PMID- 21411384 OWN - NLM STAT- MEDLINE DCOM- 20110909 LR - 20221207 IS - 1579-2021 (Electronic) IS - 1575-0922 (Linking) VI - 58 IP - 4 DP - 2011 Apr TI - Microvascular complications and risk factors in patients with type 2 diabetes. PG - 163-8 LID - 10.1016/j.endonu.2011.01.006 [doi] AB - AIM: To conduct a prospective study in patients with type 2 diabetes mellitus (T2DM) with no microvascular complications, analyzing the association between various baseline risk factors and development of microvascular complications at follow-up. METHODS: A prospective, observational study in 376 patients with T2DM enrolled in 2004. The clinical end-point was urinary albumin excretion (UAE) > 30mg/24h and/or presence of retinopathy at follow-up in 2007. Baseline variables included age, gender, duration of T2DM, fasting plasma glucose, glycated hemoglobin (HbA(1c)), systolic and diastolic blood pressure, body weight, height, body mass index, waist circumference, total cholesterol, triglycerides, high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), high sensitive C-reactive protein (hs-CRP), fibrinogen, UAE, creatinine, smoking status, exercise, alcohol consumption, use of hypoglycemic and lipid-lowering drugs, antihypertensive medications, and other data related to family history of diabetes and risk factors. RESULTS: Ninety-five subjects (25.2%) developed a microvascular complication at the end of the follow-up period. In logistic regression analyses, the main independent risk factors were UAE >12mg/24h (odds ratio [OR]: 6.12; P=.000), hs-CRP> 3mg/L (OR: 3.00; P=.004), and hypertension (OR: 2.43; P=.023). CONCLUSIONS: UAE levels higher than 12mg/24h, hs-CRP >3mg/L, and presence of hypertension were all independent risk factors for development of microvascular complications in patients with T2DM studied. CI - Copyright (c) 2010 SEEN. Published by Elsevier Espana. All rights reserved. FAU - Del Canizo Gomez, Francisco Javier AU - Del Canizo Gomez FJ AD - Section of Endocrinology and Nutrition, Hospital Universitario Infanta Leonor, School of Medicine, Universidad Complutense, Madrid, Spain. fjdelcanizogomez@hotmail.com FAU - Fernandez Perez, Cristina AU - Fernandez Perez C FAU - Moreno Ruiz, Inmaculada AU - Moreno Ruiz I FAU - de Gorospe Perez-Jauregui, Carlos AU - de Gorospe Perez-Jauregui C FAU - Silveira Rodriguez, Belen AU - Silveira Rodriguez B FAU - Gonzalez Losada, Tomas AU - Gonzalez Losada T FAU - Segura Galindo, Amparo AU - Segura Galindo A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110315 PL - Spain TA - Endocrinol Nutr JT - Endocrinologia y nutricion : organo de la Sociedad Espanola de Endocrinologia y Nutricion JID - 100886482 RN - 0 (Antihypertensive Agents) RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Lipids) RN - 9001-32-5 (Fibrinogen) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Aged MH - Albuminuria/epidemiology/etiology MH - Anthropometry MH - Antihypertensive Agents/therapeutic use MH - Blood Glucose/analysis MH - C-Reactive Protein/analysis MH - Diabetes Mellitus, Type 2/*complications/drug therapy/epidemiology/genetics MH - Diabetic Angiopathies/*epidemiology MH - Diabetic Nephropathies/*epidemiology MH - Diabetic Retinopathy/*epidemiology MH - Female MH - Fibrinogen/analysis MH - Follow-Up Studies MH - Glycated Hemoglobin/analysis MH - Habits MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Lipids/blood MH - Male MH - *Microcirculation MH - Middle Aged MH - Prospective Studies MH - Risk Factors EDAT- 2011/03/18 06:00 MHDA- 2011/09/10 06:00 CRDT- 2011/03/18 06:00 PHST- 2010/09/08 00:00 [received] PHST- 2011/01/07 00:00 [revised] PHST- 2011/01/24 00:00 [accepted] PHST- 2011/03/18 06:00 [entrez] PHST- 2011/03/18 06:00 [pubmed] PHST- 2011/09/10 06:00 [medline] AID - S1575-0922(11)00062-3 [pii] AID - 10.1016/j.endonu.2011.01.006 [doi] PST - ppublish SO - Endocrinol Nutr. 2011 Apr;58(4):163-8. doi: 10.1016/j.endonu.2011.01.006. Epub 2011 Mar 15.