Glycemic control is an important modifiable risk factor for uveitis in patients with diabetes: A retrospective cohort study establishing clinical risk and ophthalmic disease burden.

Abstract:

AIM:To characterize the risk uveitis, scleritis or episcleritis in relation to diabetes, glycaemic control, and co-existence of retinopathy. METHODS:Using the Royal College of General Practitioners Research and Surveillance Centre database, we established the prevalence of acute uveitis and scleritis or episcleritis over a six-year period among populations without(n = 889,856) and with diabetes(n = 48,584). We evaluated the impact of glycaemic control on disease risk. Regression modeling was used to identify associations, adjusting for clinical and demographic confounders. RESULTS:Incidence of acute uveitis was higher among patients with diabetes; Type 1 OR:2.01 (95% CI 1.18-3.41; p = 0.009), and Type 2 OR:1.23 (1.05-1.44; p = 0.01). Glycaemic control was established as an important effect modifier for uveitis risk, whereby those with poorer control suffered higher disease burden. Results confirmed a dose-response relationship such that very poor glycaemic control OR:4.72 (2.58-8.65; p < 0.001), poor control OR:1.57 (1.05-2.33; p = 0.03) and moderate control OR:1.20 (0.86-1.68; p = 0.29) were predictive of uveitis. Similar results were observed when evaluating retinopathy staging: proliferative retinopathy OR:2.42 (1.25-4.69; p = 0.01). These results were not maintained for scleritis or episcleritis. CONCLUSION:Acute uveitis is more common in patients with diabetes; at highest risk are those with type 1 disease with poor glycaemic control. Glycaemic improvements may prevent recurrence.

authors

Ansari AS,de Lusignan S,Hinton W,Munro N,Taylor S,McGovern A

doi

10.1016/j.jdiacomp.2018.03.008

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

602-608

issue

6

eissn

1056-8727

issn

1873-460X

pii

S1056-8727(17)31343-0

journal_volume

32

pub_type

杂志文章
  • Estimating costs of diabetes complications in people

    abstract:AIMS:To estimate the cost of diabetes complications in the United States (U.S.). METHODS:We constructed longitudinal panel data using one of the largest claims databases in the U.S. for privately insured Type 1 (T1DM) and type 2 (T2DM) diabetes patients with a follow-up time of one to ten years. Complication costs wer...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2020.107735

    authors: Yang W,Cintina I,Hoerger T,Neuwahl SJ,Shao H,Laxy M,Zhang P

    更新日期:2020-12-01 00:00:00

  • Healthcare utilization and costs in diabetes relative to the clinical spectrum of painful diabetic peripheral neuropathy.

    abstract:AIMS:Diabetic peripheral neuropathy (DPN) accompanied by painful symptoms is known as painful DPN (pDPN). This study characterized healthcare resource utilization and costs in patients with DPN, pDPN, and severe pDPN relative to diabetes only. METHODS:Four adult cohorts were identified from the Humedica database: type...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2014.10.013

    authors: Sadosky A,Mardekian J,Parsons B,Hopps M,Bienen EJ,Markman J

    更新日期:2015-03-01 00:00:00

  • What factors influence uptake of retinal screening among young adults with type 2 diabetes? A qualitative study informed by the theoretical domains framework.

    abstract:AIMS:Young adults with type 2 diabetes (T2D, 18-39years) face increased risk of vision loss from diabetic retinopathy (DR). Retinal screening is essential to detect DR, yet screening rates for this group are low and little is known about the underlying factors influencing this important behavior. Using the theoretical ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2017.02.020

    authors: Lake AJ,Browne JL,Rees G,Speight J

    更新日期:2017-06-01 00:00:00

  • Premeal insulin lispro plus bedtime NPH or twice-daily NPH in patients with type 2 diabetes: acute postprandial and chronic effects on glycemic control and cardiovascular risk factors.

    abstract:OBJECTIVE:Two insulin regimens were used to explore acute and chronic postprandial changes in glycemia, lipemia, and metabolic markers associated with increased risk of cardiovascular disease. METHODS:An open-label, randomized, two-period crossover study (12 weeks/period) compared a prandial regimen [premeal insulin l...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jdiacomp.2005.11.005

    authors: Ceriello A,Del Prato S,Bue-Valleskey J,Beattie S,Gates J,de la Peña A,Malone J

