The Changing Panorama of Diabetes Outcomes: Novel Complications and Novelties in Classical Complication

  • 23k

    Total downloads

  • 76k

    Total views and downloads

Submit your idea

Select the journal/section where you want your idea to be submitted:

Submit your manuscript summarySubmit your manuscript

About this Research Topic

Submission closed

Background

Cardiovascular events, nephropathy, retinopathy, and diabetic neuropathies represent the “classical” and most studied diabetic related long-term complications. The endothelium appears to be the common substrate hit by hyperglycaemia, insulin resistance, and other cardiovascular risk factors. The discovery of novel disease pathways in this regard is contributing to the identification of potential therapeutic targets which offer thrilling opportunities for tackling vascular complications of diabetes. In addition, recent randomized controlled trials have already shown significant reductions in the risk of cardiovascular and renal outcomes associated with the use of novel anti-diabetes drugs, such as SGLT2i and GLP1-RA, promising a radical change in the panorama of vascular disease in diabetes in the near future.

However, the systemic effects of diabetes are extensive, and upcoming complications of diabetes have been recently evaluated since strong epidemiological association between diabetes and other high-prevalence disorders have been found, suggesting the existence of complex physiopathology.

In this respect, there is emerging evidence that bone is a target organ of diabetes: an increased risk of bone fragility and osteoporotic fractures in both type 1 (T1D) and type 2 (T2D) diabetes compared to the general population has been shown. Moreover, since bone mineral density (BMD) is generally increased in T2D compared with controls, there are some lines of evidences that specific alterations in bone quality may increase fracture risk in diabetic subjects irrespective of BMD. Multiple pathways have been considered to contribute to diabetic osteopathy, including hyperglycaemia and accumulation of advanced glycation end-products in bone collagen, defects in insulin secretion or activity, inadequate vitamin D status, osteocalcin dysmetabolism, and increased proinflammatory cytokines and adipokine levels.

Furthermore, strong interaction between diabetes, bone, and vascular impairment has been recently recognized, leading to the identification of a bone-vascular axis which may be a novel target to tackle cardiovascular complications of diabetes. Thus, vascular calcification plays a key role in the pathogenesis of diabetic macrovascular disease and novel biomarkers of vascular function and is potentially involved in the crosstalk between bone and vascular disease. It should be further investigated in order to establish new strategies toward prevention or early diagnosis of bone-vascular axis disfunctions.

Another outstanding issue concerns the link between diabetes, vascular dysfunction, and dementia. Indeed, thanks to the increasing interests in aging-related diseases, diabetes-related cognitive impairment is attracting great attention. To date, there is convincing epidemiological evidence showing an increased risk of developing Alzheimer’s disease (AD) and other neurodegenerative disorders in diabetic subjects, supporting the existence of multiple pathogenic cascades induced by impaired cerebral glucose metabolism that could result in neuronal degeneration and consequently cognitive deficits in diabetic patients. Among these pathogenic processes, insulin signalling and imbalance in glucagon/insulin homeostasis are highly emphasized and characterized as major pathogenic mechanisms, contributing to the formation of amyloid deposits in the brain and AD. Similarly, a potential role of altered thiamine metabolism has been recently discussed.

This Research Topic aims to further our understanding of the system-wide expression of diabetes, evaluating the “novel” complications of the disease, describing the common pathogenetic pathways involved in the interplay between diabetes and organ damage, and summarizing the most recent advances in the understanding and treatment of classical vascular complications. We welcome review, mini review, and original research articles.

Keywords: Diabetic Complications

Important note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

Topic editors

Frequently asked questions

  • Frontiers' Research Topics are collaborative hubs built around an emerging theme.Defined, managed, and led by renowned researchers, they bring communities together around a shared area of interest to stimulate collaboration and innovation.

    Unlike section journals, which serve established specialty communities, Research Topics are pioneer hubs, responding to the evolving scientific landscape and catering to new communities.

  • The goal of Frontiers' publishing program is to empower research communities to actively steer the course of scientific publishing. Our program was implemented as a three-part unit with fixed field journals, flexible specialty sections, and dynamically emerging Research Topics, connecting communities of different sizes and maturity.

    Research Topics originate from the scientific community. Many of our Research Topics are suggested by existing editorial board members who have identified critical challenges or areas of interest in their field.

