Type 2 & other diabetes

Intensive Glucose Lowering and Its Effects on Vascular Events and Death According to Age at Diagnosis and Duration of Diabetes: The ADVANCE Trial

Diabetes CarePublished Secondary analysis of the ADVANCE randomised trial

Primary result · Major macrovascular and microvascular events, by age at diagnosis and diabetes durationResult — go to the resultHazard ratio 0.90 95% CI 0.82–0.98

Authors' conclusion

Intensive glucose lowering may be recommended irrespective of age at diagnosis or diabetes duration.

Study context

Population
ADVANCE participants with diabetes, subgroups by age at diagnosis (≤50, >50–60, >60 years) and diabetes duration (≤5, >5–10, >10 years)
Participants
11,138 participants
Comparison
More vs less glucose lowering
Primary endpoint
Composite of:
  • Major macrovascular
  • Microvascular events
Methodological detailssubgroup analysis by age at diabetes diagnosis and diabetes duration
  • Subgroup analysis by age at diabetes diagnosis and diabetes duration

Primary result

As reported in the abstract

Major macrovascular and microvascular events, by age at diagnosis and diabetes duration

Hazard ratio

0.90

95% CI 0.82–0.98

Intensive glucose loweringvs Less glucose lowering
HR 0.90 (95% CI 0.82–0.98)

Further findings

All-cause death, CV death and components of major vascular events

Similar consistent treatment effects across subgroups

Original publication

Intensive Glucose Lowering and Its Effects on Vascular Events and Death According to Age at Diagnosis and Duration of Diabetes: The ADVANCE Trial. Diabetes Care. Published 11 December 2024. doi:10.2337/dc24-1516

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