    更新日期:2007-01-01 00:00:00

  • The ischemic etiology of heart failure in diabetics limits reverse left ventricular remodeling after cardiac resynchronization therapy.

    abstract:AIM OF THE STUDY:The aim of this study was to evaluate reverse volumetric left ventricular (LV) remodeling after cardiac resynchronization therapy (CRT) in patients with heart failure (HF) with vs. without diabetes mellitus (DM). METHODS:The study comprised 130 consecutive patients with HF (mean age, 61+/-12 years) wh...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2008.04.003

    authors: Soliman OI,van Dalen BM,Theuns DA,ten Cate FJ,Nemes A,Jordaens LJ,Geleijnse ML

    更新日期:2009-09-01 00:00:00

  • Metformin prevents glucotoxicity by alleviating oxidative and ER stress-induced CD36 expression in pancreatic beta cells.

    abstract:AIM/HYPOTHESIS:Cluster determinant 36 (CD36), a fatty acid transporter, was reported to have a pivotal role in glucotoxicity-induced beta cell dysfunction. However, little is known about how glucotoxicity influences CD36 expression, and it is unknown whether this action can be counteracted by metformin. In the present ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2016.09.001

    authors: Moon JS,Karunakaran U,Elumalai S,Lee IK,Lee HW,Kim YW,Won KC

    更新日期:2017-01-01 00:00:00

  • ACE-I/ARB treatment in type 1 diabetes patients with albuminuria is associated with lower odds of progression of coronary artery calcification.

    abstract:AIMS:The objective of this study was to determine whether baseline albuminuria predicts coronary artery calcification (CAC) progression in subjects with type 1 diabetes and whether angiotensin-converting enzyme inhibitor (ACE-I) or angiotensin II type I receptor blocker (ARB) treatment is associated with lower odds of ...

    journal_title:Journal of diabetes and its complications

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jdiacomp.2006.04.004

    authors: Maahs DM,Snell-Bergeon JK,Kinney GL,Wadwa RP,Garg S,Ogden LG,Rewers M

    更新日期:2007-09-01 00:00:00

  • Maximum BMI and microvascular complications in a cohort of Japanese patients with type 2 diabetes: the Japan Diabetes Complications Study.

    abstract:AIMS:The aim of this study was to examine the associations between possible indices of obesity based on information on weight history and the incidence of microvascular complications. METHODS:A cohort of individuals with type 2 diabetes from 59 institutes in Japan was followed for 8years. Patients were classified into...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jdiacomp.2016.02.020

    authors: Tanaka S,Tanaka S,Iimuro S,Ishibashi S,Yamashita H,Moriya T,Katayama S,Akanuma Y,Ohashi Y,Yamada N,Araki A,Ito H,Sone H,Japan Diabetes Complications Study Group.

    更新日期:2016-07-01 00:00:00

  • Immigration and dietary patterns in South Asian Canadians at risk for diabetes.

    abstract:AIM:To examine the relationship between immigration and dietary patterns among South Asian adults at risk for diabetes and living in Canada. METHODS:We recruited 428 South Asian adults affiliated with Sikh and Hindu temples in Metro Vancouver. Of the total sample, 422 completed self-report surveys including demographi...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2016.08.003

    authors: Kandola K,Sandhu S,Tang T

    更新日期:2016-01-01 00:00:00

  • Patients with type 2 diabetes having higher glomerular filtration rate showed rapid renal function decline followed by impaired glomerular filtration rate: Japan Diabetes Complications Study.

    abstract:AIMS:The Japan Diabetes Complications Study (JDCS), a nation-wide, multicenter, prospective study of patients with type 2 diabetes, reported that hemoglobin A1c (HbA1c), systolic blood pressure, and smoking were risk factors for the onset of macroalbuminuria. This study explored the risk factors for glomerular filtrati...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jdiacomp.2016.06.020

    authors: Moriya T,Tanaka S,Sone H,Ishibashi S,Matsunaga S,Ohashi Y,Akanuma Y,Haneda M,Katayama S

