Type 2 & other diabetes

Association between age at diagnosis of type 2 diabetes and cardiovascular morbidity and mortality risks: A nationwide population-based study

Diabetes Res Clin PractPublished Population-based cohort study

Authors' conclusion

In this population-based cohort study, a younger age at diagnosis of type 2 diabetes was associated with a higher relative risk of mortality and CVD outcomes. Therefore, primary prevention of type 2 diabetes is desirable at all ages but is particularly important at younger ages.

Study context

Population
Patients with newly diagnosed T2D between January 1, 2012, and December 31, 2014, Korean population cohort, with nondiabetic matched controlsT2D patients
Participants
634,350 patients
Exposure
T2D diagnosed at ≤40 years vs nondiabetic matched controls
Outcome
Total mortality, HF hospitalization and coronary heart disease by age at diagnosis
Follow-up
5.7 years
Methodological detailsnationwide, matched controls 1:2, Followed until the end of 2019 for CVD outcomes and mortality
  • Nationwide
  • Matched controls 1:2
  • Followed until the end of 2019 for CVD outcomes and mortality

Main finding

As reported in the abstract

Each group vs controlsEstimate (95 % CI)
T2D diagnosed ≤40 years
aHR (total mortality) 6.08(5.51–6.70)
T2D diagnosed ≤40 years
aHR (hospitalization for HF) 7.10(6.66–7.58)
T2D diagnosed ≤40 years
aHR (coronary heart disease) 5.04(4.86–5.24)

Observational data: associations, not effects.

Original publication

Association between age at diagnosis of type 2 diabetes and cardiovascular morbidity and mortality risks: A nationwide population-based study. Diabetes Res Clin Pract. Published 17 January 2024. doi:10.1016/j.diabres.2024.111098

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