Educational inequalities in clinical presentation and pharmacological treatment of early type 2 diabetes: A Danish prevalence study
Main finding · ObesityResult — go to the resultAdjusted prevalence ratio 1.20 95 % CI 1.14–1.28Authors' 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
%
| Outcome | Low | Moderate | High | Estimate | |
|---|---|---|---|---|---|
| Current smokersLowvs High | 22 | — not stated in the abstract | 15 | aPR 1.53 (CI 1.32–1.76) | |
| Sedentary activity levelLowvs High | 21 | — not stated in the abstract | 15 | aPR 1.36 (CI 1.20–1.55) | |
| Cardiovascular complicationsLowvs High | 23 | — not stated in the abstract | 17 | PR 1.30 (CI 1.16–1.46) | |
| Microvascular complicationsLowvs High | 16 | — not stated in the abstract | 13 | aPR 1.18 (CI 1.02–1.35) | |
| 0.512Ratio (log scale) |
— 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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