The influence of country of birth on development of micro- and macrovascular complications in persons with early-onset type 2 diabetes: a registry based study

Kristine Stoltenberg Addington *, Maria Kristiansen, Nana Folmann Hempler, Marie Frimodt-Møller, Victor M. Montori, Marleen J. Kunneman, Stine Scheuer, Lars Jorge Diaz, Gregers Stig Andersen

*Corresponding author for this work

Abstract

BACKGROUND
Persons born in non-western countries have a higher risk and earlier onset of type 2 diabetes (T2D) in Denmark
It is not well investigated how country of birth status among persons with early-onset T2D (18-45 years) influences the incidence of micro- and macrovascular complications
We aimed to calculate incidence rate ratios (IRR) of micro- and macrovascular complications among persons with early- onset T2D born in western and non-western countries compared to those born in Denmark

METHODS
Data was obtained from nationwide registers
A total of 42,926 Danish citizens diagnosed with T2D between 18-45 years were followed from 1996 to 2018 and classified as Danish, non-western or western
IRR of the first event of each complication was estimated using age and sex adjusted Poisson regression models comparing persons with T2D in relation to country of birth

RESULTS
10,248 (23.9%) developed CVD, 2,147 (5%) developed retinopathy, 3,750 (8.7%) developed nephropathy and 696 (1.6%) underwent an amputation during follow-up
Persons born in non-western countries had an increased risk of retinopathy compared to those born in Denmark, but a decreased risk of CVD, nephropathy and amputation (figure 1)
Persons born in western countries had an increased risk of retinopathy, a similar risk of nephropathy and a lower risk of CVD and amputation compared to those born in Denmark (figure 2)

CONCLUSION
Persons with early-onset T2D born in non-western or western countries had a slightly higher risk of retinopathy and a lower risk of CVD and amputation compared to those born in Denmark
Original languageDanish
Publication dateApr 2022
Publication statusPublished - Apr 2022
EventEuropean Diabetes Epidemiology Group - Creta Maris Hotel, Hersonissos, Greece
Duration: 2 Apr 20225 Apr 2022
Conference number: 56
https://edeg2022.com/

Conference

ConferenceEuropean Diabetes Epidemiology Group
Number56
LocationCreta Maris Hotel
Country/TerritoryGreece
CityHersonissos
Period02/04/202205/04/2022
Internet address

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