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ObjectiveAsymptomatic pyuria (ASP) is associated with a higher risk of complicated urinary tract infections among diabetic patients. We investigated the association between glycemic status and ASP in an adult population undergoing a health checkup in Hualien, east-central Taiwan.Materials and MethodsWe reviewed the records of 9229 participants who had their first health checkup in this hospital between June 1, 2001 and September 1, 2006. All cases (n = 979) had pyuria as defined by the presence of more than 10 leukocytes per high-power field in urinalysis. Controls (n = 8250) included all other patients who had no pyuria. The glycemic status was classified as normal [fasting blood glucose (FBG) <100 mg/dL and no diabetes history], prediabetic (FBG, 100–125 mg/dL and no diabetes history), and diabetic (FBG >125 mg/dL or a history of diabetes). A case-control analysis was performed. Odds ratios (ORs) were calculated by logistic regression.ResultsThe prevalences of ASP for diabetic, prediabetic, and normal adults were 23.4%, 18.0%, and 13.4% in women, and 5.6%, 4.2%, and 4.6% in men, respectively. Among women, the age-adjusted OR for ASP was 1.34 (p < 0.01) for prediabetics and 1.77 (p < 0.01) for diabetics, relative to the controls (p for trend <0.01). Among men, the corresponding OR was 0.91 (p = 0.59) for prediabetics and 1.15 (p = 0.44) for diabetics. The effects of glycemic status on ASP significantly differed among women versus those among men (p for interaction <0.01). The associations remained unchanged after further adjustments for other potential confounding factors.ConclusionAn abnormal glycemic status has a significant positive dose-response relation with the presence of ASP; however, the association is only in women and not in men. Further research is required to protect diabetic women from this complication

Glycemic disorders are positively associated with asymptomatic pyuria in females but not in males