Diabetes complications

Inflammatory biomarkers as prognostic tools for diabetic retinopathy progression: a prospective study

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

Our results indicate that systemic inflammatory biomarkers may not serve as reliable predictors for DR in early-stage type 2 diabetes. These findings contrast with prior cross-sectional studies suggesting a role for systemic low-grade inflammation in DR development. Inflammatory biomarkers. Diabetic retinopathy.

Study context

Population
Adults with recently diagnosed T2D, Danish Centre for Strategic Research in Type 2 Diabetes
Participants
3,363 adults
Exposure
Highest vs lowest quartile of baseline inflammatory biomarkers
Outcome
Development or progression of DR
Follow-up
Median nine years

Main finding

As reported in the abstract

Development or progression of DR, highest vs lowest quartile (adjusted)
Each group vs lowest quartileEstimate (95% CI)
Highest quartile
HR (hsCRP) 0.76(0.55–1.03)
Highest quartile
HR (IL-6) 0.84(0.62–1.14)
Highest quartile
HR (TNF-α) 1.03(0.76–1.40)
Highest quartile
HR (CD163) 0.84(0.62–1.14)

Observational data: associations, not effects.

Original publication

Inflammatory biomarkers as prognostic tools for diabetic retinopathy progression: a prospective study. Diabetes Res Clin Pract. Published 5 March 2026. doi:10.1016/j.diabres.2026.113195

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