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2型糖尿病合并视网膜病变患者血清维生素D水平变化及意义
引用本文:徐清田,周群燕,朱晓巍,徐湘. 2型糖尿病合并视网膜病变患者血清维生素D水平变化及意义[J]. 糖尿病新世界, 2021, 0(5): 17-20
作者姓名:徐清田  周群燕  朱晓巍  徐湘
作者单位:南京医科大学附属无锡人民医院临床营养科;南京医科大学附属无锡人民医院内分泌科
摘    要:目的 探讨2型糖尿病合并视网膜病变(DR)患者血清维生素D水平变化及意义,为DR的早期防治提供诊断依据.方法 选取2012年1月—2019年1月于该院内分泌科住院的2型糖尿病患者219例进行研究,分为T2DM不伴DR(NDR)组73例、T2DM伴非增殖期DR(BDR)组69例和T2DM伴增殖期DR(PDR)组77例.收...

关 键 词:2型糖尿病  糖尿病视网膜病变  维生素D

Changes and Significance of Serum Vitamin D Levels in Patients with Type 2 Diabetes and Retinopathy
XU Qingtian,ZHOU Qunyan,ZHU Xiaowei,XU Xiang. Changes and Significance of Serum Vitamin D Levels in Patients with Type 2 Diabetes and Retinopathy[J]. Diabetes New World, 2021, 0(5): 17-20
Authors:XU Qingtian  ZHOU Qunyan  ZHU Xiaowei  XU Xiang
Affiliation:(Department of Clinical Nutrition,Wuxi People's Hospital,Nanjing Medical University,Wuxi,Jiangsu Province,214023 China;Department of Endocrinology,Wuxi People's Hospital,Nanjing Medical University,Wuxi,Jiangsu Province,214023 China)
Abstract:Objective To investigate the changes and significance of serum vitamin D levels in patients with type 2 diabetes and retinopathy(DR),and to provide diagnostic evidence for the early prevention and treatment of DR.Methods A total of 219 patients with type 2 diabetes who were hospitalized in the Department of Endocrinology in the hospital from January 2012 to January 2019 were selected for the study.They were divided into T2DM without DR(NDR)group,73 cases,T2DM with non-proliferative DR(BDR)group 69 cases and T2DM with proliferative DR(PDR)group 77 cases.Collect clinical data of all patients,measure serum 25-hydroxyvitamin D3[25(OH)D3]levels by ELISA method,detect fasting blood glucose(FPG),glycosylated hemoglobin(HbA1c),fasting C peptide,blood lipids,and C-reactive protein(CRP)and biochemical indicators such as liver and kidney function in each group.Analyze the correlation between 25(OH)D3 and various indicators,and divide 25(OH)D3 into vitamin D deficiency group[25(OH)D3<20 ng/mL]and non-vitamin D deficiency group[25(OH)D3≥20 ng/mL]according to international diagnostic standards,compare the incidence and risk of DR between the two groups,and perform Logistic regression analysis on the risk factors of DR.Results Serum 25(OH)D3 levels in T2DM groups from low to high were PDR group
Keywords:Type 2 diabetes  Diabetic retinopathy  Vitamin D
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