Type 2 & other diabetes

Burden of vascular risk factors by age, sex, ethnicity and deprivation in young adults with and without newly diagnosed type 2 diabetes

Diabetes Res Clin PractPublished Matched cohort study

Authors' conclusion

The increased vascular risk phenotype associated with an earlier age of diagnosis of type 2 diabetes was consistent across ethnic and deprivation groups. Population-based strategies are needed to address the risk associated with early-onset type 2 diabetes, especially weight-management-based strategies.

Study context

Population
Individuals aged 16–50 years, Clinical Practice Research Datalink; 45.6% women among those with T2Dmatched cohort
Participants
108,061 vs 829,946
Exposure
Newly diagnosed T2D vs no T2D
  • T2Dn = 108,061
  • Controlsn = 829,946reference
Outcome
Differences in BMI, obesity, LDL-C, HbA1c and hypertension between individuals with vs without T2D across sex, age, ethnicity and deprivation quintiles
Methodological detailspopulation-based, matched on sex, age and primary care practice (∼10 controls per case)
  • Population-based
  • Matched on sex, age and primary care practice (∼10 controls per case)

Main finding

As reported in the abstract

Vascular risk factors (T2D vs controls)
  • BMI, obesity, LDL-C and hypertension were higher in individuals with vs without T2D
  • Across both sexes, all ethnic groups and deprivation quintiles, differences were larger with an earlier age, particularly for BMI and obesity
  • Association between age and HbA1c was variable across subgroups
  • Differences in BMI, obesity and hypertension were largest in White individuals and with less deprivation

Observational data: associations, not effects.

Original publication

Burden of vascular risk factors by age, sex, ethnicity and deprivation in young adults with and without newly diagnosed type 2 diabetes. Diabetes Res Clin Pract. Published 10 January 2025. doi:10.1016/j.diabres.2025.112002

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