Type 1 diabetes

Socioeconomic deprivation and cardiometabolic risk factors in individuals with type 1 diabetes: T1D exchange clinic registry

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Persistent SDOH differences could account for a substantial degree of poor achievement of cardiometabolic targets in individuals with T1D. Our results suggest the need for a broader framework to understand the association between T1D and adverse cardiometabolic outcomes.

Study context

Population
Individuals with T1D aged 13–90 years (mean 29.2 ± 17), T1D Exchange clinic registry, 6,320 zip code tabulation areas (2007–2017)
Participants
18,754 individuals
Exposure
Highest vs lower social deprivation
Outcome
Cardiometabolic risk factors (HbA1c, low-density lipoprotein, blood pressure, BMI, physical activity)
Methodological detailsregistry-based, multivariable and logistic regression
  • Registry-based
  • Multivariable and logistic regression

Main finding

As reported in the abstract

Association of SDI with cardiometabolic risk factors

Odds of triple concomitant risk burden (poor glycemia, dyslipidemia, hypertension), highest socially deprived areas, unadjusted

1.69

Odds of triple concomitant risk burden (poor glycemia, dyslipidemia, hypertension), highest socially deprived areas, adjusted

1.78

Observational data: associations, not effects.

Original publication

Socioeconomic deprivation and cardiometabolic risk factors in individuals with type 1 diabetes: T1D exchange clinic registry. Diabetes Res Clin Pract. Published 10 December 2022. doi:10.1016/j.diabres.2022.110198

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