Fig. 2

Speckle tracking echocardiography in the parasternal short axis view at level of the papillary muscles. a peak systolic global LV circumferential strain in a pediatric patient with type 1 diabetes mellitus and real time serum glucose level < 150 mg/dL. b peak systolic global LV circumferential strain in a pediatric patient with type 1 diabetes mellitus and real time serum glucose level > 150 mg/dL. Note the increased (more negative) peak LV systolic global circumferential strain in the diabetic patient with the higher blood sugar level ( b )