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Retinopathy in subjects with type 2 diabetes at a tertiary diabetes clinic in Durban, South Africa: Clinical, biochemical and genetic factors

机译:南非德班一家三级糖尿病诊所的2型糖尿病患者的视网膜病变:临床,生化和遗传因素

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Aim To determine the prevalence of clinical and laboratory variables and genetic polymorphisms in association with diabetic retinopathy (DR) in subjects with type 2 diabetes attending a tertiary referral diabetes clinic in Durban, South Africa. Methods Cross-sectional study on 292 Indian and African patients with type 2 diabetes (71.5% women). The presence of DR was determined by direct ophthalmoscopy. Clinical and laboratory data were collected and polymorphisms in the NOS3 (rs61722009, rs2070744, rs1799983) and VEGF (rs35569394, rs2010963) genes were determined. Results DR was present in 113 (39%) subjects. Those with DR were older (60.6?±?9.6 vs. 55.4?±?12.9 years, p ?=?0.005), had longer duration diabetes (18.5?±?8.8 vs. 11.9?±?9.2 years, p ?
机译:目的确定在南非德班的三级转诊糖尿病诊所就诊的2型糖尿病患者的临床和实验室变量以及与糖尿病性视网膜病变(DR)相关的遗传多态性的患病率。方法对292例印度和非洲2型糖尿病患者(女性占71.5%)进行横断面研究。通过直接检眼镜确定DR的存在。收集临床和实验室数据,并确定NOS3(rs61722009,rs2070744,rs1799983)和VEGF(rs35569394,rs2010963)基因的多态性。结果DR出现在113位(39%)受试者中。患有DR的患者年龄较大(60.6±±9.6岁,高于55.4±±12.9岁,p = 0.005),糖尿病持续时间较长(18.5±±8.8 vs. 11.9±9.2岁,p≤<9.2。 0.0001),较高的HbA 1c(9.2±±1.8%与8.8±±1.7%,pα=±0.049),血清肌酐(106.3±±90.2与75.2±±33.4μmol/ l),甘油三酸酯(2.1±±1.2 vs. 1.9±±1.6μmmol/ l,p≥0.042),蛋白尿(72%相对于28%,p≥0.001)和更多的胰岛素使用(78%相对于0.001)。 39%p?= 0.0001),抗高血压药(95%比80%,p?= 0.0003)和降脂治疗(70%vs 56%,p?= 0.023)。尽管存在种族差异,但DR与研究的任何NOS3或VEGF基因多态性之间均无关联。调整后,糖尿病持续时间(OR 1.05,95%CI 1.01–1.08),存在蛋白尿(OR 4.15,95%CI 1.70–10.11)和使用胰岛素疗法(OR 3.38,95%CI 1.60–7.12)与博士结论南非印度裔和非洲裔患者的高血糖,糖尿病持续时间和蛋白尿与DR有关,而NOS3和VEGF基因多态性与DR无相关性。

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