Type 2 & other diabetes

Cardiometabolic profile and cardiorenal complications across BMI categories in type 2 diabetes: A nationwide real-world analysis of over 500,000 patients

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

In this large real-world T2D cohort, the lower crude prevalence of cardiovascular complications in patients with obesity was partly explained by confounding factors. Obesity was associated with a higher prevalence of CKD and HF

Study context

Population
Adults with T2D attending 296 Italian diabetes centers in 2023
Participants
519,005 adults296 centers
Exposure
BMI categories
Outcome
Association between BMI category and coronary artery disease, HF, cerebrovascular disease, peripheral artery disease and CKD
Methodological detailsnationwide, multicentre, real-world
  • Nationwide
  • Multicentre
  • Real-world

Main finding

As reported in the abstract

Cardiorenal complications by BMI category (adjusted)

Prevalence ratio

1.13

P < 0.001

Chronic kidney disease (CKD), after adjustment

Prevalence ratio

1.41

P < 0.001

Heart failure (HF), after adjustment

Observational data: associations, not effects.

Further findings

Prevalence of BMI categories · 2023

Clinical profile across BMI categories

Despite similar HbA1c levels, cardiometabolic risk factors progressively worsened across BMI categories
Patients with obesity were younger, with shorter diabetes duration and lower crude rates of most cardiovascular complications

Original publication

Cardiometabolic profile and cardiorenal complications across BMI categories in type 2 diabetes: A nationwide real-world analysis of over 500,000 patients. Diabetes Res Clin Pract. Published 29 July 2026. doi:10.1016/j.diabres.2026.113467

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

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