Diabetes complications

Ethnic differences in risk of renal disease progression amongst young-onset type 2 diabetes in New Zealand

Diabetes Res Clin PractPublished Secondary analysis of a primary care cohort study

Authors' conclusion

Pacific and Māori with young-onset type 2 diabetes face a disproportionately higher DKD risk.

Study context

Population
Young adults 18–40 years with young-onset T2D in a New Zealand (NZ) primary care cohort (1994–2018); 46 % Pacific, 31 % Māori, 23 % NZ European; 54 % female; mean age 33.9 ± 4.9 years; mean BMI 38.0 ± 8.7 kg/m²; diabetes duration 1.7 years
Participants
2,184 adults
Comparison
Pacific people and Māori vs NZ European
Primary endpoint
Elevated DKD risk, classified using Urine Albumin-Creatinine Ratio (UACR) and Estimated Glomerular Filtration Rate (eGFR), with hyperfiltration (eGFR ≥ 120 mL/min/1.73 m²) as an early marker

Primary result

As reported in the abstract

Elevated DKD risk
Estimate (95 % CI)P value
Pacificvs NZEp for difference across ethnic groups
aOR 1.96(1.50–2.57)
P < 0.001
Māorivs NZE
aOR 1.41(1.06–1.87)
Māorivs Pacificless risk with Māori
OR 0.72(0.58–0.89)

Further findings

Independent predictors of Diabetic Kidney Disease (DKD) risk

Independent predictors: ethnicity, TG-HDL ratio, systolic blood pressure, antihypertensive use and HbA1c
BMI was not significant

Original publication

Ethnic differences in risk of renal disease progression amongst young-onset type 2 diabetes in New Zealand. Diabetes Res Clin Pract. Published 24 November 2025. doi:10.1016/j.diabres.2025.113018

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