Type 2 & other diabetes

Longer time in blood pressure target range improves cardiovascular outcomes among patients with Type 2 diabetes: A secondary analysis of a randomized clinical trial

Diabetes Res Clin PractPublished Secondary analysis of the ACCORD randomised trial

Primary result · MACEResult — go to the resultHazard ratio 0.54 95 % CI 0.43–0.67

Authors' conclusion

Longer TIR is associated with lower cardiovascular risk and may add value as an outcome measure for hypertension control studies among patients with diabetes.

Study context

Population
Patients with T2D in the ACCORD trial
Comparison
Higher TIR vs TIR 0-22.9 %
Primary endpoint
MACE
Methodological detailspost hoc analysis
  • Post hoc analysis

Primary result

As reported in the abstract

Hazard ratio

0.54

95 % CI 0.43–0.67

TIR 61.9-100.0 %vs TIR 0-22.9 %
HR 0.54 (95 % CI 0.43–0.67)

Further findings

OutcomeHR (CI)
Stroke0.19 (0.10–0.36)
MI0.67 (0.51–0.89)
HF0.47 (0.33–0.66)
Cardiovascular death0.63 (0.42–0.93)
All-cause mortality0.70 (0.54–0.91)

Shape and independence of TIR–major adverse cardiovascular events (MACE) association

Curvilinear association of TIR with MACE, independent of baseline, final SBP, mean SBP or visit-to-visit SBP variability

Original publication

Longer time in blood pressure target range improves cardiovascular outcomes among patients with Type 2 diabetes: A secondary analysis of a randomized clinical trial. Diabetes Res Clin Pract. Published 27 February 2023. doi:10.1016/j.diabres.2023.110600

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.