Diabetes complications

Risk factors for peripheral artery disease and diabetic peripheral neuropathy among patients with type 2 diabetes

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Our study contributed to identifying high-risk individuals and improving lower limb health among diabetic individuals.

Study context

Population
Chinese patients with T2D; mean age 63.3 years; data November 1, 2018 to December 31, 2022
Participants
13,315 patients
Outcome
Prevalence of PAD (ABI ≤ 0.9) and DPN, and associated risk factors

Main finding

As reported in the abstract

PAD prevalence

4.9 %

Diabetic peripheral neuropathy (DPN) prevalence

43.9 %

Observational data: associations, not effects.

Further findings

Independent risk factors for PAD (multivariate regression)

Advanced age, smoking, hypertension, coronary heart disease, dyslipidemia, elevated HbA1c and uric acid levels were independent risk factors for PAD

Independent risk factors for DPN (multivariate regression)

Advanced age, female gender, hypertension, coronary heart disease, elevated total cholesterol, TG, lipoprotein(a), FPG, HbA1c, alkaline phosphatase, cystatin C, albumin-to-creatinine ratio and homocysteine were independent risk factors for DPN
Apolipoprotein A was a protective factor for DPN

Clustering of risk factors

Clustering of risk factors was prevalent and associated with higher disease risk

Original publication

Risk factors for peripheral artery disease and diabetic peripheral neuropathy among patients with type 2 diabetes. Diabetes Res Clin Pract. Published 26 December 2023. doi:10.1016/j.diabres.2023.111079

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