Impact of postprandial hyperglycemia at clinic visits on the incidence of cardiovascular events and all‐cause mortality in patients with type 2 diabetes Article Swipe
Toshiko Takao
,
Machi Suka
,
Hiroyuki Yanagisawa
,
Yasuhiko Iwamoto
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1111/jdi.12610
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1111/jdi.12610
Aims/Introduction We evaluated the impact of postprandial hyperglycemia at clinic visits on the incidence of cardiovascular diseases ( CVD ) and all‐cause mortality independently of mean glycosylated hemoglobin in type 2 diabetes patients in a real‐world setting. Materials and Methods The present retrospective observational cohort study included 646 type 2 diabetes patients. All of the participants had their initial consultations at the Institute for Diabetes Care and Research, Asahi Life Foundation affiliated Marunouchi Hospital, Tokyo, Japan, during the period from 1995 to 1996, visited the clinic ≥4 times, had their 2‐h post‐breakfast blood glucose (2h‐ PBBG ) levels measured and were followed up for ≥1 year. The 646 patients were followed up for survival. Of the 646 patients, 618 had no history of CVD at the first visit and had measured 2h‐ PBBG until the first CVD onset or censorings. These two cohorts were followed up through June 2012, and subsequently questionnaires were mailed. Multivariate Cox proportional hazard models were used to evaluate the risk of CVD incidence and death. Results CVD occurred in 78 patients, and 56 patients died. The median follow‐up periods of the CVD cohort and the mortality cohort were 15.6 and 15.9 years, respectively. The mean 2h‐ PBBG is a significant predictor of the CVD incidence and all‐cause mortality after adjusting for the mean glycosylated hemoglobin, the number of 2h‐ PBBG measurements, age, sex and classical risk factors. Conclusions Postprandial hyperglycemia represented by the mean level of 2h‐ PBBG at clinic visits is associated with CVD incidence and all‐cause mortality independently of the mean glycosylated hemoglobin level in type 2 diabetes patients. Prospective interventional trials are warranted to confirm the present findings.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/jdi.12610
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jdi.12610
- OA Status
- gold
- Cited By
- 35
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2561747691
All OpenAlex metadata
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- OpenAlex ID
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https://openalex.org/W2561747691Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/jdi.12610Digital Object Identifier
- Title
-
Impact of postprandial hyperglycemia at clinic visits on the incidence of cardiovascular events and all‐cause mortality in patients with type 2 diabetesWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2016Year of publication
- Publication date
-
2016-12-17Full publication date if available
- Authors
-
Toshiko Takao, Machi Suka, Hiroyuki Yanagisawa, Yasuhiko IwamotoList of authors in order
- Landing page
-
https://doi.org/10.1111/jdi.12610Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jdi.12610Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jdi.12610Direct OA link when available
- Concepts
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Medicine, Incidence (geometry), Postprandial, Diabetes mellitus, Cohort, Hazard ratio, Internal medicine, Proportional hazards model, Retrospective cohort study, Type 2 diabetes, Cohort study, Pediatrics, Endocrinology, Confidence interval, Optics, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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35Total citation count in OpenAlex
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2025: 2, 2024: 6, 2023: 3, 2022: 4, 2021: 3Per-year citation counts (last 5 years)
- References (count)
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34Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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