Type 2 & other diabetes

Educational inequalities in clinical presentation and pharmacological treatment of early type 2 diabetes: A Danish prevalence study

Diabetes Res Clin PractPublished Cross-sectional study

Main finding · ObesityResult — go to the resultAdjusted prevalence ratio 1.20 95 % CI 1.14–1.28

Authors' conclusion

Awareness of the impact of social and educational determinants on T2D presentation at diagnosis is essential to improve treatment and prognosis.

Study context

Population
Individuals with recently diagnosed T2D enrolled in the Danish prospective DD2 cohort
Participants
10,020 individuals
Exposure
Low vs moderate vs high educational level
Outcome
Obesity
Follow-up
At T2D diagnosis
Methodological detailsprevalence study, analysis within the Danish prospective DD2 cohort
  • Prevalence study
  • Analysis within the Danish prospective DD2 cohort

Main finding

As reported in the abstract

Adjusted prevalence ratio

1.20

95 % CI 1.14–1.28

By group

Lowvs High
aPR 1.20 (95 % CI 1.14–1.28)

Observational data: associations, not effects.

Further findings

Distribution of educational level

%

OutcomeLowModerateHighEstimate
Current smokersLowvs High22— not stated in the abstract15aPR 1.53 (CI 1.32–1.76)
Sedentary activity levelLowvs High21— not stated in the abstract15aPR 1.36 (CI 1.20–1.55)
Cardiovascular complicationsLowvs High23— not stated in the abstract17PR 1.30 (CI 1.16–1.46)
Microvascular complicationsLowvs High16— not stated in the abstract13aPR 1.18 (CI 1.02–1.35)

— not stated in the abstract

Metabolic and clinical measures

Low education associated with higher TG, more insulin resistance and poorer kidney function
HbA1c, blood pressure and LDL-C were identical

Pharmacological treatment

Use of medications with cardiovascular benefits and newer organ-protective diabetes medications similar to, or higher than, with high education

Original publication

Educational inequalities in clinical presentation and pharmacological treatment of early type 2 diabetes: A Danish prevalence study. Diabetes Res Clin Pract. Published 15 May 2025. doi:10.1016/j.diabres.2025.112231

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