4.7 Article

Fasting Glucose and All-Cause Mortality by Age in Diabetes: A Prospective Cohort Study

Journal

DIABETES CARE
Volume 41, Issue 3, Pages 623-626

Publisher

AMER DIABETES ASSOC
DOI: 10.2337/dc17-1872

Keywords

OBJECTIVE; To examine associations between fasting glucose and mortality and to identify the levels associated with lowest mortality by age in diabetes.; RESEARCH DESIGN AND METHODS; A total of 359,645 Korean adults with known prevalent diabetes participated in health screening during 2001-2004 and were followed up until 2013.; RESULTS; U-curve associations were found. Fasting glucose levels associated with the lowest mortalitywere similar to 90130 mg/dL, except for in those aged 18-44 years (similar to 80-95 mg/dL). Multivariable-adjusted hazard ratios of fasting glucose <65, 65-74, 75-84, 140-169, 170-199, and >= 200 mg/dL were 1.46, 1.12, 1.09, 1.12, 1.31, and 1.78, respectively, compared with 85-99 mg/dL.; CONCLUSIONS; Optimal fasting glucose range for survival is higher in adults with than without known prevalent diabetes, except, perhaps, younger adults. Tight glucose control may lessen premature death in younger adults with diabetes. Hypoglycemia (<65 mg/dL) was associated with higher mortality than was fasting glucose 170-199 mg/dL, while fasting glucose 65-84 mg/dL had risks comparable with those at levels 140-169 mg/dL in diabetes.

Funding

  1. Catholic Kwandong University (CKU)

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