Diabetes complications

Metabolites as Risk Factors for Diabetic Retinopathy in Patients With Type 2 Diabetes: A 12-Year Follow-up Study

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Our study is the first large population-based longitudinal study to identify metabolites for DR. We found multiple metabolites associated with an increased and decreased risk for DR from several different metabolic pathways.

Study context

Population
Participants with T2D selected from the METSIM cohort; those with retinopathy before baseline excluded (n = 63); Diabetic retinopathy (DR) diagnosed by fundus photography1,021 without DR, 328 with DR
Participants
1,349 participants
Outcome
Metabolites associated with incident DR
Follow-up
12-year follow-up
Methodological details12-year follow-up, nontargeted metabolomics profiling, population-based
  • 12-year follow-up
  • Nontargeted metabolomics profiling
  • Population-based

Main finding

As reported in the abstract

Metabolites associated with incident DR (adjusted for confounders)
Metabolites significantly associated with incident DR after adjustment
17

Observational data: associations, not effects.

Original publication

Metabolites as Risk Factors for Diabetic Retinopathy in Patients With Type 2 Diabetes: A 12-Year Follow-up Study. J Clin Endocrinol Metab. Published 10 August 2023. doi:10.1210/clinem/dgad452

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