AustralieFrV1, PascalFrancis, Checkpoint, bibRecord, 001A56

Glycemic Thresholds for Diabetes-Specific Retinopathy: Implications for diagnostic criteria for diabetes

Identifieur interne : 001A56 ( PascalFrancis/Checkpoint ); précédent : 001A55; suivant : 001A57

Glycemic Thresholds for Diabetes-Specific Retinopathy: Implications for diagnostic criteria for diabetes

Auteurs : Stephen Colagiuri [Australie] ; Crystal M. Y. Lee [Australie] ; Tien Y. Wong [Australie, Singapour] ; Beverley Balkau [France] ; Jonathan E. Shaw [Australie] ; Knut Borch-Johnsen [Danemark]

Source :

Diabetes care [ 0149-5992 ] ; 2011.

RBID : Pascal:11-0101199

Descripteurs français

Pascal (Inist)
- Diabète, Glycémie, Seuil, Rétinopathie, Diagnostic, Critère, Endocrinologie, Maladie métabolique, Nutrition, Homme.
Wicri :
- topic : Diabète, Nutrition, Homme.

English descriptors

KwdEn :
- Criterion, Diabetes mellitus, Diagnosis, Endocrinology, Glycemia, Human, Metabolic diseases, Nutrition, Retinopathy, Threshold.

Abstract

OBJECTIVE - To re-evaluate the relationship between glycemia and diabetic retinopathy. RESEARCH DESIGN AND METHODS - We conducted a data-pooling analysis of nine studies from five countries with 44,623 participants aged 20-79 years with gradable retinal photographs. The relationship between diabetes-specific retinopathy (defined as moderate or more severe retinopathy) and three glycemic measures (fasting plasma glucose [FPG; n = 41,411], 2-h post oral glucose load plasma glucose [2-h PG; n = 21,334], and AlC [n = 28,010]) was examined. RESULTS- When diabetes-specific retinopathy was plotted against continuous glycemic measures, a curvilinear relationship was observed for FPG and AlC. Diabetes-specific retinopathy prevalence was low for FPG <6.0 mmol/l and AlC <6.0% but increased above these levels. Based on vigintile (20 groups with equal numbers) distributions, glycemic thresholds for diabetes-specific retinopathy were observed over the range of 6.4-6.8 mmol/l for FPG, 9.8-10.6 mmol/l for 2-h PG, and 6.3-6.7% for AlC. Thresholds for diabetes-specific retinopathy from receiver-operating characteristic curve analyses were 6.6 mmol/l for FPG, 13.0 mmol/l for 2-h PG, and 6.4% for AlC. CONCLUSIONS - This study broadens the evidence based on diabetes diagnostic criteria. A narrow threshold range for diabetes-specific retinopathy was identified for FPG and AlC but not for 2-h PG. The combined analyses suggest that the current diabetes diagnostic level for FPG could be lowered to 6.5 mmol/l and that an AlC of 6.5% is a suitable alternative diagnostic criterion.

Affiliations:

