Association between Diabetic Polyneuropathy and Cardiovascular Complications in Type 2 Diabetic Patients

BackgroundDiabetes mellitus is a major independent risk factor for cardiovascular disease (CVD), but high cardiovascular risk in diabetes mellitus patients is not completely explained by clustering traditional risk factors. Recently, associations between diabetic polyneuropathy (DPN) and macrovascul...

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Main Authors: Jin Ook Chung, Dong Hyeok Cho, Dong Jin Chung, Min Young Chung
Format: Article
Language:English
Published: Korean Diabetes Association 2011-08-01
Series:Diabetes & Metabolism Journal
Subjects:
Online Access:http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-35-390.pdf
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author Jin Ook Chung
Dong Hyeok Cho
Dong Jin Chung
Min Young Chung
author_facet Jin Ook Chung
Dong Hyeok Cho
Dong Jin Chung
Min Young Chung
author_sort Jin Ook Chung
collection DOAJ
description BackgroundDiabetes mellitus is a major independent risk factor for cardiovascular disease (CVD), but high cardiovascular risk in diabetes mellitus patients is not completely explained by clustering traditional risk factors. Recently, associations between diabetic polyneuropathy (DPN) and macrovasculopathy have been suggested. We aimed to assess associations between DPN and cardiovascular complications in type 2 diabetic patients.MethodsMicrovascular and cardiovascular complications were evaluated in 1,041 type 2 diabetic patients.ResultsIn patients with DPN, the age, prevalence of hypertension, diabetes duration, systolic blood pressure, pulse pressure, and hemoglobin glycation (HbA1c) levels were significantly higher, while the high density lipoprotein cholesterol (HDL-C) levels were lower than in those without DPN. The prevalence of CVD was higher in patients with DPN. In multivariate analysis, DPN was independently associated with CVD (odds ratio, 1.801; 95% confidence interval, 1.009 to 3.214).ConclusionOur results showed that DPN was associated with a high prevalence of cardiovascular disease in type 2 diabetic patients, but further studies are needed to investigate the causative nature of associations between DPN and CVD.
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spelling doaj.art-297a18bb03e4426e93ccfcea498d39e72022-12-21T19:16:29ZengKorean Diabetes AssociationDiabetes & Metabolism Journal2233-60792233-60872011-08-0135439039610.4093/dmj.2011.35.4.3902669Association between Diabetic Polyneuropathy and Cardiovascular Complications in Type 2 Diabetic PatientsJin Ook ChungDong Hyeok ChoDong Jin ChungMin Young ChungBackgroundDiabetes mellitus is a major independent risk factor for cardiovascular disease (CVD), but high cardiovascular risk in diabetes mellitus patients is not completely explained by clustering traditional risk factors. Recently, associations between diabetic polyneuropathy (DPN) and macrovasculopathy have been suggested. We aimed to assess associations between DPN and cardiovascular complications in type 2 diabetic patients.MethodsMicrovascular and cardiovascular complications were evaluated in 1,041 type 2 diabetic patients.ResultsIn patients with DPN, the age, prevalence of hypertension, diabetes duration, systolic blood pressure, pulse pressure, and hemoglobin glycation (HbA1c) levels were significantly higher, while the high density lipoprotein cholesterol (HDL-C) levels were lower than in those without DPN. The prevalence of CVD was higher in patients with DPN. In multivariate analysis, DPN was independently associated with CVD (odds ratio, 1.801; 95% confidence interval, 1.009 to 3.214).ConclusionOur results showed that DPN was associated with a high prevalence of cardiovascular disease in type 2 diabetic patients, but further studies are needed to investigate the causative nature of associations between DPN and CVD.http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-35-390.pdfCardiovascular diseasesDiabetes mellitus, type 2Diabetic neuropathies
spellingShingle Jin Ook Chung
Dong Hyeok Cho
Dong Jin Chung
Min Young Chung
Association between Diabetic Polyneuropathy and Cardiovascular Complications in Type 2 Diabetic Patients
Diabetes & Metabolism Journal
Cardiovascular diseases
Diabetes mellitus, type 2
Diabetic neuropathies
title Association between Diabetic Polyneuropathy and Cardiovascular Complications in Type 2 Diabetic Patients
title_full Association between Diabetic Polyneuropathy and Cardiovascular Complications in Type 2 Diabetic Patients
title_fullStr Association between Diabetic Polyneuropathy and Cardiovascular Complications in Type 2 Diabetic Patients
title_full_unstemmed Association between Diabetic Polyneuropathy and Cardiovascular Complications in Type 2 Diabetic Patients
title_short Association between Diabetic Polyneuropathy and Cardiovascular Complications in Type 2 Diabetic Patients
title_sort association between diabetic polyneuropathy and cardiovascular complications in type 2 diabetic patients
topic Cardiovascular diseases
Diabetes mellitus, type 2
Diabetic neuropathies
url http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-35-390.pdf
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