Diabetes complications

Association of type 2 diabetes according to the number of cardiovascular risk factors within the recommended range with neuropathy – The Maastricht Study

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Achieving ≥6 risk factors on target was associated with neuropathy prevalence similar to individuals without diabetes, suggesting comprehensive risk factor control may help prevent neuropathy.

Study context

Population
Participants of The Maastricht Study with and without T2D; risk factors: HbA1c, blood pressure, BMI, lipids, albuminuria, smoking, physical activity, diet845 with T2D
Participants
3,764 participants
Exposure
T2D by number of 8 cardiovascular risk factors on target vs normal glucose metabolism
  • Normal glucose metabolismn = 2,919reference
Outcome
Neuropathy (autonomic, sensory, peripheral nerve function, neuropathic pain)
Methodological detailspopulation-based cohort (The Maastricht Study)
  • Population-based cohort (The Maastricht Study)

Main finding

As reported in the abstract

Neuropathy
Each group vs normal glucose metabolismAdjusted odds ratio (95% CI)
0-2
14.86(7.67–28.82)
3-5
3.18(2.01–5.04)
6-8
1.07(0.25–4.56)

Observational data: associations, not effects.

Further findings

Neuropathy prevalence

T2D
7.8%
Without diabetes
1.3%

Original publication

Association of type 2 diabetes according to the number of cardiovascular risk factors within the recommended range with neuropathy – The Maastricht Study. Diabetes Res Clin Pract. Published 14 March 2026. doi:10.1016/j.diabres.2026.113212

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