Correlation analysis of Type-2 diabetes mellitus with proliferative retinopathy and central macular thickness

Pregnant Women with Gestational Diabetes Mellitus & Neonatal Blood Glucose

  • He Huang
  • Shuang Jiang Third Affiliated Hospital of Jinzhou Medical University
  • Honglei Niu
Keywords: Type-2 diabetes mellitus, Proliferative diabetic retinopathy, Central macular thickness, Risk factor, Logistic regression, ROC curve

Abstract

Objective: To investigate the relevant risk factors of proliferative diabetic retinopathy (PDR) in patients with Type-2 diabetes mellitus (T2DM) and their correlations with the central macular thickness (CMT).

Methods: This is a retrospective study. The clinical data of 300 patients with T2DM were collected and divided into a PDR group (observation group) and non-PDR group (control group) according to the occurrence of PDR in Aier Eye Hospital (Taiyuan) from February 2019 to February 2022. The relevant risk factors were screened out through the t test and the χ2 test, and analyzed by logistic regression.

Results: Logistic regression analysis showed that systolic blood pressure, diastolic blood pressure, course of diabetes, fasting blood glucose (FBG), two hours postprandial blood glucose (two hours PBG) and urinary albumin were independent risk factors for T2DM complicated with PDR. ROC curve revealed that systolic blood pressure, course of diabetes and urinary albumin had the highest diagnostic efficiency. Correlation analysis demonstrated that CMT was positively correlated with systolic blood pressure, course of diabetes, HbA1c level and urinary albumin level.

Conclusion: For patients with T2DM, blood pressure, course of diabetes, FBG, 2hPBG and urinary albumin are independent risk factors for PDR, and increased systolic blood pressure, course of diabetes, HbA1c level and urinary albumin level will increase CMT. Combining the above indexes to predict the occurrence of PDR has a synergistic effect, and the increase in systolic blood pressure, course of diabetes, HbA1c level and urinary albumin level will increase the CMT of the patients.

doi: https://doi.org/10.12669/pjms.40.4.7726

How to cite this: Huang H, Jiang S, Niu H. Correlation analysis of Type-2 diabetes mellitus with proliferative retinopathy and central macular thickness. Pak J Med Sci. 2024;40(4):642-647. doi: https://doi.org/10.12669/pjms.40.4.7726

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2024-02-03
How to Cite
Huang, H., Jiang, S., & Niu, H. (2024). Correlation analysis of Type-2 diabetes mellitus with proliferative retinopathy and central macular thickness: Pregnant Women with Gestational Diabetes Mellitus & Neonatal Blood Glucose. Pakistan Journal of Medical Sciences, 40(4). https://doi.org/10.12669/pjms.40.4.7726
Section
Original Articles