Glycemic Thresholds for Diabetes-Specific Retinopathy: Implications for diagnostic criteria for diabetes
Identifieur interne : 002013 ( PascalFrancis/Corpus ); précédent : 002012; suivant : 002014Glycemic Thresholds for Diabetes-Specific Retinopathy: Implications for diagnostic criteria for diabetes
Auteurs : Stephen Colagiuri ; Crystal M. Y. Lee ; Tien Y. Wong ; Beverley Balkau ; Jonathan E. Shaw ; Knut Borch-JohnsenSource :
- Diabetes care [ 0149-5992 ] ; 2011.
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- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Format Inist (serveur)
NO : | PASCAL 11-0101199 INIST |
---|---|
ET : | Glycemic Thresholds for Diabetes-Specific Retinopathy: Implications for diagnostic criteria for diabetes |
AU : | COLAGIURI (Stephen); LEE (Crystal M. Y.); WONG (Tien Y.); BALKAU (Beverley); SHAW (Jonathan E.); BORCH-JOHNSEN (Knut) |
AF : | Boden Institute of Obesity, Nutrition, and Exercise, University of Sydney/Sydney/Australie (1 aut., 2 aut.); Center for Eye Research Australia, University of Melbourne/Melbourne/Australie (3 aut.); Singapore Eye Research Institute, National University of Singapore/Singapour (3 aut.); Institut National de la Santé et de la Recherche Médicale, Centre de Recherche en Epidémiologie et Santé des Populations, Epidemiology of Diabetes, Obesity, and Chronic Kidney Disease Over the Lifecourse/Villejuif/France (4 aut.); Centre de Recherche en Epidémiologie et Santé des Populations, Université Paris Sud/Villejuif/France (4 aut.); Heart and Diabetes Institute, Baker International Diabetes Institute/Melbourne/Australie (5 aut.); Steno Diabetes Center/Gentofte/Danemark (6 aut.); Faculty of Health Science, University of Aarhus/Aarhus/Danemark (6 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Diabetes care; ISSN 0149-5992; Coden DICAD2; Etats-Unis; Da. 2011; Vol. 34; No. 1; Pp. 145-150; Bibl. 25 ref. |
LA : | Anglais |
EA : | 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. |
CC : | 002B21E01A; 002B22; 002B30A11 |
FD : | Diabète; Glycémie; Seuil; Rétinopathie; Diagnostic; Critère; Endocrinologie; Maladie métabolique; Nutrition; Homme |
FG : | Endocrinopathie; Pathologie de l'oeil |
ED : | Diabetes mellitus; Glycemia; Threshold; Retinopathy; Diagnosis; Criterion; Endocrinology; Metabolic diseases; Nutrition; Human |
EG : | Endocrinopathy; Eye disease |
SD : | Diabetes; Glucemia; Umbral; Retinopatía; Diagnóstico; Criterio; Endocrinología; Metabolismo patología; Nutrición; Hombre |
LO : | INIST-18054.354000193628710290 |
ID : | 11-0101199 |
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Pascal:11-0101199Le document en format XML
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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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<server><NO>PASCAL 11-0101199 INIST</NO>
<ET>Glycemic Thresholds for Diabetes-Specific Retinopathy: Implications for diagnostic criteria for diabetes</ET>
<AU>COLAGIURI (Stephen); LEE (Crystal M. Y.); WONG (Tien Y.); BALKAU (Beverley); SHAW (Jonathan E.); BORCH-JOHNSEN (Knut)</AU>
<AF>Boden Institute of Obesity, Nutrition, and Exercise, University of Sydney/Sydney/Australie (1 aut., 2 aut.); Center for Eye Research Australia, University of Melbourne/Melbourne/Australie (3 aut.); Singapore Eye Research Institute, National University of Singapore/Singapour (3 aut.); Institut National de la Santé et de la Recherche Médicale, Centre de Recherche en Epidémiologie et Santé des Populations, Epidemiology of Diabetes, Obesity, and Chronic Kidney Disease Over the Lifecourse/Villejuif/France (4 aut.); Centre de Recherche en Epidémiologie et Santé des Populations, Université Paris Sud/Villejuif/France (4 aut.); Heart and Diabetes Institute, Baker International Diabetes Institute/Melbourne/Australie (5 aut.); Steno Diabetes Center/Gentofte/Danemark (6 aut.); Faculty of Health Science, University of Aarhus/Aarhus/Danemark (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Diabetes care; ISSN 0149-5992; Coden DICAD2; Etats-Unis; Da. 2011; Vol. 34; No. 1; Pp. 145-150; Bibl. 25 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B21E01A; 002B22; 002B30A11</CC>
<FD>Diabète; Glycémie; Seuil; Rétinopathie; Diagnostic; Critère; Endocrinologie; Maladie métabolique; Nutrition; Homme</FD>
<FG>Endocrinopathie; Pathologie de l'oeil</FG>
<ED>Diabetes mellitus; Glycemia; Threshold; Retinopathy; Diagnosis; Criterion; Endocrinology; Metabolic diseases; Nutrition; Human</ED>
<EG>Endocrinopathy; Eye disease</EG>
<SD>Diabetes; Glucemia; Umbral; Retinopatía; Diagnóstico; Criterio; Endocrinología; Metabolismo patología; Nutrición; Hombre</SD>
<LO>INIST-18054.354000193628710290</LO>
<ID>11-0101199</ID>
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