Sex Differences in All-Cause and Cardiovascular Mortality, Hospitalization for Individuals With and Without Diabetes, and Patients With Diabetes Diagnosed Early and Late
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OBJECTIVE: To compare risk of all-cause mortality, cardiovascular disease (CVD) mortality, acute myocardial infarction (AMI) mortality, stroke mortality, and hospitalizations for males and females with and without diabetes and those with diabetes diagnosed early and late. RESEARCH DESIGN AND METHODS: We conducted a population-based retrospective cohort study including 73,783 individuals aged 25 years or older in Newfoundland and Labrador, Canada (15,152 with diabetes; 9,517 with late diagnoses). RESULTS: Males and females with diabetes had an increased risk of all-cause mortality, CVD mortality, AMI mortality, and CVD hospitalizations compared with individuals without diabetes, and the risk was stronger in females than in males. For females, risks of all-cause mortality (hazard ratio [HR] 1.85 [95% CI 1.74-1.96]) and CVD hospitalizations (2.57 [2.24-2.94]) were significantly higher compared with their male counterparts (1.59 [1.51-1.69] and 1.92 [1.72-2.14]). Females with diabetes diagnosed late had an increased risk of CVD mortality (6.54 [4.80-8.91]) and CVD hospitalizations (5.22 [4.31-6.33]) compared with females without diabetes, and both were significantly higher compared with their male counterparts (3.44 [2.47-4.79]) and (3.33 [2.80-3.95]). CONCLUSIONS: Females with diabetes have a greater risk of mortality than males with diabetes. CVD has a greater impact on females with diabetes than males, especially when diagnosed at a later stage. Different management strategies should be considered for males and females and those with early and late diagnoses of diabetes.
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Females with T2DM face a higher all-cause mortality and a higher CVD-related morbidity and mortality.
“They also face a higher all-cause mortality and a higher CVD-related morbidity and mortality [16].”
From Sex Differences in Response to Treatment with Glucagon-like Peptide 1 Receptor Agonists: Opportunities for a Tailored Approach to Diabetes and Obesity Care (2022) · cites this paper as [16]
The Results and Conclusions report higher all-cause mortality, CVD mortality, and CVD hospitalizations among females with diabetes, particularly relative to females without diabetes. However, the Limitations section says the study could not distinguish type 1 from type 2 diabetes, so it does not establish these findings specifically for females with T2DM. (LLM, conf=0.86)
Experimental — accuracy not yet measuredFemales with type 2 diabetes exhibit a worse prognosis than men, showing higher cardiovascular disease risk and all-cause and cardiovascular disease-related mortality.
“On the other hand, females with T2D exhibit a worse prognosis than men showing higher cardiovascular disease (CVD) risk and all-cause and CVD-related mortality [79,81].”
From Adipose Tissue: A Novel Target of the Incretin Axis? A Paradigm Shift in Obesity-Linked Insulin Resistance (2024) · cites this paper as [81]
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- Authors
- Roche, M. M., & Wang, P. P.
- Affiliations
- Research and Evaluation Department, Newfoundland and Labrador Centre for Health Information, St. John’s, Newfoundland and Labrador, Canada
- Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland and Labrador, Canada
- Corresponding author
- Roche, Madonna M.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2013-08-13
- Volume
- 36
- Issue
- 9
- Pages
- 2582-2590
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC3747934
- OpenAlex
- W2148557451
- Cited by
- 113
- References
- 42
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 6 · 2023: 5 · 2022: 9 · 2021: 10 · 2020: 12 · 2019: 9 · 2018: 11 · 2017: 12 · 2016: 7 · 2015: 13 · 2014: 11 · 2013: 1
- FWCI
- 8.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Diabetes Care (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Keywords
- sex differences, diabetes mellitus, all-cause mortality, cardiovascular mortality, acute myocardial infarction, stroke, cardiovascular hospitalization, delayed diagnosis, women with diabetes
- MeSH terms
- Aged, Cardiovascular Diseases, Cause of Death, Diabetes Mellitus, Type 2, Female, Hospitalization, Humans, Male, Middle Aged, Retrospective Studies, Sex Factors
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