Related Risk Factors Between Carotid Atherosclerosis And Diabetic Retinopathy In Newly Diagnosed Type 2 Diabetes Mellitus

Purpose: To analyze the clinical features and related risk factors in carotid atherosclerosis(CAS)and diabetic retinopathy(DR),the macro-and micro-vascular diseases in newly diagnosed type 2 diabetes mellitus(T2DM).To explore the relationship between C-peptide level and chronic vascular complications in patients with newly diagnosed T2 DM.Methods: A retrospective study of 435 cases of inpatients with newly diagnosed T2 DM from 2013 to 2017,and compare the two types of T2 DM related vascular complications.Results: The macro-and microvascular complications are not rare at this stage.CAS was found in 251 subjects(57.7%),which was higher than that of DR(13.1%).In addition,some cases of CAS co-existed with DR,suggesting that DR was related with CAS(r = 0.098,P = 0.041).Older age showed a significant association with both CAS and DR.Single factor analysis indicated that age and dyslipidemia were the common risk factors in DR and CAS.No significant difference was found for C-peptide in the occurrence of CAS and DR.Conclusions: It should be paid attention to the screening of both DR and CAS in each age group of newly diagnosed T2 DM.Except for the control of blood glucose,the control of the dyslipidemia is important in the prevention and treatment of the micro-and macro-vascular diseases.