Poor blood sugar control and longer diabetes duration tied to CVD, death risk: Study
China: People with poor blood sugar control and longer diabetes duration are at increased risk of cardiovascular disease (CVD) and mortality, finds a recent study in the journal Diabetes, Obesity & Metabolism. This implies that clinicians should also consider diabetes duration in addition to glycemic control in CVD risk assessment for diabetes patients.
Highest risk was seen in people with a diabetes history of 15 years or longer and an A1c level of 8 or greater.
Fu-Rong Li, Southern Medical University, Guangzhou, Guangdong, China, and colleagues aimed to assess the associations of diabetes duration and glycemic control (defined by plasma glycated hemoglobin [HbA1c] levels) with CVD risk and all-cause mortality and to determine whether the addition of either or both to the established CVD risk factors can improve predictions.
The study included a total of 435,679 participants from the UK Biobank without CVD at baseline. Cox models adjusting for classical risk factors (sociodemographic and anthropometric characteristics, lipid profiles and medication use) were used, and the predictive utility was determined by the C-index and net reclassification improvement (NRI).
Disclaimer: This website is primarily for healthcare professionals. The content here does not replace medical advice and should not be used as medical, diagnostic, endorsement, treatment, or prescription advice. Medical science evolves rapidly, and we strive to keep our information current. If you find any discrepancies, please contact us at corrections@medicaldialogues.in. Read our Correction Policy here. Nothing here should be used as a substitute for medical advice, diagnosis, or treatment. We do not endorse any healthcare advice that contradicts a physician's guidance. Use of this site is subject to our Terms of Use, Privacy Policy, and Advertisement Policy. For more details, read our Full Disclaimer here.
NOTE: Join us in combating medical misinformation. If you encounter a questionable health, medical, or medical education claim, email us at factcheck@medicaldialogues.in for evaluation.