Type 2 & other diabetes

Ethnic differences in the manifestation of early-onset type 2 diabetes

BMJ Open Diabetes Res CarePublished Cross-sectional study

Authors' conclusion

These differences in the manifestation of early-onset T2D underscore the need for ethnic-specific and population-specific therapeutic and preventive approaches for the condition.

Study context

Population
Adults with recently diagnosed islet autoantibody-negative T2D: 500 Ugandans (Uganda Diabetes Phenotype study) and 714 white Europeans (UK StartRight study)500 Ugandans, 714 white Europeans
Exposure
Early-onset T2D vs late-onset T2D, in Ugandans and in white Europeans
  • Early-onset T2D (white Europeans)n = 113
  • Early-onset T2D (Ugandans)n = 134
Outcome
Phenotypic characteristics, early-onset (<40 years) vs late-onset (≥40 years) T2D
Methodological detailstwo cohorts: Uganda Diabetes Phenotype study and UK StartRight study
  • Two cohorts: Uganda Diabetes Phenotype study and UK StartRight study

Main finding

As reported in the abstract

  • Early-onset T2D (white Europeans) vs Late-onset T2D (white Europeans): P = 0.01
  • Early-onset T2D (white Europeans) vs Late-onset T2D (white Europeans): P < 0.001
  • Early-onset T2D (white Europeans) vs Late-onset T2D (white Europeans): P = 0.06
  • Early-onset T2D (white Europeans) vs Late-onset T2D (white Europeans): P < 0.001
  • Early-onset T2D (white Europeans) vs Late-onset T2D (white Europeans): P = 0.62
  • Early-onset T2D (Ugandans) vs Late-onset T2D (Ugandans): P = 0.006
  • Early-onset T2D (Ugandans) vs Late-onset T2D (Ugandans): P < 0.001
  • Early-onset T2D (Ugandans) vs Late-onset T2D (Ugandans): P = 0.32
  • Early-onset T2D (Ugandans) vs Late-onset T2D (Ugandans): P = 0.29

Observational data: associations, not effects.

Original publication

Ethnic differences in the manifestation of early-onset type 2 diabetes. BMJ Open Diabetes Res Care. Published 29 August 2024. doi:10.1136/bmjdrc-2024-004174

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