Type 2 & other diabetes

Type 2 diabetes genetic risk and incident diabetes across diabetes risk enhancers

Diabetes Obes MetabPublished Secondary analysis of the FOURIER randomised trial

Primary result · Incident T2DResult — go to the resultHazard ratio 1.43 95% CI 1.20–1.70

Authors' conclusion

The T2D polygenic score serves as an independent predictor of incident diabetes, particularly among individuals with lower distribution of traditional risk factors.

Study context

Population
Participants with stable atherosclerotic CVD and LDL-C ≥70 mg/dL (1.8 mmol/L) on statin therapy in the FOURIER trial (evolocumab vs placebo); mean age 63 ± 9 years, 22.7% women
Participants
9,388 participants
Comparison
High vs low to intermediate T2D genetic risk
Primary endpoint
Incident diabetes (centrally adjudicated)
Follow-up
2.3 years of median

Primary result

Incident T2D · 2.3 years median follow-up

Hazard ratio

1.43

95% CI 1.20–1.70

P < 0.001

By group

Highvs Low to intermediate
HR 1.43 (95% CI 1.20–1.70); P < 0.001

As reported in the abstract

T2D polygenic score (PGS) predicted incident T2D
HR per 1-SD 1.22 (95% CI 1.14-1.32, p < 0.001)
Diabetes developed overall
690 participants (7.3%)

Further findings

Interaction of high T2D genetic risk with HbA1c and body mass index (BMI)

Greater predictive strength among individuals with lower HbA1c (P-int)
0.0499
Greater predictive strength among individuals with lower BMI (P-int)
0.004

Original publication

Type 2 diabetes genetic risk and incident diabetes across diabetes risk enhancers. Diabetes Obes Metab. Published 18 December 2024. doi:10.1111/dom.16123

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