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The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Effect of Type 1 Diabetes on the Gender Difference in Coronary Artery Calcification: a Role for Insulin Resistance?

Open access
Dabelea, Dana, Kinney, Gregory, Snell-Bergeon, Janet K., Hokanson, John E., Eckel, Robert H., Ehrlich, James, Garg, Satish, Hamman, Richard F., Rewers, Marian·2003·Diabetes

Abstract

The objective of this is study was to examine whether estimated insulin resistance and insulin resistance-related factors are associated with coronary artery calcification (CAC) in 1,420 asymptomatic participants in the Coronary Artery Calcification in Type 1 Diabetes (CACTI) study. A total of 656 patients with type 1 diabetes and 764 control subjects aged 20–55 years were examined. CAC was assessed by electron-beam computed tomography. Insulin resistance was computed with linear regression based on an equation previously validated in clamp studies on type 1 diabetic adults. Insulin resistance was associated with CAC (OR 1.6 in type 1 diabetes and 1.4 in control subjects, P < 0.001), independent of coronary artery disease risk factors. There was a male excess of CAC in control subjects (OR 2.7, adjusted for age, smoking, and LDL and HDL cholesterol levels) and in type 1 diabetic patients (OR 2.2, adjusted for the same factors and diabetes duration). After adjusting for insulin resistance, the CAC male excess in diabetic patients decreased from OR 2.2 (P < 0.001) to 1.8 (P = 0.04). After adjustment for waist-to-hip ratio, waist circumference, or visceral fat, the gender difference in CAC was not significant in diabetic subjects. In conclusion, gender differences in insulin resistance-associated fat distribution may explain why type 1 diabetes increases coronary calcification in women relatively more than in men.

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Crossref · 10.2337/diabetes.52.11.2833

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Metadata

Authors
Dabelea, D., Kinney, G., Snell-Bergeon, J. K., Hokanson, J. E., Eckel, R. H., Ehrlich, J., Garg, S., Hamman, R. F., & Rewers, M.
Venue
Diabetes
Published
2003-11-01
Volume
52
Issue
11
Pages
2833-2839
ISSN
  • 0012-1797 (ISSN-L)
  • 1939-327X
OpenAlex
W2152512217
Cited by
250
References
3
FWCI
4.76
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Effect of Type 1 Diabetes on the Gender Difference in Coronary Artery Calcification: a Role for Insulin Resistance? https://app.cochat.ai/papers/10.2337/diabetes.52.11.2833
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Dabelea, D., Kinney, G., Snell-Bergeon, J. K., Hokanson, J. E., Eckel, R. H., Ehrlich, J., Garg, S., Hamman, R. F., & Rewers, M. (2003). Effect of Type 1 Diabetes on the Gender Difference in Coronary Artery Calcification: a Role for Insulin Resistance? Diabetes. https://doi.org/10.2337/diabetes.52.11.2833

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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