The present invention relates to novel substituted bipiperidinyl derivatives, processes for their preparation, their use for the treatment and / or prevention of diseases, and the treatment and / or prevention of diseases, in particular diabetic microangiopathy, in the extremities Treatment and / or prevention of diabetic ulcers, especially diabetic foot ulcers, diabetic heart failure, diabetic coronary microvascular heart disorders, peripheral and cardiovascular disorders, thromboembolic disorders and ischemia, peripheral circulation disorders, It relates to its use in the manufacture of a medicament for the promotion of wound healing of Raynaud's phenomenon, Crest syndrome, microcirculatory disturbances, intermittent claudication, and peripheral and autonomic neuropathy.本発明は、新規な置換されたビピペリジニル誘導体、それの製造方法、疾患の治療および/または予防のためのそれの使用、ならびに疾患の治療および/または予防、特には糖尿病性細小血管症、四肢での糖尿病性潰瘍の治療および/または予防、特には糖尿病性足潰瘍、糖尿病性心不全、糖尿病性冠微小血管性心臓障害、末梢血管および心臓血管障害、血栓塞栓性障害および虚血、末梢循環障害、レイノー現象、クレスト症候群、微小循環障害、間欠性跛行、および末梢および自律神経障害の創傷治癒の促進のための医薬製造におけるそれの使用に関する。