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Letter to the Editor
Copyright ©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Diabetes. Jan 15, 2026; 17(1): 114210
Published online Jan 15, 2026. doi: 10.4239/wjd.v17.i1.114210
Commentary on α-1-microglobulin as a predictor of diabetic complications
Li Liao, An Luo, Long-Han Zhang, Yi-Ting Pan, Ya-Qing Liu
Li Liao, An Luo, Long-Han Zhang, Yi-Ting Pan, Ya-Qing Liu, School of Nursing, University of South China, Hengyang 421001, Hunan Province, China
Author contributions: Liao L and Luo A conceived the study and drafted the manuscript; Zhang LH, Pan YT and Liu YQ contributed to critical review, editing, and intellectual revision of the content; all authors have read and approved the final manuscript.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest related to this manuscript.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li Liao, PhD, School of Nursing, University of South China, No. 28 West Changsheng Road, Hengyang 421001, Hunan Province, China. 254251558@qq.com
Received: September 15, 2025
Revised: October 25, 2025
Accepted: November 19, 2025
Published online: January 15, 2026
Processing time: 122 Days and 18.1 Hours
Abstract

This letter comments on the study by Ge et al. Serum α1-microglobulin (α1-MG) was reported to be associated with diabetic nephropathy, retinopathy, peripheral neuropathy, and left ventricular hypertrophy. The letter further highlights the need for multicenter validation and evaluation of clinical applicability to clarify the role of α1-MG in diabetes management.

Keywords: α1-microglobulin; Type 2 diabetes mellitus; Machine learning models; Commentary

Core Tip: This letter comments on the recent study regarding serum α1-microglobulin (α1-MG) as a predictor of multiple complications in type 2 diabetes mellitus. The letter underscores the importance of α1-MG as a potential biomarker linking renal, retinal, neural, and cardiac complications, and highlights the need for multi-center validation and cost-effectiveness evaluation before clinical adoption.