Your browser doesn't support javascript.
loading
Insulin resistance is independently associated with cardiovascular autonomic neuropathy in type 2 diabetes.
Liu, Yingshan; Peng, Yu; Jin, Jing; Chen, Yanshan; Chen, Chuna; Chen, Zhenguo; Huang, Haishan; Xu, Lingling.
Afiliação
  • Liu Y; Department of Endocrinology, Shenzhen Hospital, Southern Medical University, Shenzhen, China.
  • Peng Y; The Third School of Clinical Medicine, Southern Medical University, Guangzhou, China.
  • Jin J; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
  • Chen Y; Department of Endocrinology, Shenzhen Hospital, Southern Medical University, Shenzhen, China.
  • Chen C; The Third School of Clinical Medicine, Southern Medical University, Guangzhou, China.
  • Chen Z; Department of Endocrinology, Shenzhen Hospital, Southern Medical University, Shenzhen, China.
  • Huang H; The Third School of Clinical Medicine, Southern Medical University, Guangzhou, China.
  • Xu L; Department of Endocrinology, Shenzhen Hospital, Southern Medical University, Shenzhen, China.
J Diabetes Investig ; 2021 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-33460512
ABSTRACT
AIMS/

INTRODUCTION:

Diabetic cardiovascular autonomic neuropathy (DCAN) seriously threatens the prognosis and quality of life of patients with type 2 diabetes mellitus, associated with increased mortality. The present study aimed to investigate the relevant risk factors of DCAN. MATERIALS AND

METHODS:

The present study enrolled a total of 109 patients with type 2 diabetes mellitus. DCAN was defined as a score of at least 2 points in Ewing tests. The updated homeostasis model assessment of insulin resistance (HOMA2-IR) based on fasting C-peptide was calculated to reflect insulin resistance. Logistic regression analysis, interaction and stratified analyses were used to investigate the relationship between HOMA2-IR or other indicators and DCAN. Receiver operating characteristic analysis was carried out to estimate the discriminative value of the variables independently associated with DCAN and to determine the optimal cut-off point of these models to screen DCAN.

RESULTS:

The HOMA2-IR levels were significantly higher in patients with DCAN, and tended to be worsened with the progression of the DCAN. Logistic regression analysis showed an independent association between HOMA2-IR (odds ratio 39.30, 95% confidence interval 7.17-215.47) and DCAN. HOMA2-IR (area under the curve 0.878, 95% confidence interval 0.810-0.946; cut-off value 1.735) individually predicted DCAN significantly higher than the other independent risk factors individually used, whereas models combining HOMA2-IR and other risk factors did not significantly boost the diagnostic power.

CONCLUSIONS:

Insulin resistance is independently associated with DCAN. HOMA2-IR presents to be a highly accurate and parsimonious indicator for DCAN screening. Patients with HOMA2-IR >1.735 are at a high risk of DCAN; thus, priority diagnostic tests should be carried out for these patients for timely integrated intervention.
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Tipo de estudo: Patient_preference / Estudo prognóstico / Fatores de risco Aspecto: Preferência do paciente Idioma: Inglês Ano de publicação: 2021 Tipo de documento: Artigo País de afiliação: China

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Tipo de estudo: Patient_preference / Estudo prognóstico / Fatores de risco Aspecto: Preferência do paciente Idioma: Inglês Ano de publicação: 2021 Tipo de documento: Artigo País de afiliação: China
...