Cited by 209Diabetes Management and ResearchDiabetes, Cardiovascular Risks, and LipoproteinsDiabetes Treatment and Management

The DOI matches its Crossref record; 47 of the 50 references it cites were found in a registry or an index.

Risk Factors for Cardiovascular Disease in Type 1 Diabetes

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The Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Research Group·2016·Diabetes

Abstract

Risk factors for cardiovascular disease (CVD) are well-established in type 2 but not type 1 diabetes (T1DM). We assessed risk factors in the long-term (mean 27 years) follow-up of the Diabetes Control and Complications Trial (DCCT) cohort with T1DM. Cox proportional hazards multivariate models assessed the association of traditional and novel risk factors, including HbA1c, with major atherosclerotic cardiovascular events (MACE) (fatal or nonfatal myocardial infarction [MI] or stroke) and any-CVD (MACE plus confirmed angina, silent MI, revascularization, or congestive heart failure). Age and mean HbA1c were strongly associated with any-CVD and with MACE. For each percentage point increase in mean HbA1c, the risk for any-CVD and for MACE increased by 31 and 42%, respectively. CVD and MACE were associated with seven other conventional factors, such as blood pressure, lipids, and lack of ACE inhibitor use, but not with sex. The areas under the receiver operating characteristics curves for the association of age and HbA1c, taken together with any-CVD and for MACE, were 0.70 and 0.77, respectively, and for the final models, including all significant risk factors, were 0.75 and 0.82. Although many conventional CVD risk factors apply in T1DM, hyperglycemia is an important risk factor second only to age.

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  1. Pedersen, 1992, Long-term (18 year) prognosis for normo- and microalbuminuric type 1 (insulin-dependent) diabetic patients, Diabetologia, 35, A60

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Metadata

Authors
The Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Research Group
Corresponding author
The Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Research Group
Venue
Diabetes
Published
2016-02-19
Volume
65
Issue
5
Pages
1370-1379
ISSN
  • 0012-1797 (ISSN-L)
  • 1939-327X
OpenAlex
W2280350954
Cited by
209
References
50
Citations by year
2026: 11 · 2025: 20 · 2024: 20 · 2023: 24 · 2022: 21 · 2021: 26 · 2020: 25 · 2019: 29 · 2018: 10 · 2017: 15 · 2016: 8
FWCI
20.75
Type
journal article
Language
en
Open access
Locations
  • Diabetes (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Disease (U01- DK-094176, U01-DK-094157)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
type 1 diabetes, cardiovascular disease, cardiovascular risk factors, HbA1c, hyperglycemia, age, myocardial infarction, stroke, congestive heart failure, ACE inhibitors, blood pressure, lipids
MeSH terms
Adolescent, Adult, Aging, Canada, Cardiovascular Diseases, Combined Modality Therapy, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Diabetic Angiopathies, Female, Glycated Hemoglobin, Humans, Hyperglycemia, Longitudinal Studies, Male, Models, Cardiovascular, Risk Factors, United States, Cohort Studies, Incidence, Prevalence, Survival Analysis, Randomized Controlled Trials as Topic, Young Adult, Diabetic Cardiomyopathies

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