Type 2 & other diabetes

Hyperinsulinemia and plasma glucose level independently associated with all-cause and cardiovascular mortality in Chinese people without diabetes—A post-hoc analysis of the 30-year follow-up of Da Qing diabetes and IGT study

Diabetes Res Clin PractPublished Post-hoc analysis of the 30-year follow-up of the Da Qing Diabetes and IGT Study

Authors' conclusion

In this post-hoc study, participants with either high glucose or high insulin were related to increased risk of mortality, implying that strategies targeting eliminating both hyperglycemia and hyperinsulinemia may favor the long-term outcomes.

Study context

Population
Individuals without diabetes in the original Da Qing Diabetes and IGT Study; groups by medians of baseline glucose and insulin
Participants
462 individuals
Comparison
Insulin/glucose groups vs low insulin low glucose
Primary endpoint
All-cause and cardiovascular disease (CVD) death
Follow-up
1986 to 2016
Methodological detailscovariate-adjusted
  • Covariate-adjusted

Primary result

As reported in the abstract

All-cause death · 30-year follow-up
Each group vs G1Hazard ratio (95% CI)
G2
1.65(1.02–2.67)
G3
1.76(1.11–2.81)
G4
2.32(1.45–3.69)

Further findings

OutcomeHR (95% CI)
CVD death · 30-year follow-upG2vs G1Adjusted for covariates2.03 (1.01–4.05)
CVD death · 30-year follow-upG3vs G1Adjusted for covariates1.85 (0.93–3.68)
CVD death · 30-year follow-upG4vs G1Adjusted for covariates2.68 (1.35–5.29)

Original publication

Hyperinsulinemia and plasma glucose level independently associated with all-cause and cardiovascular mortality in Chinese people without diabetes—A post-hoc analysis of the 30-year follow-up of Da Qing diabetes and IGT study. Diabetes Res Clin Pract. Published 5 December 2022. doi:10.1016/j.diabres.2022.110199

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