Life Years Lost Varies With Ethnicity in Patients With Type 2 Diabetes

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White patients with type 2 diabetes have more life years lost than South Asian or black patients.
White patients with type 2 diabetes have more life years lost than South Asian or black patients.

HealthDay News -- Whites with type 2 diabetes have more life years lost than South Asians or blacks, according to a study published in Diabetes Care.

Alison K. Wright, PhD, from the University of Manchester in the United Kingdom, and colleagues conducted a cohort study using Clinical Practice Research Datalink data from 383 general practices in England. A total of 187,968 patients with incident type 2 diabetes were matched to 908,016 controls.

The researchers found that there were 40,286 deaths among patients with type 2 diabetes. Compared with those without diabetes, white men with diabetes lost 5 years of life, and white women lost 6 years, at age 40. South Asians and blacks with diabetes had a loss of 1 to 2 years. 

South Asians with diabetes had life expectancy that was up to 1.1 years longer than South Asians without diabetes at age older than 65 years. South Asians with diabetes had lower adjusted risks for mortality from cardiovascular, cancer, and respiratory diseases compared with whites with diabetes (hazard ratios: 0.82, 0.43, and 0.60, respectively). There was a similar pattern for blacks with diabetes vs whites with diabetes.

"The findings support optimized cardiovascular disease risk factor management, especially in whites with type 2 diabetes," the researchers wrote.

Disclosures: Several authors disclosed financial ties to the pharmaceutical industry.

Reference

  1. Wright AK, Kontopantelis E, Emsley R, et al. Life Expectancy and Cause-Specific Mortality in Type 2 Diabetes: A Population-Based Cohort Study Quantifying Relationships in Ethnic Subgroups [published online December 20, 2016]. Diabetes Care. doi:10.2337/dc16-1616.
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