Type 1 diabetes

Insulin sensitivity estimates and their longitudinal association with coronary artery disease in type 1 diabetes. Does it matter?

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

In type 1 diabetes, estimated glucose disposal rates are associated with subsequent coronary artery disease, modulated by kidney disease severity. Future research is merited regarding the clinical usefulness of estimating the glucose disposal rate as a coronary artery disease risk factor and potential therapeutic target.

Study context

Population
Adults with T1D in the FinnDiane Study, by baseline kidney status
Participants
3,517 adults
Exposure
Three formulae estimating glucose disposal rate
Outcome
Incidence of coronary artery disease
Follow-up
Median (IQR) 19.3 (14.6, 21.4) years
Methodological detailsFinnDiane Study, longitudinal
  • FinnDiane Study
  • Longitudinal

Main finding

As reported in the abstract

Coronary artery disease event · median 19.3 years

Coronary artery disease event, with higher rates with worsening baseline kidney status

539

15.3%

Observational data: associations, not effects.

Original publication

Insulin sensitivity estimates and their longitudinal association with coronary artery disease in type 1 diabetes. Does it matter? Cardiovasc Diabetol. Published 3 May 2024. doi:10.1186/s12933-024-02234-x

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