Type 2 & other diabetes

Impact of TCF7L2 rs7903146 on clinical presentation and risk of complications in patients with type 2 diabetes

Diabetes Obes MetabPublished Cohort study

Authors' conclusion

The TCF7L2 variant is associated with less obesity, lower insulin secretion and higher insulin action at diabetes onset, and decreased risk of cardiovascular events following type 2 diabetes onset.

Study context

Population
Individuals with T2D at diagnosis
Participants
9,231 individuals
Exposure
Per rs7903146 T-allele
Outcome
Clinical characteristics at diabetes onset, per T-allele
Follow-up
Diagnosis
Methodological details10-year follow-up, per-allele analysis, adjusted for sex, calendar year at birth, age at enrollment and diabetes duration
  • 10-year follow-up
  • Per-allele analysis
  • Adjusted for sex, calendar year at birth, age at enrollment and diabetes duration

Main finding

As reported in the abstract

Lower BMI, kg/m²

0.6

95% CI 0.4, 0.8

Smaller waist circumference, cm

1.4

95% CI 1.0, 1.8

Lower insulin secretion

5.6%

95% CI 4.2, 7.0

Higher insulin sensitivity

5.0%

95% CI 3.3, 6.7

Observational data: associations, not effects.

Further findings

Complication risk post-diagnosis, per T-allele (Cox regression) · 10 years

MACE
0.87 (95% CI 0.79, 0.95)
MI
0.82 (95% CI 0.72, 0.93)
HF
0.85 (95% CI 0.73, 1.00)
No significant impact on microvascular complications

Original publication

Impact of TCF7L2 rs7903146 on clinical presentation and risk of complications in patients with type 2 diabetes. Diabetes Obes Metab. Published 8 January 2025. doi:10.1111/dom.16193

Composed by AI from the published abstract and checked against it. How Briefs are made →

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