Energy balance
Higher BMI is positively correlated with Diabetic Kidney Disease (DKD) and carotid atherosclerotic plaque, with the highest risk observed in the highest BMI quintile.
For Type 2 Diabetes patients, keeping BMI in a moderate range (23.5–25.2) is crucial for protecting kidney health. While being too thin increases nerve damage risk, being overweight (highest BMI quintile) significantly increases the risk of kidney disease and carotid plaque. Weight management should aim for this moderate zone to protect the kidneys.
BMI >80th percentile showed a 1.426-fold risk of diabetic kidney disease and a 1.336 -fold risk of carotid atherosclerotic plaque.
Why this rating
Large cohort with multivariate adjustment; consistent with previous literature cited.
Source
Lower body mass index is not of more benefit for diabetic complications
Yongze Zhang et al. · Journal of Diabetes Investigation · 2019
DOI 10.1111/jdi.13003
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