Association of type 2 diabetes remission and risk of cardiovascular disease in pre‐defined subgroups

Aim To quantify the association between type 2 diabetes remission and 5‐year incidence of cardiovascular disease outcomes, overall and in pre‐defined subgroups. Methods Retrospective cohort analysis of 60,287 adults with type 2 diabetes from the Care and Health Information Analytics (CHIA) database. Multivariable Cox models were used to assess the association between remission within the first two years of follow‐up and incidence of cardiovascular disease (CVD) outcomes including events, microvascular and macrovascular complications at 7‐year follow‐up. Effect modification by age, sex, diabetes duration, pre‐existing CVD, baseline body mass index (BMI) and HbA1c level was assessed. Results 7489 (12.4%) people achieved remission during the first two years of follow‐up. Overall, remission was associated with lower risk of CVD outcomes. Remission was associated with lower risk of microvascular complications for younger compared with older age groups (eg aHR: 0.59 (0.41–0.84) and aHR: 0.78 (0.67–0.92) for those aged