Type 2 & other diabetes

Sex Hormones and Cardiovascular Risk in Type 2 Diabetes: Cohort Study of the Look AHEAD Trial

Diabetes CarePublished Prospective cohort study

Authors' conclusion

In men with T2D, but not women with T2D, sex hormones were associated with CV events.

Study context

Population
Adults with T2D in the Look AHEAD trial (lifestyle intervention)488 cardiovascular (CV) events
Participants
2,260 adults
Exposure
Sex-specific tertiles of baseline sex hormones and sex hormone binding globulin (SHBG) and their 1-year changes
Outcome
CV events
Methodological detailscohort of the Look AHEAD trial, sex-specific tertiles
  • Cohort of the Look AHEAD trial
  • Sex-specific tertiles

Main finding

As reported in the abstract

Men: higher baseline total testosterone, HR (95% CI 0.56-0.97); lower CV risk

0.74

Men with ≥7% weight loss: SHBG increases, HR (95% CI 0.26-0.85); inversely associated with CV risk

0.47

Men with <7% weight loss: second vs first estradiol tertile, HR

1.64

95% CI 1.13–2.38

Men with <7% weight loss: third vs first estradiol tertile, HR

1.88

95% CI 1.29–2.73

Observational data: associations, not effects.

Original publication

Sex Hormones and Cardiovascular Risk in Type 2 Diabetes: Cohort Study of the Look AHEAD Trial. Diabetes Care. Published 26 January 2026. doi:10.2337/dc25-2465

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

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