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FältnamnIndikatorerMetadata
00004674naa a2200397 4500
001oai:DiVA.org:oru-39463
003SwePub
008141210s2014 | |||||||||||000 ||eng|
009oai:DiVA.org:uu-238937
024a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-394632 URI
024a https://doi.org/10.1111/dme.125142 DOI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2389372 URI
040 a (SwePub)orud (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Jansson, Stefan P. O.,d 1959-u Uppsala universitet,Örebro universitet,Institutionen för hälsovetenskap och medicin,Region Örebro län,Family Medicine Research Centre, Örebro County Council, Örebro, Sweden; Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine Section, Uppsala University, Uppsala, Sweden,Allmänmedicin och preventivmedicin4 aut0 (Swepub:uu)steja524
2451 0a Effects of fasting blood glucose levels and blood pressure and treatment of diabetes and hypertension on the incidence of cardiovascular disease :b a study of 740 patients with incident Type 2 diabetes with up to 30 years' follow-up
264 c 2014-06-28
264 1b Wiley-Blackwell,c 2014
338 a print2 rdacarrier
500 a Funding Agencies:Primary Health Care Research Unit, ÖrebroÖrebro County Council Research UnitFamily Medicine Research Centre, Örebro UniversityUppsala University
520 a Aims: To analyse the effects of hyperglycaemia and hypertension and treatment of diabetes and hypertension on cardiovascular disease incidence in patients with Type 2 diabetes with up to 30 years of follow-up.Methods: A total of 740 patients with incident Type 2 diabetes were registered at the Laxa Primary Health Care Centre, Sweden between 1972 and 2001. Annual data on mean fasting blood glucose, systolic, diastolic and mean arterial blood pressure, and type of diabetes and hypertension treatment were obtained from patient records, and information on cardiovascular disease, myocardial infarction and stroke events was obtained from national registers.Results: During the follow-up period, cumulative cardiovascular disease incidence increased significantly with male sex (hazard ratio 1.48, 95% CI 1.21-1.82), number of previous cardiovascular disease events (hazard ratio 1.13, 95% CI 1.08-1.18), age, per year (HR 1.05, 95% CI 1.04-1.07), mean fasting blood glucose, per mmol/l (hazard ratio 1.05, 95% CI 1.00-1.10) BMI (hazard ratio 1.04, 95% CI 1.01-1.06), mean arterial blood pressure, per mmHg (hazard ratio 1.02, 95% CI 1.01-1.03), and decreased significantly with metformin treatment (hazard ratio 0.58, 95% CI 0.38-0.90) and sulfonylurea (hazard ratio 0.73, 95% CI 0.55-0.97). Cumulative myocardial infarction incidence increased significantly with male sex, number of previous myocardial infarction events, mean fasting blood glucose level, BMI, age and mean arterial blood pressure, and decreased with metformin treatment. Cumulative stroke incidence increased with number of previous stroke events, age and mean arterial blood pressure.Conclusions: The cumulative incidence of cardiovascular disease and myocardial infarction increased with number of previous events and presence of hyperglycaemia and hypertension and decreased with pharmacological treatment of diabetes. A higher number of previous stroke events increased the cumulative incidence of stroke but no protective effect of pharmacological treatment was observed.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Endokrinologi och diabetes0 (SwePub)302052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Endocrinology and Diabetes0 (SwePub)302052 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Allmänmedicin0 (SwePub)302242 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex General Practice0 (SwePub)302242 hsv//eng
700a Svärdsudd, Kurtu Uppsala universitet,Allmänmedicin och preventivmedicin4 aut0 (Swepub:uu)kurtsvar
700a Andersson, D. K. G.u Uppsala universitet,Allmänmedicin och preventivmedicin4 aut
710a Örebro universitetb Institutionen för hälsovetenskap och medicin4 org
773t Diabetic Medicined : Wiley-Blackwellg 31:9, s. 1055-1063q 31:9<1055-1063x 0742-3071x 1464-5491
856u https://doi.org/10.1111/dme.12514y Fulltext
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-39463
8564 8u https://doi.org/10.1111/dme.12514
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-238937

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