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Objectives:   The prevalence of cardiovascular risk factors among patients with type 1 diabetes is underestimated. This study was conducted to assess the cardiovascular risk by comparing arterial stiffness in type 1 diabetes with that of controls.Research design and methods:   Thirty-one type 1 diabetes patients and 31 age- and gender-matched controls were included. The brachial-ankle pulse wave velocity (ba-PWV) was measured using Periscope, a noninvasive device.Results:   The ba-PWV was found to be significantly elevated among the patients with diabetes (1177.09 ± 180.1 cm/s) when compared with the controls (1057.99 ± 95.8 cm/s) ( P = .003). The ba-PWV showed positive correlation with age ( r = .43, P = .014), heart rate ( r = .49, P = .005), blood pressure ( r = .65, P   102 mg/dl (1187.8 cm/s to 1364.9 cm/s, P = .09) and SBP &gt; 130 mmHg (1176.1 cm/s to 1369.4 cm/s, P = .03).Conclusions:   Arterial stiffness as assessed by ba-PWV is significantly increased among patients with type 1 diabetes compared to healthy controls, independent of traditional cardiovascular risk factors. Early screening for arterial stiffness using a cheap and effective method among patients with SBP &gt; 130 mmHg and LDL &gt; 102 mg/dl may help identify those with heightened cardiovascular risk.

Occurrence of Increased Arterial Stiffness in a Cohort of Adult Patients With Type 1 Diabetes Mellitus When Compared to Normoglycemic Controls