Type 2 & other diabetes

Association of COVID-19 Infection With Incident Diabetes

JAMA Netw OpenPublished Population-based cohort study

An erratum to this article was published (JAMA Netw Open, 1 May 2023 ↗)

Main finding · Incident diabetesResult — go to the resultHazard ratio 1.17 95% CI 1.06–1.28

Authors' conclusion

In this cohort study, SARS-CoV-2 infection was associated with a higher risk of diabetes and may have contributed to a 3% to 5% excess burden of diabetes at a population level.

Study context

Population
Individuals tested for SARS-CoV-2 by reverse transcription-polymerase chain reaction (RT-PCR), British Columbia COVID-19 Cohort, Canada, Jan 2020–Dec 2021; median age 32 years, 51.2% femalematched cohort
Participants
629,935 individuals
Exposure
SARS-CoV-2 positive vs negative
  • Exposedn = 125,987
  • Unexposedn = 503,948reference
Outcome
Incident diabetes (insulin dependent or not) identified >30 days after SARS-CoV-2 test specimen collection, by validated algorithm
Follow-up
Median 257 (IQR 102-356) days
Methodological detailsmatched 1:4 on sex, age and RT-PCR collection date
  • Matched 1:4 on sex, age and RT-PCR collection date

Main finding

Incident diabetes · median (IQR) follow-up 257 (102-356) days

Hazard ratio

1.17

95% CI 1.06–1.28

Events by group

Exposedvs Unexposed
HR 1.17 (95% CI 1.06–1.28)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeEstimate
Incident diabetes among malesMalesaHR 1.22 (95% CI 1.06–1.40)
Incident diabetes by severity: ICU admissionvs no COVID-19HR 3.29 (95% CI 1.98–5.48)
Incident diabetes by severity: hospital admissionvs no COVID-19HR 2.42 (95% CI 1.87–3.15)

Fraction of incident diabetes attributable to SARS-CoV-2 infection

Overall
3.41% (95% CI, 1.20%-5.61%)
Males
4.75% (95% CI, 1.30%-8.20%)

Original publication

Association of COVID-19 Infection With Incident Diabetes. JAMA Netw Open. Published 3 April 2023. doi:10.1001/jamanetworkopen.2023.8866

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