Peripheral arterial disease and type 2 diabetes: Older patients still exhibit a survival benefit from glucose control.


Journal

Diabetes & vascular disease research
ISSN: 1752-8984
Titre abrégé: Diab Vasc Dis Res
Pays: England
ID NLM: 101234011

Informations de publication

Date de publication:
Historique:
entrez: 21 4 2020
pubmed: 21 4 2020
medline: 29 9 2020
Statut: ppublish

Résumé

To investigate a possible beneficial effect of strict glycaemic control on all-cause mortality in patients with peripheral arterial disease and type 2 diabetes mellitus. A total of 367 mainly older peripheral arterial disease patients [age: 69 (62-78) years, 34% women, Fontaine stage I-II] were categorized according to glycaemic control, that is, (a) no type 2 diabetes mellitus, (b) strict glucose control (HbA1c < 53 mmol/mol) and (c) lenient glucose control (HbA1c ⩾ 53 mmol/mol) at inclusion and by mean HbA1c over the first study year. Mortality was analysed using Kaplan-Meier and Cox-regression analyses after 7 years. The combination of type 2 diabetes mellitus and peripheral arterial disease reduced survival from 78.8% to 68.9% in comparison to patients without type 2 diabetes mellitus ( Older patients with peripheral arterial disease and type 2 diabetes mellitus still benefit from strict glucose control in a cohort of patients with similar distribution of cardiovascular risk factors.

Identifiants

pubmed: 32308023
doi: 10.1177/1479164120914845
pmc: PMC7510380
doi:

Substances chimiques

Biomarkers 0
Blood Glucose 0
Glycated Hemoglobin A 0
Hypoglycemic Agents 0
hemoglobin A1c protein, human 0

Types de publication

Comparative Study Journal Article Observational Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1479164120914845

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Auteurs

Clemens Höbaus (C)

Division of Angiology, Department of Medicine II, Medical University of Vienna, Vienna, Austria.

Carsten Thilo Herz (CT)

Division of Endocrinology and Metabolism, Department of Medicine III, Medical University of Vienna, Vienna, Austria.

Thomas Wrba (T)

IT4Science, IT-Systems & Communications, Medical University of Vienna, Vienna, Austria.

Renate Koppensteiner (R)

Division of Angiology, Department of Medicine II, Medical University of Vienna, Vienna, Austria.

Gerit-Holger Schernthaner (GH)

Division of Angiology, Department of Medicine II, Medical University of Vienna, Vienna, Austria.

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Classifications MeSH