Title
Association between glycemic status, renal function and emergency hospitalization for cardiovascular events in diabetes mellitus
Authors
Syed Taqi Askari Shah1, Toqeer Ahmad2,*, Muhammad Ali Raza3, Maryam Mushtaq4, Waqas Ahmed5, Reazun Nahar6 & Sakib Arsalan6
Affiliation
1Department of Trauma and Orthopaedics, Queens Medical Centre, Nottingham University Hospitals, Nottingham, England; 2Department of Acute Medicine, Junior Speciality Doctor, Midland Metropolitan University Hospital, Birmingham, England; 3Department of Gastroenterology, DHQ Teaching Hospital Gujranwala, Gujranwala, Pakistan; 4Department of Medicine, General Practitioner, Radiant Life Polyclinic, Dubai; 5Department of Medicine, Medical Officer, Mayo Hospital Lahore, Lahore, Pakistan; 6Department of Care of the Elderly, Medway Maritime Hospital, Gillingham, England; *Corresponding author
Syed Taqi Askari Shah - E-mail: syed.shah122@nhs.net
Toqeer Ahmad - E-mail: toqeer.ahmad@nhs.net
Muhammad Ali Raza - E-mail: doctorali1995@gmail.com
Maryam Mushtaq - E-mail: doctormaryammushtaq@gmail.com
Waqas Ahmed - E-mail: w_a917@hotmail.com
Reazun Nahar - E-mail: reazunridima63@gmail.com
Sakib Arsalan - E-mail: sakibrumi106@gmail.com
Article Type
Research Article
Date
Received May 1, 2026; Revised May 31, 2026; Accepted May 31, 2026, Published May 31, 2026
Abstract
Emergency hospitalization for cardiovascular events is a major clinical problem in patients with diabetes mellitus, especially when poor glycemic control and renal dysfunction coexist. Therefore, it is of interest to evaluate 225 diabetic patients presenting to the emergency department with cardiovascular symptoms, assessing glycemic status and renal function. Poor glycemic control (mean HbA1c 9.1 ± 1.8; 37.8% with HbA1c > 9%) and renal impairment (42.6% with eGFR < 60 mL/min/1.73m²) were common. Acute coronary syndrome (34.2%) was the most frequent presentation, with 72.4% requiring hospitalization and 21.7% ICU admission. HbA1c > 9% (adjusted OR = 2.34) and eGFR < [(60 mL/min)/1.73m²] (adjusted OR = 2.89) were independent predictors of emergency cardiovascular hospitalization.
Keywords
Diabetes mellitus (DM), glycemic control, renal function, cardiovascular events, emergency hospitalization
Citation
Shah et al. Bioinformation 22(5): 2859-2862 (2026)
Edited by
P Kangueane
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
