Type 2 & other diabetes

The association of glycaemic risk factors and diabetes duration with risk of heart failure in people with type 2 diabetes: A systematic review and meta‐analysis

Diabetes Obes MetabPublished Systematic review and meta-analysis of longitudinal studies

Authors' conclusion

Glycaemic risk factors and diabetes duration significantly contribute to the heightened risk of HF among individuals with T2D. A reduction in risk of HF is anticipated with better management of glycaemic risk factors.

Study context

Population
Individuals with T2D
Participants
4,102,589 individuals40 studies
Comparison
Glycaemic risk factors and diabetes duration vs risk of heart failure (HF)
Outcome
Risk of HF
Methodological detailsrandom-effects model, modified Newcastle-Ottawa Scale risk of bias, Egger's test and trim-and-fill for publication bias, All included studies scored high in the risk of bias assessment
  • Random-effects model
  • Modified Newcastle-Ottawa Scale risk of bias
  • Egger's test and trim-and-fill for publication bias
  • All included studies scored high in the risk of bias assessment

Pooled result

As reported in the abstract

Increase in HF risk per percentage point increase in HbA1c (significant)

15%

Increase in HF risk per additional year of diabetes duration (significant)

2%

Increase in HF risk with history of severe hypoglycaemia (significant)

43%

Increase in HF risk per unit increase in HbA1c variability metrics (HbA1c SD, CV, average successive variability)

20%-26%

Further pooled results

Egger's test suggested publication bias; trim-and-fill: significant increase in HF risk per percentage point increase in HbA1c
14%

Original publication

The association of glycaemic risk factors and diabetes duration with risk of heart failure in people with type 2 diabetes: A systematic review and meta‐analysis. Diabetes Obes Metab. Published 13 September 2024. doi:10.1111/dom.15938

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.