科研之友
微信
新浪微博
Facebook
分享链接
摘要
BackgroundThis study aimed to assess the associations between clinical characteristics and chronic complications in latent autoimmune diabetes in adults (LADA) and type 2 diabetes. @@@ MethodsThis is a retrospective study. Our diabetes registry included 6975 patients aged 30-75years old with phenotypic type 2 diabetes who underwent islet autoantibody screening between 2003 and 2012; 384 patients were identified to have LADA. Rates of chronic complications for LADA and type 2 diabetes were compared using a 1:2 matched design. Logistic models were fitted to identify the presence of chronic diabetic complications using clinical characteristics including gender, age, duration of diabetes, glycemic control and metabolic syndrome. @@@ ResultsWhen duration of diabetes is <5years, the prevalence of diabetic nephropathy (nephropathy; 12.2% versus 21.8%, p=0.018) and diabetic retinopathy (retinopathy; 8.1% versus 15.9%, p=0.011) were significantly lower in patients with LADA than in patients with type 2 diabetes; the prevalence of nephropathy and retinopathy were comparable between both groups when duration is 5years. There was no significant difference in the prevalence of macrovascular complications between groups. The areas under the receiver operating characteristic curves based on the nephropathy and retinopathy models were larger for LADA than for type 2 diabetes (0.72 versus 0.61, p=0.013; 0.76 versus 0.68, p=0.056). @@@ ConclusionsPatients with LADA had a lower prevalence of microvascular complications than patients with type 2 diabetes when the duration of diabetes was <5years. Regression equation fitted by clinical characteristics can better predict the risk of microvascular complications in LADA than in type 2 diabetes.
- 出版日期2015-5
- 单位上海市临床检验中心; 上海交通大学
