Type 2 & other diabetes

Incidence of T2DM and the role of baseline glycaemic status as a determinant in a metropolitan population in northern Madrid (Spain)

Diabetes Res Clin PractPublished Population-based cohort study

Authors' conclusion

Our incidence of T2DM is consistent with that reported elsewhere in Spain. While baseline iIGT and IFG-IGT behaved a primary effect for progression to T2DM, iIFG showed a trend in this direction.

Study context

Population
Adult population of Madrid (northern Madrid metropolitan population), Spain659 pre-T2D
Participants
1,219 participants
Exposure
Pre-T2D categories vs normoglycaemia
  • Normoglycaemian = 560reference
  • iIFGn = 418
  • iIGTn = 70
  • IFG-IGTn = 171
Outcome
Incidence of T2D (defined by FPG or HbA1c or use of glucose-lowering medication) and effect of baseline pre-T2D on progression to T2D
Follow-up
7.26 years
Methodological detailsCox model with normoglycaemia as reference category
  • Cox model with normoglycaemia as reference category

Main finding

As reported in the abstract

Incident T2D

Normoglycaemic

5.60

CI 3.55–8.41 · per 1000 person-years

Adjusted for potential confounding factors
Hazard ratio (95% CI)
iIGTvs Normoglycaemic
3.96(1.93–8.10)
IFG-IGTvs Normoglycaemic
3.42(1.92–6.08)
iIFGvs Normoglycaemic
1.67(0.96–2.90)
Unadjusted T2D incidence, whole population (per 1000 person-years)
11.21 (95 %CI, 9.09-13.68)
Unadjusted T2D incidence, all pre-T2D participants (per 1000 person-years)
16.28 (12.78-20.43)

Observational data: associations, not effects.

Further findings

Obesity and incident T2D

HR for obesity
2.50 [1.30-4.86]

Original publication

Incidence of T2DM and the role of baseline glycaemic status as a determinant in a metropolitan population in northern Madrid (Spain). Diabetes Res Clin Pract. Published 1 February 2024. doi:10.1016/j.diabres.2024.111119

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