Research Article

Relationship between Hyponatremia and Peripheral Neuropathy in Patients with Diabetes

Table 1

Demographic and clinical characteristics of study participants.

Corrected serum sodium (mmol/L)
Hyponatremia 130.0–135.0 ()Low-normal sodium 135.0–141.5 ()Medium-normal sodium 141.5–143.0 ()High-normal sodium 143.0–145.00 ()Hypernatremia 145.0–150.0 ()

Corrected serum sodium (mmol/L)<0.001
Serum sodium (mmol/L)<0.001
Age (year)0.186
Male, (%)35 (62.5)303 (59.4)292 (57.3)273 (53.5)150 (43.9)d<0.001
Duration of diabetes (year)9 (3.3–11.8)7 (2–10)7 (3–10)8 (3–12)8 (3–12)0.105
BMI (kg/m2)24.6 ± 3.7a0.004
Smoking, (%)18 (32.1)141 (27.6)139 (27.3)124 (24.3)63 (18.4)d0.013
Drinking, (%)6 (10.7)59 (11.6)70 (13.7)49 (9.6)c23 (6.7)0.021
Hypertension, (%)28 (50)255 (50)244 (47.8)259 (50.8)185 (54.1)0.514
RASS-blocker, n (%)16 (28.6)135 (26.5)105 (20.6)115 (22.5)71 (20.8)0.128
β-Blocker, (%)3 (5.4)34 (6.7)34 (6.7)41 (8)21 (6.1)0.803
CCB, (%)13 (23.2)128 (25.1)114 (22.4)137 (26.9)97 (28.4)0.305
Diuretic, (%)8 (14.3)35 (6.9)a25 (4.9)23 (4.5)17 (5)0.022
Statins, (%)7 (12.5)45 (8.8)40 (7.8)58 (11.4)38 (11.1)0.255
OAD, (%)47 (83.9)384 (75.3)419 (82.2)b420 (82.4) b280 (81.9)0.021
Insulin use, (%)25 (44.6)187 (36.7)202 (39.6)191 (37.5)136 (39.8)0.672
SBP (mmHg)0.140
DBP (mmHg)0.275
HbAlc (%)0.443
FPG (mmol/L)d0.045
TCH (mmol/L)0.206
TG (mmol/L)1.2 (0.8–1.6)1.4 (0.9–2.1)1.4 (1–2.1)1.4 (1–2.1)1.4 (1–2.1)0.050
HDL-C (mmol/L)0.270
LDL-C (mmol/L)0.538
Serum kalium (mmol/L)0.420
eGFR (mL/(min·1.73m2))a0.034
Cr (mmol/L)a0.017
UACR (mg/g)34.8 (8.5–187)12.8 (6.2–63.2)a11.7 (6.2–72.6)12.7 (6.2–38.5)14.5 (7.3–58)d0.017
Atherosclerosis, (%)23 (41.1)137 (26.9)149 (29.2)151 (29.6)102 (29.8)0.260
Left ABI0.302
Right ABI0.577
ICVD %10 (3.3–19)10 (3–16)8 (2–16)8 (3–16)8 (3–14)0.222
Toronto Clinical Scoring System Score (TCSS)2.5 (0–7)1.0 (0–5.5)a2.0 (0–6)1.0 (0–5.0)c2 (0–6)d0.025
DPN, (%)39 (69.6)274 (53.7)a253 (49.6)a224 (43.9)ab170 (49.7)a0.001

ABI: ankle brachial index; BMI: body mass index; CCB: calcium channel blockers; Cr: serum creatinine; eGFR: estimated glomerular filtration rate; FPG: fasting plasma glucose; HbAlc: glycosylated hemoglobin; HDL-C: high-density lipoprotein cholesterol; ICVD: 10-year risk of ischemic cardiovascular disease; LDL-C: low-density lipoprotein cholesterol; OAD: oral antidiabetic agents; TCH: cholesterol; TG: triglyceride; UACR: urinary albumin-to-creatinine ratio. Post hoc analysis: acompared with the hyponatremia group, ; bcompared with the low-normal sodium group, ; ccompared with the medium-normal sodium group, ; dcompared with the high-normal sodium group, .