Type 1 diabetes

Early increase in carotid intima-media thickness in women with childhood-onset type 1 diabetes compared with healthy peers: the Norwegian Atherosclerosis and Childhood Diabetes study

BMJ Open Diabetes Res CarePublished Prospective population-based cohort study

Main finding · Mean cIMT increase in young women, T1D vs controlsResult — go to the result∆ 0.019 mm CI 0.001–0.035

Authors' conclusion

Young women with childhood-onset type 1 diabetes of relatively short diabetes duration had a higher mean cIMT over a 10-year period compared with their healthy female controls, with values similar to males.

Study context

Population
Individuals with childhood-onset T1D and healthy controls; Norwegian Childhood Diabetes Registry data for traditional risk factors
Participants
329 vs 173
Exposure
Childhood-onset T1D vs healthy controls
  • Type 1 diabetesn = 329
  • Controlsn = 173reference
Outcome
Carotid intima-media thickness (cIMT)
Follow-up
Baseline, 5 and 10 years
Methodological detailsfollow-up every fifth year
  • Follow-up every fifth year

Main finding

As reported in the abstract

Mean cIMT increase in young women, T1D vs controls · 10-year period

∆

0.019 mm

CI 0.001–0.035

P = 0.035

Observational data: associations, not effects.

Further findings

Characteristics of T1D group at 10-year follow-up (baseline)

Mean age, years (baseline 13.7±2.8)
24.2±2.9
Diabetes duration, years (baseline 5.4±3.3)
15.6±3.4
HbA1c (baseline 8.4±3.4% (68±13 mmol/mol))
8.2±3.6% (66±16 mmol/mol)

Risk factors vs controls, by sex

Women with T1D: significantly higher mean weight, BMI, waist circumference, diastolic blood pressure (DBP), LDL-C and apolipoprotein B
Men with T1D: significantly higher mean DBP and urinary albumin-creatinine ratio

Association of carotid intima-media thickness (cIMT) change with HbA1c or LDL-C burden

Mean cIMT change not associated with long-term HbA1c or LDL-C burden in childhood and adolescence

Original publication

Early increase in carotid intima-media thickness in women with childhood-onset type 1 diabetes compared with healthy peers: the Norwegian Atherosclerosis and Childhood Diabetes study. BMJ Open Diabetes Res Care. Published 16 February 2025. doi:10.1136/bmjdrc-2024-004505

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