Objective: To analyze the image feature of abdominal CT and other related indicators, and to discuss clinical risk factors for developing diabetes mellitus in patients with hypertension. Methods: A retrospective review of 1 962 patients undergoing abdominal CT scan was performed in Zhongda Hospital Affiliated Southeast University. The patients were divided into control group (n=858), hypertension group (n=732), diabetes mellitus group (n=128) and hypertension with diabetes mellitus group (n=244). Abdominal CT parameters were evaluated, including fatty liver, CT attenuation ratio of pancreas to spleen, visceral fat tissue (VAT) area, subcutaneous fat tissue area, VAT/SAT area ratio, lumbar muscle CT attenuation and abdominal aortic calcification. The risk factors for developing diabetes mellitus in hypertension patients were analyzed by Logistic regression analysis. Results: Logistic regression analysis showed that fatty liver, increased triglyceride, decreased high density lipoprotein, high grade of hypertension, increased waist circumference, and the decreased psoas muscle CT attenuation were the risk factors for developing diabetes mellitus in hypertension patients. Conclusion: In hypertension patients, fatty liver, high grade hypertension, muscle fat infiltration, increased waist circumference and hyperlipidemia are the independent risk factors for developing diabetes mellitus.
 YANG W Y,LU J M,WENG J P,et al.Prevalence of diabetes among men and women in China[J].New Engl J Med,2010,362(25):1090-1101.
 ELSERAG H B,HASHMI A,GARCIA J,et al.Visceral abdominal obesity measured by CT scan is associated with an increased risk of Barrett's oesophagus:a case-control study[J].Gut,2014,63(2):220-229.
 KIM J H,CHOI S H,LIM S,et al.Thigh muscle attenuation measured by computed tomography was associated with the risk of low bone density in community-dwelling elderly population[J].Clin Endocrinol,2013,78(4):512-517.
 MIAO D M,YE P,XIAO W K,et al.Influence of low high-density lipoprotein cholesterol on arterial stiffening and left ventricular diastolic dysfunction in essential hypertension[J].J Clin Hypertens,2011,13(10):710-715.
 RIZZA S,CARDELLINI M E,PORZIO O,et al.Occult impaired glucose regulation in patients with atherosclerosis is associated to the number of affected vascular districts and inflammation[J].Atherosclerosis,2010,212(1):316-320.
 SIRONI A M,GASTALDELLI A,MARI A,et al.Visceral fat in hypertension:influence on insulin resistance and beta-cell function[J].Hypertension,2004,44(44):127-133.
 POTER S A,MASSARO J M,HOFFMANN U,et al.Abdominal subcutaneous adipose tissue:a protective fat depot?[J].Diabetes Care,2009,32(6):1068-1075.
 AMOUZOU C,BREUKER C,FABRE O,et al.Skeletal muscle insulin resistance and absence of inflammation characterize insulin-resistant grade Ⅰ obese women[J].PLoS One,2016,11(4):e0154119.
 ARMSTRONG M J,ADAMS L A,CANBAY A,et al.Extrahepatic complications of nonalcoholic fatty liver disease[J].Hepatology,2014,20(3):387-401.