PMID- 25959909 OWN - NLM STAT- MEDLINE DCOM- 20160204 LR - 20221207 IS - 1735-3947 (Electronic) IS - 1029-2977 (Linking) VI - 18 IP - 5 DP - 2015 May TI - Relationship between Anemia and Chronic Complications in Chinese Patients with Type 2 Diabetes Mellitus. PG - 277-83 AB - AIMS: To evaluate the potential association of anemia with micro- and macrovascular complications in Chinese patient with type 2 diabetes mellitus (T2DM). METHODS: A total of 1997 patients with T2DM were included in this cross-sectional study. Patients were defined as anemic, if hemoglobin (Hb) levels were < 13 g/dL in males and < 12 g/dL in females. Data on demographics, anthropometric parameters, and co-morbidities were extracted for each patient. RESULTS: Twenty two percent of T2DM patients (439/1997) had anemia, and those patients with higher rates of micro- and macrovascular complications had higher rates of anemia. Univariate logistic regression analysis showed that anemia was a risk factor of microvascular complications (OR = 1.83, 95% CI: 1.45 - 2.31; P < 0.001) and macrovascular complications (OR = 2.10, 95% CI: 1.63 - 2.71; P < 0.001). After adjusting for conventional risk factors, anemia remained positively associated with microvascular complications (OR = 1.52, 95% CI: 1.17 - 1.99), but lost its association with macrovascular complications (OR = 1.01, 95% CI: 0.73 - 1.41). Anemia was also independently associated with diabetic retinopathy, nephropathy, and peripheral neuropathy. CONCLUSIONS: These findings suggest that anemia was related to both micro- and macrovascular complications in Chinese patients with T2DM, but was only an independent risk factor of microvascular complications. Assessment of Hb levels in T2DM patients may help to prevent subsequent diabetic micro- and macrovascular complications. FAU - He, Bin Bin AU - He BB AD - Department of Endocrinology and Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China. weili63@hotmail. com, liwei1109078@163.com. FAU - Xu, Miao AU - Xu M AD - Department of Endocrinology and Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China. FAU - Wei, Li AU - Wei L AD - Department of Endocrinology and Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China. FAU - Gu, Yun Juan AU - Gu YJ AD - Department of Endocrinology and Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China. FAU - Han, Jun Feng AU - Han JF AD - Department of Endocrinology and Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China. FAU - Liu, Yu Xiang AU - Liu YX AD - Department of Endocrinology and Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China. FAU - Bao, Yu Qian AU - Bao YQ AD - Department of Endocrinology and Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China. FAU - Jia, Wei Ping AU - Jia WP AD - Department of Endocrinology and Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Iran TA - Arch Iran Med JT - Archives of Iranian medicine JID - 100889644 SB - IM MH - Adult MH - Aged MH - Anemia/*complications MH - Asian People MH - China MH - Chronic Disease MH - Comorbidity MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*complications MH - Diabetic Retinopathy MH - Female MH - Humans MH - Logistic Models MH - Male MH - Middle Aged MH - Risk Factors MH - Vascular Diseases/*complications EDAT- 2015/05/12 06:00 MHDA- 2016/02/05 06:00 CRDT- 2015/05/12 06:00 PHST- 2015/05/12 06:00 [entrez] PHST- 2015/05/12 06:00 [pubmed] PHST- 2016/02/05 06:00 [medline] AID - 005 [pii] PST - ppublish SO - Arch Iran Med. 2015 May;18(5):277-83.