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Exp Clin Endocrinol Diabetes 2021; 129(04): 283-288
DOI: 10.1055/a-0865-1754
Original Article

Related Risk Factors between Subclinical Carotid Atherosclerosis and Diabetic Retinopathy in Newly Diagnosed Type 2 Diabetes Mellitus in China

Fengqi Guo
1   Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
,
Ting Zhou
1   Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
,
Juan Tang
1   Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
,
Mingxia Dong
1   Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
,
Qianping Wei
1   Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
› Author Affiliations Funding Source: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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Abstract

Purpose To analyze the clinical features and related risk factors in diabetic retinopathy (DR) and subclinical atherosclerosis, the micro- and macro-vascular diseases in newly diagnosed type 2 diabetes mellitus (T2DM).

Methods A retrospective study of 435 cases of inpatients with newly diagnosed T2DM from 2013–2017, and compare the 2 types of T2DM related vascular complications.

Results The macro- and microvascular complications are not rare at this stage. Subclinical atherosclerosis was found in 251 subjects (57.7%), which was higher than that of DR (13.1%). In addition, some cases of subclinical atherosclerosis co-existed with DR, suggesting that DR was related with subclinical atherosclerosis (r=0.098, P=0.041). Older age showed a significant association with both subclinical atherosclerosis and DR. Single factor analysis indicated that dyslipidemia was the common risk factor in DR and subclinical atherosclerosis.

Conclusions It should be paid attention to the screening of both DR and subclinical atherosclerosis in each age group of newly diagnosed T2DM. Except for the control of blood glucose, the control of the dyslipidemia is important in the prevention and treatment of the micro- and macro-vascular diseases.

Key words

diabetic retinopathy - atherosclerosis - type 2 diabetes mellitus


Publication History

Received: 16 September 2018
Received: 19 February 2019

Accepted: 27 February 2019

Article published online:
09 April 2019

© 2019. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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