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As we all know, diabetes is divided into type 1 and type 2
.
So, is there any difference in their effects on the heart and kidney? Recently, Professor Denis Angoulvant of the University of Tours in France reported on a French observational study at the European Diabetes Annual Conference.
The study showed that type 1 diabetes is more damaging to the eyes, and type 2 is more damaging to the heart and kidneys
.
The study comes from the French Hospital Database (PMSI), which covers more than 98% of the French population
.
Since 2013, participants have been followed up for at least 5 years
.
The data includes adult patients with type 1 and type 2 diabetes
.
Not surprisingly, patients with type 2 diabetes (425,207 cases) are 8 times the number of patients with type 1 diabetes (50623 cases), and patients with type 2 diabetes tend to be older than those with type 1 diabetes (average age is 68.
6 years vs.
61.
4 years) )
.
In addition, there are many significant clinical differences between patients with the two diseases.
Type 2 diabetes patients have more cardiovascular risk factors or previous heart problems, while type 1 diabetes patients have more eye disease
.
Professor DenisAngoulvant pointed out that compared with type 1 diabetes, patients with type 2 diabetes are more likely to suffer from the following problems (P<0.
001): hypertension (70.
8% vs 50.
5%), chronic kidney disease (10.
2% vs 9.
1%), heart failure ( 35.
7% vs 16.
4%), peripheral vascular disease (22.
0% vs 15.
5%) and ischemic stroke (3.
3% vs 2.
2%)
.
Taking into account the annual follow-up of more than 2 million people, the annual incidence of chronic kidney disease, myocardial infarction, new heart failure, and ischemic stroke in the entire study population were 3.
4%, 1.
4%, 5.
4%, and 3.
4%, respectively
.
In addition, the annual all-cause mortality rate is 9.
7%
.
Chronic kidney disease is more common in patients with type 1 diabetes aged 18-69, and patients with type 2 diabetes older than 80 years have a higher prevalence of chronic kidney disease
.
Compared with patients with type 2 diabetes, patients with type 1 diabetes have a significantly increased risk of new chronic kidney disease
.
Professor Denis Angoulvant once again made it clear that after the age of 60, the risk of all-cause death in patients with type 1 diabetes is higher than that of type 2 diabetes, and physicians need to pay attention to countermeasures
.
References: 1.
Sara Freeman.
Cardiorenal Outcomes Differ Between Type 1 and Type 2 Diabetes.
Medscape.
October 26, 2021.
.
So, is there any difference in their effects on the heart and kidney? Recently, Professor Denis Angoulvant of the University of Tours in France reported on a French observational study at the European Diabetes Annual Conference.
The study showed that type 1 diabetes is more damaging to the eyes, and type 2 is more damaging to the heart and kidneys
.
The study comes from the French Hospital Database (PMSI), which covers more than 98% of the French population
.
Since 2013, participants have been followed up for at least 5 years
.
The data includes adult patients with type 1 and type 2 diabetes
.
Not surprisingly, patients with type 2 diabetes (425,207 cases) are 8 times the number of patients with type 1 diabetes (50623 cases), and patients with type 2 diabetes tend to be older than those with type 1 diabetes (average age is 68.
6 years vs.
61.
4 years) )
.
In addition, there are many significant clinical differences between patients with the two diseases.
Type 2 diabetes patients have more cardiovascular risk factors or previous heart problems, while type 1 diabetes patients have more eye disease
.
Professor DenisAngoulvant pointed out that compared with type 1 diabetes, patients with type 2 diabetes are more likely to suffer from the following problems (P<0.
001): hypertension (70.
8% vs 50.
5%), chronic kidney disease (10.
2% vs 9.
1%), heart failure ( 35.
7% vs 16.
4%), peripheral vascular disease (22.
0% vs 15.
5%) and ischemic stroke (3.
3% vs 2.
2%)
.
Taking into account the annual follow-up of more than 2 million people, the annual incidence of chronic kidney disease, myocardial infarction, new heart failure, and ischemic stroke in the entire study population were 3.
4%, 1.
4%, 5.
4%, and 3.
4%, respectively
.
In addition, the annual all-cause mortality rate is 9.
7%
.
Chronic kidney disease is more common in patients with type 1 diabetes aged 18-69, and patients with type 2 diabetes older than 80 years have a higher prevalence of chronic kidney disease
.
Compared with patients with type 2 diabetes, patients with type 1 diabetes have a significantly increased risk of new chronic kidney disease
.
Professor Denis Angoulvant once again made it clear that after the age of 60, the risk of all-cause death in patients with type 1 diabetes is higher than that of type 2 diabetes, and physicians need to pay attention to countermeasures
.
References: 1.
Sara Freeman.
Cardiorenal Outcomes Differ Between Type 1 and Type 2 Diabetes.
Medscape.
October 26, 2021.