabetes might decrease the threshold for clinical manifestations of COPD. In this article, we examine possible connections between COPD and T2DM as well as pharmacological strategies that could focus on these connections. |
format | Online Article Text |
id | pubmed-10650064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-106500642023-11-01 Hyperglycaemia and Chronic Obstructive Pulmonary Disease Cazzola, Mario Rogliani, Paola Ora, Josuel Calzetta, Luigino Lauro, Davide Matera, Maria Gabriella Diagnostics (Basel) Review Chronic obstructive pulmonary disease (COPD) may coexist with type 2 diabetes mellitus (T2DM). Patients with COPD have an increased risk of developing T2DM compared with a control but, on the other side, hyperglycaemia and DM have been associated with reduced predicted levels of lung function. The mechanistic relationships between these two diseases are complicated, multifaceted, and little understood, yet they can impact treatment strategy. The potential risks and benefits for patients with T2DM treated with pulmonary drugs and the potential pulmonary risks and benefits for patients with COPD when taking antidiabetic drugs should always be considered. The interaction between the presence and/or treatment of COPD, risk of infection, presence and/or treatment of T2DM and risk of acute exacerbations of COPD (AECOPDs) can be represented as a vicious circle; however, several strategies may help to break this circle. The most effective approach to simultaneously treating T2DM and COPD is to interfere with the shared inflammatory substrate, thus targeting both lung inflammation (COPD) and vascular inflammation (DM). In any case, it is always crucial to establish glycaemic management since the reduction in lung function found in people with diabetes might decrease the threshold for clinical manifestations of COPD. In this article, we examine possible connections between COPD and T2DM as well as pharmacological strategies that could focus on these connections. MDPI 2023-11-01 /pmc/articles/PMC10650064/ /pubmed/37958258 http://dx.doi.org/10.3390/diagnostics13213362 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Cazzola, Mario Rogliani, Paola Ora, Josuel Calzetta, Luigino Lauro, Davide Matera, Maria Gabriella Hyperglycaemia and Chronic Obstructive Pulmonary Disease |
title | Hyperglycaemia and Chronic Obstructive Pulmonary Disease |
title_full | Hyperglycaemia and Chronic Obstructive Pulmonary Disease |
title_fullStr | Hyperglycaemia and Chronic Obstructive Pulmonary Disease |
title_full_unstemmed | Hyperglycaemia and Chronic Obstructive Pulmonary Disease |
title_short | Hyperglycaemia and Chronic Obstructive Pulmonary Disease |
title_sort | hyperglycaemia and chronic obstructive pulmonary disease |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10650064/ https://www.ncbi.nlm.nih.gov/pubmed/37958258 http://dx.doi.org/10.3390/diagnostics13213362 |
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