Evidence map›Paper›PMID 42199730›Full record

ArticleOphthalmology science2026

Triglyceride-Glucose Indexes Are Predictive of Early and Severe Diabetic Retinal Microvascular Abnormalities: A Prospective Cohort Study.

Yu Wang, Bo Zang, Jiangyue Zhao, Shuyan Hu, Dongxiao Zang, Qitong Wang, Xiaoxia Ding, Dong Li, Fenghua Wang, Yuanbo Liang and 1 more

Abstract read
In one paragraph

Article in Ophthalmology science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Yu WangDepartment of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China.
Bo ZangDepartment of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China.
Jiangyue ZhaoDepartment of Ophthalmology, Fourth Affiliated Hospital of China Medical University, Shenyang, Liaoning, China.
Shuyan HuDepartment of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China.
Dongxiao ZangDepartment of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China.
Qitong WangDepartment of Ophthalmology, Fourth Affiliated Hospital of China Medical University, Shenyang, Liaoning, China.
Xiaoxia DingDepartment of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China.
Dong LiDepartment of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China.
Fenghua WangBeijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Yuanbo LiangSchool of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Shisong RongDepartment of Ophthalmology, Ocular Genomics Institute, Mass Eye and Ear, Mass General Brigham, Harvard Medical School, Boston, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the associations of the triglyceride-glucose (TyG) index and TyG-derived metrics with diabetic retinopathy (DR) subtypes, retinal lesions, and retinal vascular metrics in adults with type 2 diabetes (T2D). Design: A population-based, prospective cohort study. Participants: One thousand nine hundred sixty adults with T2D, followed for a mean of 21.2 months. Methods: Outcomes included ETDRS-graded DR subtypes (advanced DR, vision-threatening DR [VTDR], diabetic macular edema [DME]); retinal lesions (hemorrhages/microaneurysms, hard exudates, soft exudates [SE]); and retinal vascular metrics (central retinal artery equivalent, central retinal vein equivalent, arteriole-to-venule ratio). Associations of TyG and TyG-derived indices with these outcomes were assessed using regression models with multivariable adjustments. Restricted cubic spline regression was applied to test for nonlinear associations. Mediation analyses by hemoglobin A1c (HbA1c) were conducted with bootstrap replications. Bonferroni correction was applied to control for type I error. Main Outcome Measures: Associations of TyG and TyG-derived indices with prevalent and incident DR subtypes, retinal lesions, and retinal vascular metrics. Results: At baseline, TyG and TyG-WHR (TyG × waist-to-hip ratio) were significantly associated ( Conclusions: The TyG and its derived indices (TyG-WHR, TyG-WHtR) are associated with the presence and progression of early and severe retinal vascular abnormalities in T2D. These markers may aid in identifying patients at high risk for VTDR. Financial Disclosures: The authors have no proprietary or commercial interest in any materials discussed in this article.

Indexed as

Diabetic retinopathyInsulin resistanceLongitudinal studyRetinal microvascular abnormalitiesTriglyceride–glucose index

Identifiers

PMID42199730
PMCPMC13199773

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.