Excess mortality in type 1 diabetes patients in Belgium: A population based study
Authors' conclusion
Although our analysis showed a significantly lower excess mortality rate in T1D compared with older studies, a moderately increased excess risk of mortality is still shown. Given the continuous advances in diabetes treatment, it is important to perform further analyses to reassess the excess risk of mortality and to monitor this positive trend.
Study context
- Population
- Adult patients with T1D living and receiving treatment in Belgium, enrolled in the multidisciplinary care programme for diabetes self-management, 2017–2021
- Participants
- 144,960 patient-years
- Exposure
- Adults with T1D vs general population
- Outcome
- Excess mortality and life expectancy vs the general population
Methodological detailsComorbidities identified by proxies based on health and/or medication use
- Comorbidities identified by proxies based on health and/or medication use
Main finding
As reported in the abstract
Standardised mortality rate · 2017-2021
Standard mortality rate
1.21 (1.19;1.23) (95% CI)
Excess mortality rate
3.2 deaths per 1000 PY
Observational data: associations, not effects.
Further findings
Comorbidities
- Renal insufficiency appeared to be the only comorbidity with a discernible effect on younger age groups
Original publication
Excess mortality in type 1 diabetes patients in Belgium: A population based study. Diabetes Res Clin Pract. Published 21 August 2025. doi:10. 1016/ j. diabres. 2025. 112426
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