“…The pathophysiology includes cardiac dysfunction due to increased fibrosis and left ventricular hypertrophy (48). High glucose induces cardiovascular dysfunction by activating the PKC/diacylglycerol pathway, calcium dysregulation, inducing endoplasmic reticulum stress, and deregulating autophagy and apoptosis, which have been shown to be mitigated by H 2 S supplementation (9,80,89,156,164). Furthermore, plasma H 2 S levels are decreased in type 2 diabetic patients, high-fat diet-treated mice (type 2 diabetic patients), and streptozotocin-treated rats (9,64,66).…”