Prevalence of micro- and macrovascular diabetes complications at time of type 2 diabetes diagnosis and associated clinical characteristics: A cross-sectional baseline study of 6958 patients in the Danish DD2 cohort

To examine the prevalence of micro- and macrovascular complications and their associated clinical characteristics at time of type 2 diabetes (T2D) diagnosis. We examined the prevalence of complications and associated clinical characteristics among 6958 newly diagnosed T2D patients enrolled in the pr...

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Veröffentlicht in:Journal of diabetes and its complications 2018-01, Vol.32 (1), p.34-40
Hauptverfasser: Gedebjerg, Anne, Almdal, Thomas Peter, Berencsi, Klara, Rungby, Jørgen, Nielsen, Jens Steen, Witte, Daniel R., Friborg, Søren, Brandslund, Ivan, Vaag, Allan, Beck-Nielsen, Henning, Sørensen, Henrik Toft, Thomsen, Reimar Wernich
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container_issue 1
container_start_page 34
container_title Journal of diabetes and its complications
container_volume 32
creator Gedebjerg, Anne
Almdal, Thomas Peter
Berencsi, Klara
Rungby, Jørgen
Nielsen, Jens Steen
Witte, Daniel R.
Friborg, Søren
Brandslund, Ivan
Vaag, Allan
Beck-Nielsen, Henning
Sørensen, Henrik Toft
Thomsen, Reimar Wernich
description To examine the prevalence of micro- and macrovascular complications and their associated clinical characteristics at time of type 2 diabetes (T2D) diagnosis. We examined the prevalence of complications and associated clinical characteristics among 6958 newly diagnosed T2D patients enrolled in the prospective Danish Center for Strategic Research in T2D cohort during 2010–2016. We calculated age- and gender-adjusted prevalence ratios (aPRs) of complications using log-binomial and Poisson regression. In total, 35% (n=2456) T2D patients had diabetic complications around diagnosis; 12% (n=828) had microvascular complications, 17% (n=1186) macrovascular complications, and 6% (n=442) had both. HbA1c levels of ≥7% were associated with microvascular complications [HbA1c 7%–8%; aPR: 1.35, 95% confidence interval (CI): 1.12–1.62] but not macrovascular complications [aPR: 0.91, 95% CI: 0.76–1.08]. High C-peptide≥800pmol/L was associated with macrovascular [aPR 1.34, 95% CI: 1.00–1.80] but not microvascular [aPR 0.97, 95% CI: 0.71–1.33] complications. Macrovascular complications were associated with male sex, age>50years, obesity, hypertriglyceridemia, low HDL cholesterol, smoking, elevated CRP levels, and anti-hypertensive therapy. Microvascular complications were associated with high blood pressure, hypertriglyceridemia, and absence of lipid-lowering therapy. One-third of patients with T2D had diabetes complications around time of diagnosis. Our findings suggest different pathophysiological mechanisms behind micro- and macrovascular complications. •One-third (35%) of T2D patients had diabetes complications at time of diagnosis.•12% had microvascular, 17% had macrovascular, and 6% had both complications.•Poor glucose control was associated with micro- but not macrovascular complications.•High C-peptide was associated with macro- but not microvascular complications.•Our findings suggest different pathophysiology behind the two complication types.
doi_str_mv 10.1016/j.jdiacomp.2017.09.010
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We examined the prevalence of complications and associated clinical characteristics among 6958 newly diagnosed T2D patients enrolled in the prospective Danish Center for Strategic Research in T2D cohort during 2010–2016. We calculated age- and gender-adjusted prevalence ratios (aPRs) of complications using log-binomial and Poisson regression. In total, 35% (n=2456) T2D patients had diabetic complications around diagnosis; 12% (n=828) had microvascular complications, 17% (n=1186) macrovascular complications, and 6% (n=442) had both. HbA1c levels of ≥7% were associated with microvascular complications [HbA1c 7%–8%; aPR: 1.35, 95% confidence interval (CI): 1.12–1.62] but not macrovascular complications [aPR: 0.91, 95% CI: 0.76–1.08]. High C-peptide≥800pmol/L was associated with macrovascular [aPR 1.34, 95% CI: 1.00–1.80] but not microvascular [aPR 0.97, 95% CI: 0.71–1.33] complications. 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We examined the prevalence of complications and associated clinical characteristics among 6958 newly diagnosed T2D patients enrolled in the prospective Danish Center for Strategic Research in T2D cohort during 2010–2016. We calculated age- and gender-adjusted prevalence ratios (aPRs) of complications using log-binomial and Poisson regression. In total, 35% (n=2456) T2D patients had diabetic complications around diagnosis; 12% (n=828) had microvascular complications, 17% (n=1186) macrovascular complications, and 6% (n=442) had both. HbA1c levels of ≥7% were associated with microvascular complications [HbA1c 7%–8%; aPR: 1.35, 95% confidence interval (CI): 1.12–1.62] but not macrovascular complications [aPR: 0.91, 95% CI: 0.76–1.08]. High C-peptide≥800pmol/L was associated with macrovascular [aPR 1.34, 95% CI: 1.00–1.80] but not microvascular [aPR 0.97, 95% CI: 0.71–1.33] complications. 