Diabetes complications

Disease management, outcomes, and healthcare resource utilization in real-life clinical practice of diabetes and diabetic kidney disease in Finland

Diabetes Res Clin PractPublished Retrospective cohort study

An erratum to this article was published (Diabetes Res Clin Pract, Jul 2026 ↗)

Authors' conclusion

Individuals with diabetes remain neglected for albuminuria screening, pharmacological management of complications, and also glycemic control in T1D, underlining an urgent need for improved awareness and risk management.

Study context

Population
Individuals with T1D or T2D managed since 2008 in Finland
Outcome
Prevalence of diabetes
Follow-up
2021
Methodological detailsreal-life clinical practice, nationwide registry data, Finland
  • Real-life clinical practice
  • Nationwide registry data, Finland

Main finding

As reported in the abstract

Prevalence of diabetes

9.9 %

Observational data: associations, not effects.

Further findings

Annual urine albumin-creatinine ratio (UACR) test adherence

Completed recommended annual UACR test despite averaging 40-50 healthcare contacts per year
one-third
Factors positively associated with UACR test adherence: older age, male sex, T2D, higher HbA1c, municipality, calendar year

HbA1c ≤ 53 mmol/mol

%

T1D
29
T2D
75

SGLT2i use and discontinuation

Prescribed SGLT2i
19 %
Discontinued SGLT2i within a year
one-third
Discontinuation accompanied by a trend towards increased kidney complications and HF

Original publication

Disease management, outcomes, and healthcare resource utilization in real-life clinical practice of diabetes and diabetic kidney disease in Finland. Diabetes Res Clin Pract. Published 21 December 2025. doi:10.1016/j.diabres.2025.113067

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