Cited by 84Diabetes and associated disordersDiabetes Management and ResearchDiabetes Treatment and Management

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

Classifying diabetes according to the new WHO clinical stages

Lindholm, E., Agardh, E., Tuomi, T., Groop, L., Agardh, C.-D.·2001·European Journal of Epidemiology

Abstract

Aims/hypothesis To test the usefulness of the new WHO criteria for clinical staging of diabetes in the characterization of 1977 diabetic patients. Methods The following clinical stages were used: patients on diet and/or oral antidiabetic agents 2 years after diagnosis were considered as non-insulin requiring (NIR; n = 711) and patients who required insulin therapy after 1 year as insulin requiring for control (IRC; n = 543). Patients who because of deteriorating hyperglycemia within 1 year required insulin therapy were considered as insulin requiring for survival (IRS; n = 743). Results The NIR patients had the highest age at onset (52 +/- 12 years; mean +/- SD), BMI (29.3 +/- 5.2 kg/m2) and C-peptide concentrations (median 0.98 nmol/l; interquartile range 0.72-1.31 nmol/l) but the lowest frequency of GAD antibodies (5.5%) compared to the IRC and IRS groups. The IRC group had a high age at onset (49 +/- 13 years), BMI (28.0 +/- 4.8 kg/m2), frequency of GAD antibodies (16.8%), intermediate C-peptide concentrations (0.56 nmol/l, interquartile range 0.28 +/- 0.94), and the highest prevalence of nephropathy (31.5%) and neuropathy (68.1%). The IRS group had the lowest age at onset (23 +/- 15 years), BMI (24.2 +/- 3.4 kg/m2), C-peptide concentrations (0.05 nmol/l, interquartile range below detection limit 0.01) and highest frequency of GAD antibodies (44.5%). Retinopathy was more common in IRS than in IRC patients (62.1 vs. 43.9%;p Conclusions The new WHO criteria seem to discrimin…

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Crossref · 10.1023/a:1020036805655

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  • Given strict HbA1c criteria for new-onset diabetes in the MHR and the requirement of physician diagnosis in NDR and Diabetes 2000, those classified as new-onset diabetes cases are unlikely to be misclassified.

    “On the other hand, given the strict HbA1c criteria for new-onset diabetes in the MHR and the fact that the NDR and Diabetes 2000 registers require a physician diagnosis according to established diagnostic criteria,28, 29 those classified as new-onset diabetes cases in our study are unlikely to be misclassified.”

    From Plasma Copeptin and the Risk of Diabetes Mellitus (2010) · cites this paper as [29]

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  1. WHO Study Group (1985) in World Health Organization Technical Report Series 727 (World Health Organization, Geneva).

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Metadata

Authors
Lindholm, E., Agardh, E., Tuomi, T., Groop, L., & Agardh, C.-D.
Venue
European Journal of Epidemiology
Published
2001-11
Volume
17
Issue
11
Pages
983-989
ISSN
  • 0393-2990 (ISSN-L)
  • 1573-7284
OpenAlex
W1960743603
Cited by
82
References
13
Citations by year
2024: 5 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 9 · 2017: 5 · 2016: 6 · 2015: 3 · 2014: 8 · 2013: 2 · 2012: 12
FWCI
0.36
Type
journal article
Language
en
Open access
closed
Locations
  • European Journal of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
diabetes mellitus, WHO clinical stage, insulin requirement, glutamic acid decarboxylase antibodies, C-peptide, age of onset, body mass index, diabetic nephropathy, diabetic neuropathy, diabetic retinopathy, disease severity classification
MeSH terms
Aged, Autoantibodies, C-Peptide, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Glutamate Decarboxylase, Glycated Hemoglobin, Humans, Hypoglycemic Agents, Insulin, Male, Middle Aged, Sweden, World Health Organization, Biomarkers, Guidelines as Topic, Disease Progression

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