Abstract
Chronic hyperglycemia is an established risk factor for the development of complications in
both type 1 and type 2 diabetes, but glycemic variability has emerged as a possible independent risk factor
for diabetes complications, possibly through oxidative stress. In this review, methods to access glycemic
variability and oxidative stress, as well as their correlations, are discussed. Non-pharmacological
and pharmacological strategies are also debated to achieve better glycemic control, not only by HbA1c
target but also with reduced glycemic fluctuations, possibly minimizing the risk of diabetes complications.
Keywords:
Glycemic variability, oxidative stress, type 2 diabetes, complications, hyperglycemia, type 1 diabetes.
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