Type 2 & other diabetes

Cardio-cerebrovascular Outcomes in Maturity Onset Diabetes of the Young (MODY), Type 1 Diabetes, and Type 2 Diabetes: A Prospective Cohort Study

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

MODY diagnosed by genetic analysis represents higher prevalence than the clinical diagnosis in UK Biobank. The risk of incident cardio-cerebrovascular events in MODY ranks between type 1 diabetes and type 2 diabetes.

Study context

Population
Participants with diabetes from UK Biobank; T1D 2.7%, T2D 68.1%, MODY 11.4% of those with diabeteswith diabetes
Participants
26,198 participants
Exposure
T1D, T2D and MODY vs people without diabetes
Outcome
First major adverse cardiovascular event (MACE): acute MI, HF, stroke, unstable angina pectoris, cardio-cerebrovascular-related mortality
Follow-up
Median 13 years

Main finding

As reported in the abstract

MACE

Control

1028

events

Type 1 diabetes

70

events

Type 2 diabetes

5020

events

MODY

717

events

Each group vs controlHazard ratio (95% CI)P value
Type 1 diabetes
2.15(1.69–2.74)
P < 0.05
Type 2 diabetes
7.02(6.56–7.51)
P < 0.05
MODY
5.79(5.26–6.37)
P < 0.05

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
MACE in MODY subgroups: HNF1B-MODY highestHNF1B-MODYvs Control11.00 (5.47–22.00)P = 1.5 × 10-11

Original publication

Cardio-cerebrovascular Outcomes in MODY, Type 1 Diabetes, and Type 2 Diabetes: A Prospective Cohort Study. J Clin Endocrinol Metab. Published 24 April 2023. doi:10.1210/clinem/dgad233

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