Retinopathy in Youth With Type 2 Diabetes Participating in the TODAY Clinical Trial

被引:98
作者
Levitsky, Lynne L. [1 ]
Danis, Ronald P. [2 ]
Drews, Kimberly L. [3 ]
Tamborlane, William V. [4 ]
Haymond, Morey W. [5 ]
Laffel, Lori
Lipman, Terri H. [6 ]
机构
[1] Massachusetts Gen Hosp, Boston, MA 02114 USA
[2] Univ Wisconsin, Madison, WI 53706 USA
[3] George Washington Univ, Washington, DC 20052 USA
[4] Yale Univ, Sch Med, New Haven, CT 06520 USA
[5] Baylor Coll Med, Houston, TX 77030 USA
[6] Childrens Hosp Philadelphia, Philadelphia, PA USA
基金
美国国家卫生研究院;
关键词
PREVALENCE; COHORT; COMPLICATIONS; ADOLESCENTS; PROGRAM;
D O I
10.2337/dc12-2387
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE-To determine the prevalence of retinopathy in 517 youth with type 2 diabetes of 2-8 years duration enrolled in the TODAY study. RESEARCH DESIGN AND METHODS-Retinal photographs were graded centrally for retinopathy using established standards. RESULTS-Retinopathy was identified in 13.7% of subjects. Prevalence increased with age, diabetes duration, and mean HbA(1c). Subjects in the highest BMI tertile had the lowest prevalence of retinopathy. CONCLUSIONS-Prevalence of retinopathy and its association with HbA(1c) and diabetes duration is similar to that previously reported in youth with type 1 diabetes and in adults with type 2 diabetes of known duration. The mechanism underlying the reduced risk of retinopathy in the most obese individuals is unknown. Follow-up of this cohort will help define the natural history of retinopathy in youth with type 2 diabetes.
引用
收藏
页码:1772 / 1774
页数:3
相关论文
共 13 条
[1]   C-peptide and the risk for incident complications and mortality in type 2 diabetic patients: a retrospective cohort study after a 14-year follow-up [J].
Bo, S. ;
Gentile, L. ;
Castiglione, A. ;
Prandi, V. ;
Canil, S. ;
Ghigo, E. ;
Ciccone, G. .
EUROPEAN JOURNAL OF ENDOCRINOLOGY, 2012, 167 (02) :173-180
[2]   IGF-I Signaling in Response to Hyperglycemia and the Development of Diabetic Complications [J].
Clemmons, David ;
Maile, Laura ;
Xi, Gang ;
Shen, Xinchun ;
Radhakrishnan, Yashwanth .
CURRENT DIABETES REVIEWS, 2011, 7 (04) :235-245
[3]   Characteristics of Adolescents and Youth with Recent-Onset Type 2 Diabetes: The TODAY Cohort at Baseline [J].
Copeland, Kenneth C. ;
Zeitler, Philip ;
Geffner, Mitchell ;
Guandalini, Cindy ;
Higgins, Janine ;
Hirst, Kathryn ;
Kaufman, Francine R. ;
Linder, Barbara ;
Marcovina, Santica ;
McGuigan, Paul ;
Pyle, Laura ;
Tamborlane, William ;
Willi, Steven .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2011, 96 (01) :159-167
[4]   The obesity paradox - A reality that requires explanation and clinical interpretation [J].
Dixon, John B. ;
Lambert, Gavin W. .
ATHEROSCLEROSIS, 2013, 226 (01) :47-48
[5]  
*EARL TREATM DIAB, 1991, OPHTHALMOLOGY, V98, pS786
[6]   Prevalence of diabetes complications in adolescents with type 2 compared with type 1 diabetes [J].
Eppens, Maike C. ;
Craig, Maria E. ;
Cusumano, Janine ;
Hing, Stephen ;
Chan, Albert K. F. ;
Howard, Neville J. ;
Silink, Martin ;
Donaghue, Kim C. .
DIABETES CARE, 2006, 29 (06) :1300-1306
[7]   Incidence of retinopathy and nephropathy in youth-onset compared with adult-onset type 2 diabetes [J].
Krakoff, J ;
Lindsay, RS ;
Looker, HC ;
Nelson, RG ;
Hanson, RL ;
Knowler, WC .
DIABETES CARE, 2003, 26 (01) :76-81
[8]   C-reactive Protein, Body Mass Index, and Diabetic Retinopathy [J].
Lim, Laurence Shen ;
Tai, E. Shyong ;
Mitchell, Paul ;
Wang, Jie Jin ;
Tay, Wan Ting ;
Lamoureux, Ecosse ;
Wong, Tien Yin .
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2010, 51 (09) :4458-4463
[9]   Diabetic retinopathy in the SEARCH for Diabetes in Youth Cohort: a pilot study [J].
Mayer-Davis, E. J. ;
Davis, C. ;
Saadine, J. ;
D'Agostino, R. B., Jr. ;
Dabelea, D. ;
Dolan, L. ;
Garg, S. ;
Lawrence, J. M. ;
Pihoker, C. ;
Rodriguez, B. L. ;
Klein, B. E. ;
Klein, R. .
DIABETIC MEDICINE, 2012, 29 (09) :1148-1152
[10]  
Nathan DM, 2007, DIABETIC MED, V24, P137