Type 2 & other diabetes

Risk factor control and incident cardiovascular disease in patients with diabetes: Sex‐specific relations

Diabetes Obes MetabPublished Matched cohort study

Authors' conclusion

Our findings highlighted the importance of raising awareness of sex differences in the management of CVD risk factors among patients with diabetes.

Study context

Population
UK Biobank participants with diabetes and matched non-diabetes controls; risk factors: HbA1c <53 mol/mol (7%), BP <140/90 mm/Hg, LDL-C <100 mg/dl, non-current smoking, absence of microalbuminuriamatched cohort
Participants
17,260 vs 86,300
Exposure
Number of risk factors within target range in patients with diabetes vs non-diabetes controls, by sex
  • Diabetesn = 17,260
  • Non-diabetes controlsn = 86,300reference
Outcome
Incident CVD
Follow-up
Median 13.3 years
Methodological detailsUK Biobank, matched on age, sex and assessment centre
  • UK Biobank
  • Matched on age, sex and assessment centre

Main finding

As reported in the abstract

Incident CVD by number of risk factors within target range
Incident cardiovascular diseases (CVD) cases (incl. 2807 ischaemic heart disease and 793 strokes)
3338

Observational data: associations, not effects.

Further findings

Relative importance of risk factors by sex

Clinical biomarkers (e.g. HbA1c, BP) showed greater relative importance than other factors in women; socio-economic and psychological factors (e.g. education, depression) similar relative importance to clinical biomarkers in men with diabetes

Original publication

Risk factor control and incident cardiovascular disease in patients with diabetes: Sex‐specific relations. Diabetes Obes Metab. Published 16 January 2024. doi:10.1111/dom.15443

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