Type 2 & other diabetes

Association of urinary albumin-to-creatinine ratio with cardiometabolic risk markers and pre-diabetes in adults with normoglycemia, normoalbuminuria, and normotension with parental type 2 diabetes

BMJ Open Diabetes Res CarePublished Post hoc analysis of the Pathobiology of Prediabetes in a Biracial Cohort (POP-ABC) prospective cohort study

Authors' conclusion

Baseline uACR levels were associated with cardiometabolic risk markers and incident pre-diabetes risk among adults with normoglycemia, normoalbuminuria and normotension with parental diabetes.

Study context

Population
Healthy, initially normoglycemic, normotensive, normoalbuminuric African American and European American adults with parental T2D (POP-ABC Study)
Participants
308 participants
Comparison
Baseline urinary albumin-to-creatinine ratio (uACR) quartiles in relation to incident pre-diabetes
Primary endpoint
Incident pre-diabetes
Follow-up
Up to 5.5 years (mean 2.62 years)
Methodological detailsbiracial cohort, quarterly follow-up
  • Biracial cohort
  • Quarterly follow-up

Primary result

As reported in the abstract

5.5 years of follow-up

Developed pre-diabetes

104 participants

Maintained normoglycemia

204 participants

Association of baseline uACR quartiles with incident pre-diabetes

r=0.19

p=0.0011

Further findings

African American (AA) vs European American (EA)

Baseline uACR, AA vs EA · similar

P = 0.52

Women vs Men

Baseline uACR, women vs men · higher in women

P < 0.0001

Baseline uACR and cardiometabolic risk factors

Significant associations with age, insulin sensitivity, HDL-C and adiponectin
P = 0.03-0.004

Original publication

Association of urinary albumin-to-creatinine ratio with cardiometabolic risk markers and pre-diabetes in adults with normoglycemia, normoalbuminuria, and normotension with parental type 2 diabetes. BMJ Open Diabetes Res Care. Published 17 January 2024. doi:10.1136/bmjdrc-2023-003609

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