PMID- 36959899 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230325 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 16 DP - 2023 TI - Relationship Between Estimated Glucose Disposal Rate and Type 2 Diabetic Retinopathy. PG - 807-818 LID - 10.2147/DMSO.S395818 [doi] AB - PURPOSE: To investigate the association between diabetic retinopathy (DR), DR intensity, and estimated glucose disposal rate (eGDR) in individuals with type 2 diabetes mellitus (T2DM). PATIENTS AND METHODS: This study comprised 1762 T2DM patients who were admitted between January and December, 2021. Overall, the DR was identified in 430 patients. Based on the eGDR, the participants were divided into four study groups. One-way analysis of variance was used to compare the groups. The correlations between eGDR and DR risk, eGDR, and DR severity were analyzed using regression analysis. Furthermore, these relationships were analyzed in different sex groups. RESULTS: Patients with T2DM had a 19.75% (348/1762) DR detection rate, whereas those with DR had a 22.41% (78/348) proliferative DR detection rate. The DR group had substantially reduced levels of eGDR compared with the non-DR group. Multivariate logistic regression analysis demonstrated that reduced eGDR was an independent risk factor for DR, after adjusting for confounding variables. eGDR correlated significantly with proliferative DR in women but not in men. CONCLUSION: In Chinese individuals with T2DM, lower eGDR was independently associated with a higher risk of DR. CI - (c) 2023 Meng et al. FAU - Meng, Cuiqiao AU - Meng C AD - Health Examination Center, Hebei General Hospital, Shijiazhuang, People's Republic of China. FAU - Xing, Yuling AU - Xing Y AD - Department of Endocrinology, Hebei General Hospital, Shijiazhuang, People's Republic of China. AD - Graduate School of Hebei Medical University, Shijiazhuang, People's Republic of China. FAU - Huo, Lijing AU - Huo L AD - Department of Clinical Laboratory, Hebei General Hospital, Shijiazhuang, People's Republic of China. FAU - Ma, Huijuan AU - Ma H AUID- ORCID: 0000-0002-4176-5013 AD - Department of Endocrinology, Hebei General Hospital, Shijiazhuang, People's Republic of China. AD - Hebei Key Laboratory of Metabolic Diseases, Hebei General Hospital, Shijiazhuang, Hebei, People's Republic of China. AD - Department of Internal Medicine, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China. LA - eng PT - Journal Article DEP - 20230316 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC10028301 OTO - NOTNLM OT - diabetic retinopathy OT - estimated glucose disposal rate OT - type 2 diabetes mellitus COIS- The authors declared no conflicts of interest. EDAT- 2023/03/25 06:00 MHDA- 2023/03/25 06:01 PMCR- 2023/03/16 CRDT- 2023/03/24 02:16 PHST- 2022/11/19 00:00 [received] PHST- 2023/03/08 00:00 [accepted] PHST- 2023/03/24 02:16 [entrez] PHST- 2023/03/25 06:00 [pubmed] PHST- 2023/03/25 06:01 [medline] PHST- 2023/03/16 00:00 [pmc-release] AID - 395818 [pii] AID - 10.2147/DMSO.S395818 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2023 Mar 16;16:807-818. doi: 10.2147/DMSO.S395818. eCollection 2023.