People under age 40 who are diagnose with Type 2 diabetes are more likely to have or die from cardiovascular disease than those of similar age without diabetes and the excess risks were more pronounce in younger women, according to new research in the American Heart Association’s journal Circulation.
Researchers also find the excess risk for death, regardless of cause, for people diagnose with Type 2 diabetes at age 80 or older significantly decrease and was the same as those of similar age without diabetes. There study shows the differences in excess diabetes risk are tied to the how old the person is when they are diagnose with Type 2 diabetes,” said Naveed Sattar.
Obesity rates have steadily increase in high-income countries and in young people over the last 30-40 years. As a result, more adolescents and young adults are being diagnose with Type 2 diabetes more than ever before, according to the study.
This is the first study to compare the excess risks of dying from or developing cardiovascular disease, which in people diagnose with Type 2 diabetes and to adjust the risk for such outcomes; hence given how long a person has had diabetes—an independent risk factor associate with cardiovascular disease risk.
Using data from the Swedish National Diabetes Registry; researchers followed 318,083 Type 2 diabetes patients and 1,575,108 age, sex and county-matched people as a control group from 1998 to 2013 for heart disease related conditions. Death resulting from heart disease or any other cause was follow from 1998 to 2014.
Patients with Type 2 diabetes and similar age controls had their risk for developing heart disease, heart attack, stroke, hospitalization; which from heart failure and atrial fibrillation assessed. Researchers also evaluate death from cardiovascular disease and any other conditions.
Excess cardiovascular disease
During a median follow-up of nearly two and half years; so researchers compare results to control participants of similar age without Type 2 diabetes and found. Participants diagnose before age 40 with Type 2 diabetes; which had the greatest excess risk for death, stroke, heart attack, heart failure or atrial fibrillation. Women generally carry higher excess cardiovascular disease and mortality risks than men in most categories.
Excess risks for cardiovascular disease and life years lost; hence declined steadily with the age of diagnosis. This suggests they need to be more aggressive in controlling risk factors; hence in younger Type 2 diabetes populations and especially in women,” Sattar said. “And, far less effort and resources could be spent screening people 80; also older for Type 2 diabetes unless symptoms are present.
Furthermore, there work could also use to encourage middle aged people; hence at elevate diabetes risk to adopt lifestyle changes to delay their diabetes by several years. The study follow a majority white European population; so additional studies examining the role of cardiovascular disease; hence in non-white populations who have Type 2 diabetes are needed.