ArticleFrontiers in cardiovascular medicine2026
Association of triglyceride glucose index with cardiovascular autonomic neuropathy in type 2 diabetes mellitus.
Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Cardiovascular autonomic neuropathy (CAN), defined as impaired autonomic control of the cardiovascular system, is a highly prevalent yet frequently underdiagnosed microvascular complication of diabetes. The triglyceride-glucose (TyG) index, a well-validated surrogate marker of insulin resistance, may have considerable clinical relevance for CAN. Nevertheless, the association between the TyG index and CAN in patients with type 2 diabetes mellitus (T2DM) remains unclear. Methods: A total of 230 hospitalized patients with T2DM were recruited from the Department of Endocrinology and Metabolism, Shanghai General Hospital. CAN status was evaluated using the cardiovascular autonomic reflex test (CART) and heart rate variability (HRV) measurements. Meanwhile, demographic characteristics and relevant clinical data were collected, and the TyG index was calculated based on fasting blood glucose and triglyceride levels for subsequent statistical analysis. Results: The prevalence of CAN in our cohort of 230 patients was 61.3% (141 cases). Patients with CAN exhibited a significantly higher TyG index compared to those without CAN. The TyG index demonstrated positive correlations with CART parameters (E:I difference, Conclusions: The TyG index shows a distinct association with CAN assessment parameters. As a well-established, effective, and practical surrogate marker of IR, this finding highlights the clinical relevance of the TyG index in diabetes-related complications.
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