Table 4. Association between remission group and CVD outcomes in the CHIA type 2 diabetes cohort.
Unadjusted model | Adjusted model* | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
HR | 95% CI | p-value | HR | 95% CI | p-value | |||||
Macrovascular complications | N = 48,942 | N = 48,829 | ||||||||
Group 3 (ref) | 1 | 1 | ||||||||
Group 1 | 0.85 | 0.78 | 0.93 | <0.001 | 0.83 | 0.75 | 0.92 | <0.001 | ||
Group 2 | 0.97 | 0.88 | 1.06 | 0.490 | 0.91 | 0.82 | 1.00 | 0.054 | ||
Group 4 | 0.70 | 0.64 | 0.77 | <0.001 | 0.66 | 0.61 | 0.71 | <0.001 | ||
Microvascular complications | N = 41,609 | N = 41,527 | ||||||||
Group 3 (ref) | 1 | 1 | ||||||||
Group 1 | 0.63 | 0.60 | 0.66 | <0.001 | 0.65 | 0.61 | 0.70 | <0.001 | ||
Group 2 | 0.78 | 0.74 | 0.82 | <0.001 | 0.80 | 0.76 | 0.85 | <0.001 | ||
Group 4 | 0.56 | 0.53 | 0.59 | <0.001 | 0.59 | 0.55 | 0.64 | <0.001 | ||
CVD events | N = 53,218 | N = 53,097 | ||||||||
Group 3 (ref) | 1 | 1 | ||||||||
Group 1 | 0.76 | 0.69 | 0.84 | <0.001 | 0.74 | 0.67 | 0.83 | <0.001 | ||
Group 2 | 0.94 | 0.85 | 1.04 | 0.254 | 0.88 | 0.79 | 0.98 | 0.021 | ||
Group 4 | 0.71 | 0.64 | 0.78 | <0.001 | 0.67 | 0.61 | 0.73 | <0.001 | ||
Death | N = 60,287 | N = 60,138 | ||||||||
Group 3 (ref) | 1 | 1 | ||||||||
Group 1 | 0.85 | 0.79 | 0.92 | <0.001 | 0.82 | 0.76 | 0.89 | <0.001 | ||
Group 2 | 1.01 | 0.93 | 1.09 | 0.829 | 0.92 | 0.85 | 1.01 | 0.086 | ||
Group 4 | 1.29 | 1.21 | 1.37 | <0.001 | 1.11 | 1.03 | 1.19 | 0.004 |
Group 1 achieving HbA1c <48 mmol/mol (6.5%) followed by increasing HbA1c levels); Group 2 decreasing HbA1c levels); Group 3 stable high HbA1c levels); Group 4 stable low HbA1c levels (<48mmol/mol or <6.5%). The adjusted model shown above included sociodemographic variables (age, sex, ethnicity, IMD), baseline weight, diabetes duration, number of co-morbidities and clustering within practices.
People with event of interest prior to the start of study were excluded from the analysis.
CVD events included a composite of myocardial infarction, amputation and stroke. Microvascular complications included a composite of peripheral neuropathy, retinopathy, and nephropathy. Macrovascular complications include a composite of stroke, MI, coronary heart disease peripheral arterial disease (PAD) and amputation. All-cause mortality was death from any cause.