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Almdal, Thomas Peter ; Berencsi, Klara ; Rungby, Jørgen ; Nielsen, Jens Steen ; Witte, Daniel R. ; Friborg, Søren ; Brandslund, Ivan ; Vaag, Allan ; Beck-Nielsen, Henning ; Sørensen, Henrik Toft ; Thomsen, Reimar Wernich</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-dcadb19d3e86386adb434a3cd5b0d09c9a29da6e56f73b965adbe45c874171833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angina pectoris</topic><topic>Blood pressure</topic><topic>Cardiovascular disease</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Delayed Diagnosis - statistics &amp; numerical data</topic><topic>Denmark - epidemiology</topic><topic>Diabetes</topic><topic>Diabetes Complications - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - diagnosis</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetic Angiopathies - classification</topic><topic>Diabetic Angiopathies - epidemiology</topic><topic>Diabetic neuropathy</topic><topic>Diabetic retinopathy</topic><topic>Epidemiology</topic><topic>Eye diseases</topic><topic>Fasting</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Hyperglycemia</topic><topic>Hypertension</topic><topic>Kidney diseases</topic><topic>Lipids</topic><topic>Macrovascular complications</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical research</topic><topic>Metabolic syndrome</topic><topic>Microvascular complications</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Patients</topic><topic>Peptides</topic><topic>Prevalence</topic><topic>Risk factors</topic><topic>Time Factors</topic><topic>Type 2 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gedebjerg, Anne</creatorcontrib><creatorcontrib>Almdal, Thomas Peter</creatorcontrib><creatorcontrib>Berencsi, Klara</creatorcontrib><creatorcontrib>Rungby, Jørgen</creatorcontrib><creatorcontrib>Nielsen, Jens Steen</creatorcontrib><creatorcontrib>Witte, Daniel R.</creatorcontrib><creatorcontrib>Friborg, Søren</creatorcontrib><creatorcontrib>Brandslund, Ivan</creatorcontrib><creatorcontrib>Vaag, Allan</creatorcontrib><creatorcontrib>Beck-Nielsen, Henning</creatorcontrib><creatorcontrib>Sørensen, Henrik Toft</creatorcontrib><creatorcontrib>Thomsen, Reimar Wernich</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing &amp; 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We examined the prevalence of complications and associated clinical characteristics among 6958 newly diagnosed T2D patients enrolled in the prospective Danish Center for Strategic Research in T2D cohort during 2010–2016. We calculated age- and gender-adjusted prevalence ratios (aPRs) of complications using log-binomial and Poisson regression. In total, 35% (n=2456) T2D patients had diabetic complications around diagnosis; 12% (n=828) had microvascular complications, 17% (n=1186) macrovascular complications, and 6% (n=442) had both. HbA1c levels of ≥7% were associated with microvascular complications [HbA1c 7%–8%; aPR: 1.35, 95% confidence interval (CI): 1.12–1.62] but not macrovascular complications [aPR: 0.91, 95% CI: 0.76–1.08]. High C-peptide≥800pmol/L was associated with macrovascular [aPR 1.34, 95% CI: 1.00–1.80] but not microvascular [aPR 0.97, 95% CI: 0.71–1.33] complications. Macrovascular complications were associated with male sex, age&gt;50years, obesity, hypertriglyceridemia, low HDL cholesterol, smoking, elevated CRP levels, and anti-hypertensive therapy. Microvascular complications were associated with high blood pressure, hypertriglyceridemia, and absence of lipid-lowering therapy. One-third of patients with T2D had diabetes complications around time of diagnosis. Our findings suggest different pathophysiological mechanisms behind micro- and macrovascular complications. •One-third (35%) of T2D patients had diabetes complications at time of diagnosis.•12% had microvascular, 17% had macrovascular, and 6% had both complications.•Poor glucose control was associated with micro- but not macrovascular complications.•High C-peptide was associated with macro- but not microvascular complications.•Our findings suggest different pathophysiology behind the two complication types.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29107454</pmid><doi>10.1016/j.jdiacomp.2017.09.010</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4203-5442</orcidid><orcidid>https://orcid.org/0000-0002-7428-7898</orcidid><oa>free_for_read</oa></addata></record>
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1873-460X
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source MEDLINE; ScienceDirect Freedom Collection (Elsevier); ProQuest Central
subjects Adult
Aged
Aged, 80 and over
Angina pectoris
Blood pressure
Cardiovascular disease
Cohort Studies
Cross-Sectional Studies
Delayed Diagnosis - statistics & numerical data
Denmark - epidemiology
Diabetes
Diabetes Complications - epidemiology
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - epidemiology
Diabetic Angiopathies - classification
Diabetic Angiopathies - epidemiology
Diabetic neuropathy
Diabetic retinopathy
Epidemiology
Eye diseases
Fasting
Female
Health risk assessment
Humans
Hyperglycemia
Hypertension
Kidney diseases
Lipids
Macrovascular complications
Male
Medical diagnosis
Medical research
Metabolic syndrome
Microvascular complications
Middle Aged
Mortality
Patients
Peptides
Prevalence
Risk factors
Time Factors
Type 2 diabetes
title Prevalence of micro- and macrovascular diabetes complications at time of type 2 diabetes diagnosis and associated clinical characteristics: A cross-sectional baseline study of 6958 patients in the Danish DD2 cohort
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