heart and kidney

Cardiovascular and Renal Disease Burden Among People with Diabetes

Both type 1 diabetes (T1D) and type 2 diabetes (T2D) increase risks of cardiovascular (CV/CVD) and renal disease (CVRD).

Researchers examined the burden of these diseases and compared type 1 to type 2 effects. 59,331 patients with T1D and 484,241 patients with T2D, aged 18–84 years, were followed for an average of 2.6 years. The study found that the prevalence of CVD was similar in T1D and T2D in all ages, with chronic kidney disease (CKD) more common in T1D. CKD risk was higher in T1D at all ages. The all-cause death risk was higher in T1D at age >50 years, with a similar trend for CV death. To conclude, adult patients with T1D compared with those with T2D had an overall greater risk of cardiorenal disease (HF and CKD) across ages, MI and all-cause death at middle-older ages, and stroke at younger ages. The total age-adjusted CVRD burden and risks were greater among patients with T1D compared with those with T2D.

Future research should evaluate patients for extended periods of time and lifestyle of subjects including their glucose control. Exercise plays an important role in our cardiovascular health and preserving renal function and should be evaluated.

Original article diabetesjournals.org

Kristófi, R., Bodegard, J., Norhammar, A., Thuresson, M., Nathanson, D., Nyström, T., . . . Eriksson, J. (2021, March 02). Cardiovascular and renal disease burden in type 1 compared with type 2 diabetes: A two-country nationwide observational study. Retrieved March 08, 2021, from https://care.diabetesjournals.org/content/early/2021/03/02/dc20-2839