Table 3.
Hazard ratios (95% confidence intervals) for atrial fibrillation by fasting serum glucose and HbA1c levels in individuals with type 2 diabetes (defined by history of medication use or self-report of diabetes) (n = 959), ARIC, 1990–2007
| Fasting Serum Glucose (mg/dl) | P-value for trend |
P-values for interactions |
||||
|---|---|---|---|---|---|---|
| <100 | 100–125 | ≥126 | Gender | Race | ||
| No. AF cases | 2 | 18 | 156 | |||
| Person-years | 542 | 1675 | 9683 | |||
| HR (95% CI) Model 1 | 1(REF) | 2.53 (0.58–11.0) | 4.10 (1.01–16.7) | 0.005 | 0.79 | 0.79 |
| HR (95% CI) Model 2 | 1(REF) | 1.99 (0.46–8.67) | 2.89 (0.71–11.8) | 0.04 | 0.78 | 0.80 |
| HR (95% CI) excl. prev. CHD* | 1 (REF) | 2.07 (0.47–9.05) | 2.63 (0.64–10.7) | 0.11 | 0.89 | 0.54 |
| HbA1c (%) | ||||||
| < 5.7 | 5.7 – 6.4 | ≥ 6.5 | ||||
| No AF cases | 8 | 16 | 152 | |||
| Person-years | 1135 | 1714 | 9049 | |||
| HR (95% CI) Model 1 | 1 (REF) | 1.30 (0.56–3.05) | 2.77 (1.36–5.65) | 0.0002 | 0.76 | 0.79 |
| HR (95% CI) Model 2 | 1(REF) | 1.18 (0.50–2.77) | 2.11 (1.02–4.37) | 0.007 | 0.66 | 0.52 |
| HR (95% CI) excl. prev. CHD* | 1 (REF) | 1.22 (0.49–3.05) | 2.21 (1.01–4.83) | 0.009 | 0.84 | 0.79 |
| HR(95%CI) + adj FSG** | 1 (REF) | 1.12 (0.48–2.64) | 1.69 (0.78–3.66) | 0.09 | 0.73 | 0.56 |
HR: Hazard ratio (95% confidence intervals); Model 1: Adjusted for age, race and sex;Model 2: Adjusted for model 1 + center, education, income, smoking status, prevalent CHD, systolic blood pressure, hypertensive medications and body mass index;
HR (95% CI) excluding prev. CHD: Adjusted hazard ratio (Model 2) and 95% confidence intervals after excluding those with prevalent CHD;
Hazard ratio (95% confidence intervals) from Model 2 + adjustment for fasting serum glucose among all persons with type 2 diabetes