Type2 Diabetes
Conditions
Keywords
Type 2 diabetes
Brief summary
To explore the severity of diabetic patients with coronary heart disease and the change of serum orphanin FQ content in different diabetic courses
Detailed description
Methods: A retrospective case-control study was conducted. The control group was a patient who underwent coronary angiography at the same time and was definitely diagnosed as coronary heart disease but not diabetes. The study group was coronary heart disease complicated with diabetes, which was divided into group A (≤5 years), group B (5-10 years) and group C (10-20 years) according to the course of diabetes. (1) Review the electronic medical records and record the general information of the selected patients: age, sex, history of hypertension, history of myocardial infarction, family history of coronary heart disease, smoking history, chronic kidney disease; ② laboratory findings: HbA1C (glycosylated hemoglobin), SBP (systolic blood pressure), DBP (diastolic blood pressure), total cholesterol, HDL, LDL, triglyceride, BMI, creatinine and glomerular passing rate (EGFR); ③ Drug use: oral hypoglycemic agents, insulin, aspirin, statins, hypertension drugs, ACEI or ARB, β-blockers, CCB and diuretics. (ii) Taking coronary angiography as the gold standard, the grading index of severity of coronary heart disease was made, and the severity of coronary heart disease was evaluated by Gensini score.
Interventions
Coronary angiography was performed in patients with coronary heart disease complicated with type 2 diabetes mellitus
Sponsors
Study design
Eligibility
Inclusion criteria
* The main discharge diagnosis is T2DM;; * Age \> 18 years old; * No acute complications of diabetes; * The previous diagnosis was coronary heart disease
Exclusion criteria
* T1DM patients; * EGFR \< 60 ml/min/1.73 m or proteinuria (or both); * Patients with history of acute cardiovascular events; * Familial hypercholesterolemia or other hereditary lipid metabolism diseases; * anti-HIV patients; * Patients with serious mental health problems; * Patients receiving drugs that can lead to dyslipidemia, such as antipsychotics, corticosteroids, or immunosuppressants; * Patients with systemic inflammatory diseases, such as systemic lupus erythematosus; Pet-name ruby is quitting smoking and severe obesity (BMI\>40).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gensini score | 1 week | Gensini score was used to evaluate the severity of coronary artery occlusion, and then compared with the population of type 2 diabetes complicated with coronary heart disease |
Countries
China