    更新日期:2017-02-01 00:00:00

  • Beta thalassemia and energy consumption in hemoglobin A1C formation: a model.

    abstract::Hemoglobin (Hb) A1C is the nonenzymatic glycated product of the Hb beta chain at the valine terminal residue. Recently, the nature of energy-consuming reaction in HbA1C formation was reported, and this was proposed as an underlying pathophysiology for poor nutritional status, muscle loss, and functional impairment in ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2006.05.002

    authors: Wiwanitkit V

    更新日期:2007-09-01 00:00:00

  • Glucose regulation influences treatment outcome in ranibizumab treatment for diabetic macular edema.

    abstract:PURPOSE:To evaluate the effect of glucose regulation on intravitreal ranibizumab injection for clinically significant diabetic macular edema (DME). METHODS:This retrospective study enrolled 65 eyes of 65 patients with persistent DME treated with intravitreal ranibizumab injection. The main outcome measures were the ch...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2010.09.006

    authors: Ozturk BT,Kerimoglu H,Adam M,Gunduz K,Okudan S

    更新日期:2011-09-01 00:00:00

  • Predictors of improvement and progression of diabetic polyneuropathy following treatment with α-lipoic acid for 4 years in the NATHAN 1 trial.

    abstract:AIMS:We aimed to analyze the impact of baseline factors on the efficacy of α-lipoic acid (ALA) over 4 years in the NATHAN 1 trial. METHODS:This was a post-hoc analysis of the NATHAN 1 trial, a 4-year randomized study including 460 diabetic patients with mild-to-moderate polyneuropathy using ALA 600 mg qd or placebo. A...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jdiacomp.2015.10.018

    authors: Ziegler D,Low PA,Freeman R,Tritschler H,Vinik AI

    更新日期:2016-03-01 00:00:00

  • Effects of eicosapentaenoic acid on platelet activation markers and cell adhesion molecules in hyperlipidemic patients with Type 2 diabetes mellitus.

    abstract::We compared the levels of microparticles, platelet activation markers, soluble cell adhesion molecules, soluble selectins, and antioxidized low-density lipoprotein (anti-Ox LDL) antibody between patients with hyperlipidemia and control subjects. Binding of anti-glycoprotein (GP) IIb/IIIa and anti-GPIb monoclonal antib...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/s1056-8727(02)00172-1

    authors: Nomura S,Kanazawa S,Fukuhara S

    更新日期:2003-05-01 00:00:00

  • Altered plasma serine and 1-deoxydihydroceramide profiles are associated with diabetic neuropathy in type 2 diabetes and obesity.

    abstract::Recent studies suggest that the accumulation of atypical, 1-deoxysphingolipids that lack the C1 hydroxyl group may be associated with diabetic neuropathy (DN). We hypothesized that specific plasma 1-deoxysphingolipids associate with DN severity, and that alterations in plasma serine and alanine associate with 1-deoxys...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2021.107852

    authors: Fridman V,Zarini S,Sillau S,Harrison K,Bergman BC,Feldman EL,Reusch JEB,Callaghan BC

    更新日期:2021-01-09 00:00:00

  • The Haptoglobin genotype predicts cardio-renal mortality in type 1 diabetes.

    abstract:AIMS:The Haptoglobin (HP) 2-2 genotype increases cardiovascular diabetes complication incidence. In type 1 diabetes, HP 2-2 also predicts declining kidney function and end-stage renal disease. We investigated whether HP 2-2 predisposes to cardio-renal mortality, while considering other causes of death as competing risk...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2015.11.011

    authors: Costacou T,Orchard TJ

    更新日期:2016-03-01 00:00:00

  • Does treatment affect the levels of serum interleukin-6, interleukin-8 and procalcitonin in diabetic foot infection? A pilot study.

    abstract:AIMS:To investigate about serum PCT, IL-6 and IL-8 levels and how they are affected by the treatment in diabetic foot patients. METHODS:Fifty patients' blood samples were taken to study ESR and CRP, IL-6, IL-8 and PCT before and at the 14th day of the treatment. RESULTS:The pretreatment results of the 50 patients sho...

