Predicting hypertension in type 2 diabetes mellitus: Insights from a nomogram model.

IF 4.6 3区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Jie Liu, Nan Zhang, Tong Liu
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Abstract

The prevalence of type 2 diabetes mellitus (T2DM) is rising, with hypertension as a common comorbidity that significantly increases cardiovascular and microvascular risks. Accurate prediction of hypertension in T2DM is essential for early intervention and personalized management. In this editorial, we comment on a recent retrospective study by Zhao et al, which developed a nomogram model using a large cohort of 26850 patients to predict hypertension risk in patients with T2DM. The model incorporated key independent risk factors, including age, body mass index, duration of diabetes, low-density lipoprotein cholesterol and urine protein levels, demonstrating promising discriminative power and predictive accuracy in internal validation. However, its external applicability requires further confirmation. This editorial discusses the clinical value and limitations of the predictive model, highlighting the unfavorable impact of hypertension on T2DM patients. Future research should evaluate the potential contribution of other risk factors to enhance risk prediction and improve the management of T2DM comorbidities.

预测2型糖尿病的高血压:从图模型的见解。
2型糖尿病(T2DM)的患病率正在上升,高血压是一种常见的合并症,可显著增加心血管和微血管风险。准确预测T2DM患者的高血压对早期干预和个性化管理至关重要。在这篇社论中,我们评论了Zhao等人最近的一项回顾性研究,该研究利用26850名患者的大队列建立了一个nomogram模型来预测T2DM患者的高血压风险。该模型纳入了关键的独立危险因素,包括年龄、体重指数、糖尿病持续时间、低密度脂蛋白胆固醇和尿蛋白水平,在内部验证中显示出有希望的判别能力和预测准确性。但其外部适用性有待进一步确认。这篇社论讨论了该预测模型的临床价值和局限性,强调了高血压对T2DM患者的不利影响。未来的研究应评估其他危险因素的潜在作用,以加强风险预测和改善T2DM合并症的管理。
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来源期刊
World Journal of Diabetes
World Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
自引率
2.40%
发文量
909
期刊介绍: The WJD is a high-quality, peer reviewed, open-access journal. The primary task of WJD is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of diabetes. In order to promote productive academic communication, the peer review process for the WJD is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJD are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in diabetes. Scope: Diabetes Complications, Experimental Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus, Diabetes, Gestational, Diabetic Angiopathies, Diabetic Cardiomyopathies, Diabetic Coma, Diabetic Ketoacidosis, Diabetic Nephropathies, Diabetic Neuropathies, Donohue Syndrome, Fetal Macrosomia, and Prediabetic State.
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