原创力文档a microalbuminuria threshold to predict the risk for the development of diabetic retinopathy in type 2 diabetes mellitus patients微蛋白尿阈值来预测风险的2型糖尿病患者糖尿病视网膜病变的发展.pdfVIP
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a microalbuminuria threshold to predict the risk for the development of diabetic retinopathy in type 2 diabetes mellitus patients微蛋白尿阈值来预测风险的2型糖尿病患者糖尿病视网膜病变的发展
A Microalbuminuria Threshold to Predict the Risk for the
Development of Diabetic Retinopathy in Type 2 Diabetes
Mellitus Patients
1. 2. 1 1 1 1 1
Haibing Chen , Zhi Zheng , Yan Huang , Kaifeng Guo , Junxi Lu , Lei Zhang , Haoyong Yu ,
1 1
Yuqian Bao , Weiping Jia *
1 Department of Endocrinology and Metabolism, Shanghai Clinical Center for Diabetes, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai Diabetes
Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China, 2 Department of Ophthalmology, First People’s Hospital of Shanghai Affiliated to Shanghai
Jiaotong University, Shanghai, China
Abstract
Objective: To test the hypothesis that a microalbuminuria (MA) threshold can help predict the risk for the development of
diabetic retinopathy (DR) in type 2 diabetes mellitus (T2DM)_ patients.
Design: We conducted a cross-sectional study of 4739 subjects with T2DM and a prospective study of 297 subjects with
T2DM in China respectively.
Methods: Clinical and laboratory data were collected and biologic risk factors associated with any DR were analysed.
Results: In the cross-sectional study, we found that MA was an independent risk factor for DR development; further, when
the patients were divided into MA deciles, odds ratio (ORs) of DR for the patients in the sixth MA decile (10.7 mg/24 h) was
1.579-fold (1.161–2.147) compared to that for patients in the first MA decile. Furthermore, the OR of DR increased with
a gradual increase in MA levels. Similarly, in the prospective study, during a mean follow-up of 4.5 years, we found that 51
patients (29.0%) of the 176 subjects with high MA level (10.7–30 mg/24 h) developed DR, while 17 p
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