Type 1 diabetes

Evaluation of cardiovascular risk according to the 2019 ESC/EASD guidelines in type 1 diabetes mellitus patients: A population-based survey study

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

This was the largest cross-sectional screening study to assess the CVD risk in T1DM patients in mainland China. The CVD risk among Chinese DM patients has reached a critical level which may necessitate the comprehensive strategies for the control and management of CV-related risk factors, such as blood pressure, BMI, and lipids in DM patients, to effectively reduce the incidence of CVD events and death.

Study context

Population
Outpatients with T1D, 1,669 hospitals in mainland China, 2020–2022
Participants
38,260 outpatients1,669 hospitals
Outcome
Proportion of T1D patients at very high CVD risk per 2019 ESC/EASD guidelines
Methodological detailspopulation-based, screening, multicentre
  • Population-based
  • Screening
  • Multicentre

Main finding

As reported in the abstract

Very high CVD risk

T1D patients at very high CV risk

54.81 %

Observational data: associations, not effects.

Further findings

Very high cardiovascular disease (CVD) risk by region

%

Northeast
72.70
Southwest
69.99
Central
54.41
Southern (lowest)
47.03

Very high CVD risk by age

<35 years
33.61 %
35–65 years
59.57 %
>65 years
70.80 %
Increase with age and body mass index (BMI)
P < 0.0001

Very high CVD risk by sex and smoking

Increased proportion in males and smokers
P < 0.0001

Original publication

Evaluation of cardiovascular risk according to the 2019 ESC/EASD guidelines in type 1 diabetes mellitus patients: A population-based survey study. Diabetes Res Clin Pract. Published 12 May 2025. doi:10.1016/j.diabres.2025.112245

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