Diabetes complications

Type 1 diabetes and risk of heart failure: A systematic review and meta-analysis

Diabetes Res Clin PractPublished Systematic review and meta-analysis

Pooled result · HF incidenceResult — go to the resultAdjusted relative risk 3.4 95% CI 2.71–4.26

Authors' conclusion

Individuals with T1DM had a substantially higher risk of HF compared to those without diabetes.

Study context

Population
Studies in PubMed and EMBASE reporting heart failure (HF) incidence and adjusted relative risk (aRR) in T1D, T2D and non-diabetic controls; pooled mean ages 40, 65 and 57 years; men 56%, 54% and 55%4 studies
Participants
61,885 / 248,021 / 4,599,213
Comparison
T1D vs non-diabetic controls
  • T1DMn = 61,885
  • T2DMn = 248,021
  • Controlsn = 4,599,213reference
Outcome
HF incidence rate and adjusted relative risk of HF
Follow-up
1 to 12 years

Pooled result

HF incidence

Adjusted relative risk

3.4

95% CI 2.71–4.26

Events by group

T1DM

5.8 per 1000 person-years

1378 of 61,885

T2DM

10.0 per 1000 person-years

3993 of 248,021

Controls

2.3 per 1000 person-years

18,945 of 4,599,213

T1DMvs Controls
aRR 3.4 (95% CI 2.71–4.26)

As reported in the abstract

Further pooled results

OutcomeaRR (95% CI)
HF risk T1Dvs controls, womenWomen4.9 (4.1–5.9)
HF risk T1Dvs controls, menMen3.0 (2.2–4.0)

Original publication

Type 1 diabetes and risk of heart failure: A systematic review and meta-analysis. Diabetes Res Clin Pract. Published 24 June 2023. doi:10.1016/j.diabres.2023.110805

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