    journal_title:Journal of diabetes and its complications

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jdiacomp.2012.03.018

    authors: Altay FA,Sencan İ,Şentürk GÇ,Altay M,Güvenman S,Ünverdi S,Açıkgöz ZC

    更新日期:2012-05-01 00:00:00

  • Polymorphisms in the RAGE gene influence susceptibility to diabetes-associated microvascular dermatoses in NIDDM.

    abstract::To examine genetic polymorphism in the complete sequence of the Receptor of Advanced Glycation End products (RAGE) gene and its possible associations with diabetes-associated microvascular dermatoses (DAMD). Further, to analyze the distribution of individual genotype combinations on the particular polymorphic loci in ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/s1056-8727(00)00135-5

    authors: Kanková K,Záhejský J,Márová I,Muzík J,Kuhrová V,Blazková M,Znojil V,Beránek M,Vácha J

    更新日期:2001-07-01 00:00:00

  • Depression and incident lower limb amputations in veterans with diabetes.

    abstract:PROBLEM:Depression is associated with a higher risk of macrovascular and microvascular complications and mortality in diabetes, but whether depression is linked to an increased risk of incident amputations is unknown. We examined the association between diagnosed depression and incident non-traumatic lower limb amputat...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2010.07.002

    authors: Williams LH,Miller DR,Fincke G,Lafrance JP,Etzioni R,Maynard C,Raugi GJ,Reiber GE

    更新日期:2011-05-01 00:00:00

  • Body fluid abnormalities in severe hyperglycemia in patients on chronic dialysis: theoretical analysis.

    abstract::Hyperglycemic syndromes cause disturbances in the tonicity of body fluids, the distribution of body water between major body fluid compartments, and the external balance of body solute and water. The unique feature of dialysis-associated hyperglycemia (DH) is that, during its development, it can cause changes exclusiv...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2007.05.007

    authors: Tzamaloukas AH,Ing TS,Siamopoulos KC,Rohrscheib M,Elisaf MS,Raj DS,Murata GH

    更新日期:2007-11-01 00:00:00

  • Skeletal muscle lipoprotein-lipase activity in insulin-dependent diabetic patients with and without albuminuria.

    abstract::In patients with insulin-dependent diabetes mellitus (IDDM), albuminuria reflects widespread vascular dysfunction. Albuminuria has been associated to defects of heparan sulfate proteoglycan (HSPG) within the extracellular matrix. Our hypothesis is that loss of HSPG in vascular walls reduces the HSPG-bound lipoprotein-...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/s1056-8727(96)00048-7

    authors: Hansen PM,Jensen T,Egeberg J,Lithell H,Kofoed-Enevoldsen A,Deckert T

    更新日期:1997-07-01 00:00:00

  • An increase in prevalence of diabetes mellitus in Jordan over 10 years.

    abstract:OBJECTIVE:This study aimed to determine the prevalence of type 2 diabetes mellitus (DM) and impaired fasting glycemia (IFG), identify their associated factors, determine how the prevalence of type 2 DM has changed over 10 years, and assess the awareness and state of control of diabetes in Jordan. METHODS:Data were ana...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2007.01.004

    authors: Ajlouni K,Khader YS,Batieha A,Ajlouni H,El-Khateeb M

    更新日期:2008-09-01 00:00:00

  • Levels of plasma total adrenomedullin are related with two acute phase inflammatory reactants (fibrinogen and sialic acid) but not with markers of endothelial dysfunction in Type 1 diabetes Adrenomedullin and vascular risk factors in Type 1 DM.

    abstract::Adrenomedullin (AM), an ubiquitous regulatory peptide with different actions, is known to be elevated in different clinical situations, including diabetes mellitus (DM), but its potential role in the pathogenesis of diabetic vascular complications is not clear. In the present study, we examined plasma total AM levels,...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2004.08.002

    authors: García-Unzueta MT,Berrazueta JR,Pesquera C,Obaya S,Fernández MD,Sedano C,Amado JA

    更新日期:2005-05-01 00:00:00

  • Matrix metalloproteinase-2 (MMP-2) gene polymorphism and cardiovascular comorbidity in type 2 diabetes patients.

