Diabetes complications

Association Between Free Triiodothyronine and Diabetic Peripheral Neuropathy in Euthyroid Patients With Type 2 Diabetes

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Low FT3 is a risk factor of DPN among euthyroid patients with type 2 diabetes.

Study context

Population
Hospitalized euthyroid patients with T2D, Zhongshan Hospital, Fudan University
Participants
1,422 patients
Exposure
Diabetic peripheral neuropathy (DPN) vs no DPN
  • DPNn = 519
Outcome
Serum FT3
Methodological detailssingle-centre, hospitalized patients, Mendelian randomization analysis
  • Single-centre
  • Hospitalized patients
  • Mendelian randomization analysis

Main finding

As reported in the abstract

P < 0.001

Inverse association of serum free triiodothyronine (FT3) with DPN risk remained significant after multivariate adjustment
P < 0.05

Observational data: associations, not effects.

Further findings

DPN prevalence
36.5% · 519

FT3 and electromyographic measures in DPN

FT3 inversely correlated with DML and DSL, positively with compound muscle action potential (CMAP), sensory nerve action potential (SNAP) and nerve conduction velocity (NCV) of all nerves measured
all P < .05

Clinical characteristics, DPN vs no DPN

DPN: longer diabetes duration, poorer glucose control, lower BMI, more DR, diabetic nephropathy and CVD
all P < .05

Original publication

Association Between Free Triiodothyronine and Diabetic Peripheral Neuropathy in Euthyroid Patients With Type 2 Diabetes. J Clin Endocrinol Metab. Published 27 May 2025. doi:10.1210/clinem/dgaf304

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