Effects of buflomedil on skin blood flow in patients with type 2 diabetes mellitus without overt micro- or macroangiopathy

Int Angiol. 2011 Apr;30(2):164-71.

Abstract

Aim: The aim of this study was to assess the effects of buflomedil on the peripheral microcirculation in patients with type 2 diabetes mellitus (T2DM) without overt micro- or macroangiopathy.

Methods: Twenty-three patients with T2DM were randomly assigned to receive buflomedil 600 mg/day for six months (N.=12) or no medication (N.=11). Skin blood flow in the lower limbs was assessed at baseline and after 3 and 6 months using Laser Doppler. We measured the following laser Doppler parameters: volume, flow and velocity.

Results: In patients treated with buflomedil, there was a significant increase in volume (P=0.039) and a trend for an increase in both flow and velocity (P=0.097 for both parameters). In contrast, significant decreases in volume and flow were observed in the control group (P=0.045 and P=0.027, respectively) whereas velocity did not change (P=0.150).

Conclusion: In conclusion, buflomedil appears to have a beneficial effect on the peripheral microcirculation in patients with T2DM.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Biomarkers / blood
  • Blood Flow Velocity / drug effects
  • Chi-Square Distribution
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / physiopathology
  • Female
  • Foot Ulcer / etiology
  • Foot Ulcer / physiopathology
  • Foot Ulcer / prevention & control
  • Greece
  • Humans
  • Laser-Doppler Flowmetry
  • Lower Extremity
  • Male
  • Microcirculation / drug effects*
  • Middle Aged
  • Pyrrolidines / therapeutic use*
  • Regional Blood Flow / drug effects
  • Skin / blood supply*
  • Time Factors
  • Treatment Outcome
  • Vasodilator Agents / therapeutic use*

Substances

  • Biomarkers
  • Pyrrolidines
  • Vasodilator Agents
  • buflomedil