Obesity is associated with retinopathy and macrovascular disease in type 1 diabetes
Abstract
Excessive body weight is increasingly seen in type 1 diabetes but its impact is debated. To address this uncertainty, we aimed to determine the association between excess body weight and the macro- and microvascular complications of type 1 diabetes. We identified 501 adults with type 1 diabetes attending an Australian hospital clinic and extracted their clinical and biochemical data from our patient management database. In both men and women, obesity (BMI > 30 kg/m(2)) was the predominant risk factor for retinopathy and cardiovascular disease despite similar HbA1c and increased use of cardioprotective drugs compared to non-obese patients. Obesity was associated with albuminuria in women, but not renal impairment or neuropathy in either sex. We conclude that obesity in type 1 diabetes may promote retinopathy and macrovascular disease. Future trials to determine the effect of weight loss on type 1 diabetes in obese people are needed.
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In people with established type 1 diabetes, presence of obesity can worsen insulin resistance, glycemic variability, microvascular disease complications, and cardiovascular risk factors.
“in people with established type 1 diabetes, presence of obesity can worsen insulin resistance, glycemic variability, microvascular disease complications, and cardiovascular risk factors (184 -188).”
From Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report (2019) · cites this paper as [188]
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- Authors
- Price, S. A., Gorelik, A., Fourlanos, S., Colman, P. G., & Wentworth, J. M.
- Affiliations
- The Royal Melbourne Hospital (AU)
- Corresponding author
- Wentworth, John M.
- Venue
- Obesity Research & Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 8
- Issue
- 2
- Pages
- e178-e182
- ISSN
- 1871-403X (ISSN-L)
- OpenAlex
- W2069349327
- Cited by
- 77
- References
- 17
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 8 · 2023: 6 · 2022: 12 · 2021: 6 · 2020: 7 · 2019: 10 · 2018: 7 · 2017: 2 · 2016: 5 · 2015: 5
- FWCI
- 2.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Research & Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Keywords
- obesity, type 1 diabetes, diabetic retinopathy, macroangiopathy, cardiovascular disease, body mass index, albuminuria, diabetic nephropathy, diabetic neuropathy, sex differences, weight loss
- MeSH terms
- Adult, Albuminuria, Australia, Blood Pressure, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Diabetic Angiopathies, Diabetic Retinopathy, Female, Glycated Hemoglobin, Humans, Male, Obesity, Risk Factors, Biomarkers, Weight Loss, Body Mass Index, Odds Ratio
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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