    abstract:OBJECTIVE:Matrix metalloproteinases (MMPs) play an important role in pathogenesis of atherosclerosis and vascular disease. We hypothesized that MMP-2 might be a susceptibility gene for cardiovascular disease (CVD) in diabetes. The aim of this study was to evaluate the association between C(-1306)T functional polymorphi...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2015.05.004

    authors: Buraczynska M,Dragan M,Buraczynska K,Orlowska-Kowalik G,Ksiazek A

    更新日期:2015-08-01 00:00:00

  • Non-insulin-dependent diabetes, bone mineral density, and cardiovascular risk factors.

    abstract::People with Type 2 diabetes have bone mass alterations and may have a higher risk of hip fractures. Moreover, they have increased cardiovascular risk factors. The objective of this paper is to investigate the association among non-insulin-dependent diabetes, bone mineral density (BMD), and cardiovascular risk factors....

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/S1056-8727(03)00072-2

    authors: Pérez-Castrillón JL,De Luis D,Martín-Escudero JC,Asensio T,del Amo R,Izaola O

    更新日期:2004-11-01 00:00:00

  • Dyslipidemia, morbidity, and mortality in non-insulin-dependent diabetes mellitus. Lipoproteins and coronary heart disease in non-insulin-dependent diabetes mellitus.

    abstract::Lipid and lipoprotein abnormalities in non-insulin-dependent diabetes mellitus (NIDDM) include particularly elevated levels of total and very-low-density lipoprotein (VLDL) triglycerides and reduced levels of high-density lipoprotein (HDL) cholesterol. Total and low-density lipoprotein (LDL) cholesterol levels are usu...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章,评审

    doi:10.1016/s1056-8727(96)00092-x

    authors: Laakso M

    更新日期:1997-03-01 00:00:00

  • Relationship of leptin level with metabolic disorders and hypertension in Japanese type 2 diabetes mellitus patients.

    abstract::Leptin is considered to play an important role in the regulation of body weight and metabolism in obese individuals. However, the relationship of leptin with metabolic disorders or vascular complications in type 2 diabetic patients has yet to be elucidated. In this study, we investigated the association of leptin leve...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/s1056-8727(00)00145-8

    authors: Asakawa H,Tokunaga K,Kawakami F

    更新日期:2001-03-01 00:00:00

  • Association of monocyte chemoattractant protein-1 with renal tubular damage in diabetic nephropathy.

    abstract::Monocyte chemoattractant protein-1 (MCP-1), is a chemokine that mediates renal interstitial inflammation, tubular atrophy, and interstitial fibrosis by recruiting monocytes/macrophages into renal tubulointerstitium. Recent studies have demonstrated that protein overload in renal tubular cells up-regulates MCP-1 gene a...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/s1056-8727(02)00176-9

    authors: Morii T,Fujita H,Narita T,Shimotomai T,Fujishima H,Yoshioka N,Imai H,Kakei M,Ito S

    更新日期:2003-01-01 00:00:00

  • Taurine prevents galactose-induced cataracts.

    abstract::Intact lenses from New Zealand white rabbits were incubated in tissue culture media containing either 5 mM glucose or 5 mM glucose plus 30 mM galactose. The standard media did not contain taurine. Lenses were also cultured in a third medium containing 30 mM galactose plus 0.2 mM taurine. The frequency of cataract form...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/1056-8727(93)90023-r

    authors: Malone JI,Benford SA,Malone J Jr

    更新日期:1993-01-01 00:00:00

  • Screening for type 2 diabetes mellitus in overweight and obese subjects made easy by the FINDRISC score.

    abstract:AIM:To evaluate the use of the FINDRISC score in an overweight and obese population to predict glucose status. METHODS:In 651 overweight/obese subjects (M/F: 193/458, age 43±13 y, BMI 38.2±6.1kg/m(2)) glucose status was tested using OGTT and HbA1c. Furthermore, the FINDRISC questionnaire and CT visceral fat (VAT) and ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2016.05.004

    authors: Meijnikman AS,De Block CE,Verrijken A,Mertens I,Corthouts B,Van Gaal LF

    更新日期:2016-08-01 00:00:00