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<author><name sortKey="Borch Johnsen, Knut" sort="Borch Johnsen, Knut" uniqKey="Borch Johnsen K" first="Knut" last="Borch-Johnsen">Knut Borch-Johnsen</name>
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<front><div type="abstract" xml:lang="en">OBJECTIVE - To re-evaluate the relationship between glycemia and diabetic retinopathy. RESEARCH DESIGN AND METHODS - We conducted a data-pooling analysis of nine studies from five countries with 44,623 participants aged 20-79 years with gradable retinal photographs. The relationship between diabetes-specific retinopathy (defined as moderate or more severe retinopathy) and three glycemic measures (fasting plasma glucose [FPG; n = 41,411], 2-h post oral glucose load plasma glucose [2-h PG; n = 21,334], and AlC [n = 28,010]) was examined. RESULTS- When diabetes-specific retinopathy was plotted against continuous glycemic measures, a curvilinear relationship was observed for FPG and AlC. Diabetes-specific retinopathy prevalence was low for FPG <6.0 mmol/l and AlC <6.0% but increased above these levels. Based on vigintile (20 groups with equal numbers) distributions, glycemic thresholds for diabetes-specific retinopathy were observed over the range of 6.4-6.8 mmol/l for FPG, 9.8-10.6 mmol/l for 2-h PG, and 6.3-6.7% for AlC. Thresholds for diabetes-specific retinopathy from receiver-operating characteristic curve analyses were 6.6 mmol/l for FPG, 13.0 mmol/l for 2-h PG, and 6.4% for AlC. CONCLUSIONS - This study broadens the evidence based on diabetes diagnostic criteria. A narrow threshold range for diabetes-specific retinopathy was identified for FPG and AlC but not for 2-h PG. The combined analyses suggest that the current diabetes diagnostic level for FPG could be lowered to 6.5 mmol/l and that an AlC of 6.5% is a suitable alternative diagnostic criterion.</div>
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<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Rétinopathie</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Retinopathy</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Retinopatía</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Diagnostic</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Diagnosis</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Diagnóstico</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Critère</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Criterion</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Criterio</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Endocrinologie</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Endocrinology</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Endocrinología</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Maladie métabolique</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Metabolic diseases</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Metabolismo patología</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Nutrition</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Nutrition</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Nutrición</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Homme</s0>
<s5>25</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Human</s0>
<s5>25</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Hombre</s0>
<s5>25</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Endocrinopathie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Endocrinopathy</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Endocrinopatía</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie de l'oeil</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Eye disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Ojo patología</s0>
<s5>38</s5>
</fC07>
<fN21><s1>066</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations><list><country><li>Australie</li>
<li>Danemark</li>
<li>France</li>
<li>Singapour</li>
</country>
<region><li>Nouvelle-Galles du Sud</li>
<li>Victoria (État)</li>
<li>Île-de-France</li>
</region>
<settlement><li>Melbourne</li>
<li>Orsay</li>
<li>Sydney</li>
</settlement>
<orgName><li>Université Paris-Sud</li>
<li>Université de Melbourne</li>
<li>Université de Sydney</li>
<li>Université nationale de Singapour</li>
</orgName>
</list>
<tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Colagiuri, Stephen" sort="Colagiuri, Stephen" uniqKey="Colagiuri S" first="Stephen" last="Colagiuri">Stephen Colagiuri</name>
</region>
<name sortKey="Lee, Crystal M Y" sort="Lee, Crystal M Y" uniqKey="Lee C" first="Crystal M. Y." last="Lee">Crystal M. Y. Lee</name>
<name sortKey="Shaw, Jonathan E" sort="Shaw, Jonathan E" uniqKey="Shaw J" first="Jonathan E." last="Shaw">Jonathan E. Shaw</name>
<name sortKey="Wong, Tien Y" sort="Wong, Tien Y" uniqKey="Wong T" first="Tien Y." last="Wong">Tien Y. Wong</name>
</country>
<country name="Singapour"><noRegion><name sortKey="Wong, Tien Y" sort="Wong, Tien Y" uniqKey="Wong T" first="Tien Y." last="Wong">Tien Y. Wong</name>
</noRegion>
</country>
<country name="France"><noRegion><name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name>
</noRegion>
<name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name>
</country>
<country name="Danemark"><noRegion><name sortKey="Borch Johnsen, Knut" sort="Borch Johnsen, Knut" uniqKey="Borch Johnsen K" first="Knut" last="Borch-Johnsen">Knut Borch-Johnsen</name>
</noRegion>
<name sortKey="Borch Johnsen, Knut" sort="Borch Johnsen, Knut" uniqKey="Borch Johnsen K" first="Knut" last="Borch-Johnsen">Knut Borch-Johnsen</name>
</country>
</tree>
</affiliations>
</record>

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   |area=    AustralieFrV1
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   |texte=   Glycemic Thresholds for Diabetes-Specific Retinopathy: Implications for diagnostic criteria for diabetes
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This area was generated with Dilib version V0.6.33.
Data generation: Tue Dec 5 10:43:12 2017. Site generation: Tue Mar 5 14:07:20 2024

	Serveur d'exploration sur les relations entre la France et l'Australie
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Glycemic Thresholds for Diabetes-Specific Retinopathy: Implications for diagnostic criteria for diabetes

Glycemic Thresholds for Diabetes-Specific Retinopathy: Implications for diagnostic criteria for diabetes

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