Relation of retinopathy in patients with type 2 diabetes mellitus to other diabetic complications

Abstract

AIM: To investigate the correlation between systemic complications and diabetic retinopathy in the patients with type 2 diabetes mellitus.METHODS: Seven hundred and two hospitalized patients with type 2 diabetes were included. All patients were divided into two groups according to with or without retinopathy: NDR group and DR group. DR group was divided into group non-proliferative diabetic retinopathy(NPDR)and group proliferative diabetic retinopathy(PDR). The relation between DR and other complications of diabetes, including diabetic macrovascular complications, diabetic nephropathy(DN), diabetic peripheral neuropathy(DPN), peripheral vascular disease of diabetes mellitus(PVD), diabetic foot(DF), diabetic ketoacidosis(DKA), was analyzed.RESULTS: The development of DR was related to hypertension, hyperlipemia, carotid atherosclerosis and plaque, lower extremity arteriosclerosis and plaque, DN, DPN, DF and PVD. PDR was closely associated with hypertension and DPN. CONCLUSION: The prevalence of DR increased in the diabetic patients with systemic complications, especially, the increase of prevalence of PDR in the patients with hypertension and DPN. Vascular endothelial injury and microcirculatory disturbance are the common pathologic base for DR and other complications. Therefore, it is important to carry out the regular fundus examination in the diabetic patients, especially in those with systemic complication, in order to decrease the rate of blindness.

Keywords

• diabetes mellitus
• diabetic retinopathy
• diabetic complications