Type 2 & other diabetes

Identification of pre-diabetes subphenotypes for type 2 diabetes, related vascular complications and mortality

BMJ Open Diabetes Res CarePublished Retrospective cohort study

Authors' conclusion

Our pre-diabetes phenotyping approach effectively provides valuable insights into the risk of type 2 diabetes, vascular complications and mortality in individuals with pre-diabetes. Those with high-risk phenotypes should be prioritized for type 2 diabetes and cardiovascular interventions to mitigate risks.

Study context

Population
Adults without T2D with baseline HbA1c and fasting plasma glucose (FPG), Siriraj Hospital, Bangkok, Thailand; mean age 60.1±10.1 years, 54.6% female; clustered on age, BMI, FPG, HbA1c, HDL-C and alanine aminotransferase
Participants
4,915 adults
Exposure
Six pre-diabetes subphenotype clusters
  • Cluster 1n = 650reference
  • Cluster 2n = 791
  • Cluster 3n = 1,127
  • Cluster 4n = 963
  • Cluster 5n = 337
  • Cluster 6n = 1,042
Outcome
Incidence of T2D, long-term vascular complications and mortality across subphenotypes
Follow-up
Median 8.8 years
Methodological detailsk-means clustering, single-centre
  • K-means clustering
  • Single-centre

Main finding

As reported in the abstract

Incidence of T2D, vascular complications and mortality by pre-diabetes cluster
  • Diabetes risk subgroups: low risk (clusters 1 and 4) and high risk (clusters 3 and 5)
  • Cox regression adjusted for sex, statin use and hypertension status

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Identification of pre-diabetes subphenotypes for type 2 diabetes, related vascular complications and mortality. BMJ Open Diabetes Res Care. Published 9 June 2025. doi:10.1136/bmjdrc-2024-004803

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