  • As an editor, Research Topics will help you build your journal, as well as your community, around emerging, cutting-edge research. As research trailblazers, Research Topics attract high-quality submissions from leading experts all over the world.

    A thriving Research Topic can potentially evolve into a new specialty section if there is sustained interest and a growing community around it.

  • Each Research Topic must be approved by the specialty chief editor, and it falls under the editorial oversight of our editorial boards, supported by our in-house research integrity team. The same standards and rigorous peer review processes apply to articles published as part of a Research Topic as for any other article we publish.

    In 2023, 80% of the Research Topics we published were edited or co-edited by our editorial board members, who are already familiar with their journal's scope, ethos, and publishing model. All other topics are guest edited by leaders in their field, each vetted and formally approved by the specialty chief editor.

  • Publishing your article within a Research Topic with other related articles increases its discoverability and visibility, which can lead to more views, downloads, and citations. Research Topics grow dynamically as more published articles are added, causing frequent revisiting, and further visibility.

    As Research Topics are multidisciplinary, they are cross-listed in several fields and section journals – increasing your reach even more and giving you the chance to expand your network and collaborate with researchers in different fields, all focusing on expanding knowledge around the same important topic.

    Our larger Research Topics are also converted into ebooks and receive social media promotion from our digital marketing team.

     

  • Frontiers offers multiple article types, but it will depend on the field and section journals in which the Research Topic will be featured. The available article types for a Research Topic will appear in the drop-down menu during the submission process.

    Check available article types here 

  • Yes, we would love to hear your ideas for a topic. Most of our Research Topics are community-led and suggested by researchers in the field. Our in-house editorial team will contact you to talk about your idea and whether you’d like to edit the topic. If you’re an early-stage researcher, we will offer you the opportunity to coordinate your topic, with the support of a senior researcher as the topic editor. 

    Suggest your topic here 

  • A team of guest editors (called topic editors) lead their Research Topic. This editorial team oversees the entire process, from the initial topic proposal to calls for participation, the peer review, and final publications.

    The team may also include topic coordinators, who help the topic editors send calls for participation, liaise with topic editors on abstracts, and support contributing authors. In some cases, they can also be assigned as reviewers.

  • As a topic editor (TE), you will take the lead on all editorial decisions for the Research Topic, starting with defining its scope. This allows you to curate research around a topic that interests you, bring together different perspectives from leading researchers across different fields and shape the future of your field. 

     

    You will choose your team of co-editors, curate a list of potential authors, send calls for participation and oversee the peer review process, accepting or recommending rejection for each manuscript submitted.

  • As a topic editor, you're supported at every stage by our in-house team. You will be assigned a single point of contact to help you on both editorial and technical matters. Your topic is managed through our user-friendly online platform, and the peer review process is supported by our industry-first AI review assistant (AIRA).

  • If you’re an early-stage researcher, we will offer you the opportunity to coordinate your topic, with the support of a senior researcher as the topic editor. This provides you with valuable editorial experience, improving your ability to critically evaluate research articles and enhancing your understanding of the quality standards and requirements for scientific publishing, as well as the opportunity to discover new research in your field, and expand your professional network.

  • Yes, certificates can be issued on request. We are happy to provide a certificate for your contribution to editing a successful Research Topic.

  • Research Topics thrive on collaboration and their multi-disciplinary approach around emerging, cutting-edge themes, attract leading researchers from all over the world.

  • As a topic editor, you can set the timeline for your Research Topic, and we will work with you at your pace. Typically, Research Topics are online and open for submissions within a few weeks and remain open for participation for 6 – 12 months. Individual articles within a Research Topic are published as soon as they are ready.

    Find out more about our Research Topics

  • Our fee support program ensures that all articles that pass peer review, including those published in Research Topics, can benefit from open access – regardless of the author's field or funding situation.

    Authors and institutions with insufficient funding can apply for a discount on their publishing fees. A fee support application form is available on our website.

  • In line with our mission to promote healthy lives on a healthy planet, we do not provide printed materials. All our articles and ebooks are available under a CC-BY license, so you can share and print copies.

     

Participating Journals

Impact

  • 76kTopic views
  • 51kArticle views
  • 23kArticle downloads
View impact