학술논문

Estimated glucose disposal rate predicts the risk of diabetic peripheral neuropathy in type 2 diabetes: A 5‐year follow‐up study
Document Type
article
Source
Journal of Diabetes, Vol 16, Iss 5, Pp n/a-n/a (2024)
Subject
diabetic peripheral neuropathy
estimated glucose disposal rate
insulin resistance
Michigan neuropathy screening instrument
type 2 diabetes
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Language
English
ISSN
1753-0407
1753-0393
Abstract
Abstract Background Insulin resistance is associated with chronic complications of diabetes, including diabetic peripheral neuropathy (DPN). Estimated glucose disposal rate (eGDR), calculated by the common available clinical factors, was proved to be an excellent tool to measure insulin resistance in large patient population. Few studies have explored the association between eGDR and DPN longitudinally. Therefore, we performed the current study to analyze whether eGDR could predict the risk of DPN. Methods In this prospective study, 366 type 2 diabetes (T2DM) subjects without DPN were enrolled from six communities in Shanghai in 2011–2014 and followed up until 2019–2020. Neuropathy was assessed by Michigan Neuropathy Screening Instrument (MSNI) at baseline and at the end of follow‐up. Findings After 5.91 years, 198 of 366 participants progressed to DPN according to MNSI examination scores. The incidence of DPN in the low baseline eGDR (eGDR