Type 2 & other diabetes

Coeliac disease and type 2 diabetes risk: a nationwide matched cohort and Mendelian randomisation study

DiabetologiaPublished Nationwide matched cohort study and Mendelian randomisation study

Main finding · Incident T2DResult — go to the resultHazard ratio 1.00 95% CI 0.97–1.03

Authors' conclusion

Coeliac disease was not associated with type 2 diabetes risk.

Study context

Population
Swedish ESPRESSO cohort, followed up from 1969 to 2021matched cohort
Participants
46,150 vs 219,763
Exposure
Coeliac disease vs matched comparator individuals from the general population
  • Coeliac diseasen = 46,150
  • Comparatorn = 219,763reference
Outcome
Incident T2D
Follow-up
Median 15.7 years'

Main finding

As reported in the abstract

Hazard ratio

1.00

95% CI 0.97–1.03

Events by group

Coeliac diseasevs Comparator
HR 1.00 (95% CI 0.97–1.03)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
T2D risk: persistent villous atrophyvs mucosal healing (second biopsy, n=9053)1.02 (0.90–1.16)

Mendelian randomisation: genetic liability to coeliac disease and T2D (DIAGRAM)

OR (95% CI)
Genetic liability to coeliac diseaseDIAGRAM, 80,154 cases1.01 (0.99–1.03)

Mendelian randomisation: genetic liability to coeliac disease and T2D (FinnGen)

OR (95% CI)
Genetic liability to coeliac diseaseFinnGen, 42,593 cases1.01 (0.99–1.04)

Original publication

Coeliac disease and type 2 diabetes risk: a nationwide matched cohort and Mendelian randomisation study. Diabetologia. Published 21 May 2024. doi:10.1007/s00125-024-06175-8

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