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CARDIOLOGY · DIABETOLOGY AND ITS COMPLICATIONS

AI-CARDIO

Predictive analysis of cardiovascular risk in cutaneous lipodystrophies associated with type 1 and type 2 diabetes mellitus through artificial-intelligence systems.

A multi-year study dedicated to the assessment of cardiovascular risk in patients with diabetes mellitus on insulin therapy, with or without cutaneous lipodystrophies.
The project integrates clinical data and artificial-intelligence systems to develop a predictive algorithm for cardiovascular events.

OngoingStatus
since 2024Duration
Jan 2024Start
Cardiology · Diabetology and its complicationsAreas

The project

AI-CARDIO is a multi-year research project, conducted from 2024 to 2026, aimed at studying patients with type 1 and type 2 diabetes mellitus on insulin treatment. The project focuses on the presence and frequency of cutaneous lipodystrophies, regarded as a useful marker of increased cardiovascular risk, especially in patients who present errors in injection technique or difficulties in managing their therapy.
The study involves comprehensive cardiovascular screening in two cohorts of subjects on insulin therapy, with and without cutaneous lipodystrophies. The assessment will be repeated over the course of the multi-year follow-up, allowing the collection and analysis of clinical, metabolic, haemodynamic, morphological and radiological data and of circulating biomarkers of cardiac injury of cardiac damage.

Results

The main objective of the project is to improve cardiovascular prevention in diabetic patients on insulin therapy through the early identification of higher-risk subjects.
Particular attention is paid to cutaneous lipodystrophies, which can affect glycemic control and contribute to greater glycemic variability, with repercussions on the risk of cardiovascular complications.
The project also aims to promote correct patient education on the management of insulin therapy and on the prevention of complications related to injection technique.
Through the structured collection of data and the use of artificial-intelligence systems, AI-CARDIO intends to develop a predictive model capable of supporting more personalised diagnostic-therapeutic pathways.
The expected results include the definition of a cardiovascular risk profile in diabetic subjects on insulin therapy, with particular reference to the presence of cutaneous lipodystrophies and their impact on metabolic control.
The project envisages the creation of a predictive algorithm for fatal and non-fatal cardiovascular events, based on the integration of clinical, metabolic, instrumental and laboratory data collected during the follow-up. The database and results will undergo scientific validation by a scientific Department of the Vanvitelli University, with the aim of contributing to the optimisation of diagnostic-therapeutic pathways, the reduction of cardiovascular morbidity and mortality and the containment of healthcare costs.

Related publications

Scientific evidence

2025
Diabetology and its complications Review

A Neglected Complication of Insulin Therapy Due to Errors in Injection Technique: Skin Lipohypertrophies: A Narrative Review

Guarino G, Satta E, Gentile S

2025
Diabetology and its complications Review

Advance Insulin Injection Technique and Education With FITTER Forward Expert Recommendations

Kerr D, Klonoff DC, et al.

2024
Cardiology Review

The Cross-Talk Between the Heart and the Liver: The Involvement of the Mitral Valve as a Novel Actor upon the Ancient Scene of Liver Cirrhosis

Cozzolino D, Nevola R, Ruggiero A, Romano C, Umano GR, Aitella E, Sardu C, Marrone A, Gentile S

Diagnostics
2024
Diabetology and its complications Case series / Case report

Insulin-Related Skin Lipohypertrophy in Type Two Diabetes: A Clinical Study of a Case Series, with Ultrasonographic and Histopathologic Implications

Gentile S, Guarino G, Ronchi A, Satta E, Della-Corte T, Fulgione E, Babino G, Mattera E, Martedì E, Di Martino R, Fiorentino…

Diabetology
2022
Diabetology and its complications Observational study

Genital Infection Risk Profile in Post-menopausal Women with Type 2 Diabetes Mellitus on Sodium-glucose Cotransporter-2 (SGLT2) Inhibitors

Gentile S, Guarino G, Della Corte T, Satta E, Pipicelli AMV, Romano C, Alfarone C, Lamberti R, Di Maio A

Italian publication
2022
Diabetology and its complications Original

Comparison between Policaptil Gel Retard and Metformin by Testing of Temporal Changes in Patients with Metabolic Syndrome and Type 2 Diabetes

Guarino G, Della-Corte T, Satta E, Romano C, Alfarone C, Corigliano G, Corigliano M, Cozzolino G, Brancario C, Martino C, Oliva D,…

Likely Italian medical journal