Pub Date : 2025-11-01DOI: 10.1016/j.dsx.2025.103332
Ana Paula Bravo-Garcia, Evelyn B. Parr
{"title":"Response to letter to the editor by Mondal H et al. “Delayed breakfast in type 2 diabetes: Critical gaps and translation barriers”","authors":"Ana Paula Bravo-Garcia, Evelyn B. Parr","doi":"10.1016/j.dsx.2025.103332","DOIUrl":"10.1016/j.dsx.2025.103332","url":null,"abstract":"","PeriodicalId":48252,"journal":{"name":"Diabetes & Metabolic Syndrome-Clinical Research & Reviews","volume":"19 11","pages":"Article 103332"},"PeriodicalIF":3.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.dsx.2025.103354
Ningjian Wang (Associate Editor) , Anoop Misra (Editor-in-Chief)
{"title":"Highlights of the current issue","authors":"Ningjian Wang (Associate Editor) , Anoop Misra (Editor-in-Chief)","doi":"10.1016/j.dsx.2025.103354","DOIUrl":"10.1016/j.dsx.2025.103354","url":null,"abstract":"","PeriodicalId":48252,"journal":{"name":"Diabetes & Metabolic Syndrome-Clinical Research & Reviews","volume":"19 11","pages":"Article 103354"},"PeriodicalIF":3.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is considerable evidence regarding the potential risk of hypovitaminosis D for various chronic conditions, including type 2 diabetes mellitus (T2DM). Although India essentially shares a tropical climate, it reports a high prevalence of vitamin D deficiency that is predominant in people with diabetes. This systematic review and meta-analysis were designed to look into the risk factors associated with hypovitaminosis D in diabetic patients from India and assess the prevalence.
Methods
PubMed, Embase, and Cochrane Library were searched systematically for observational studies reporting the serum vitamin D levels of T2DM patients up to September 2024. A random effects model was employed to analyse the pooled prevalence of hypovitaminosis D and its risk factors.
Results
Twelve studies of 8953 patients with diabetes (sample size) were included in the review. The combined prevalence of hypovitaminosis D was 79 % (95 % CI: 75 %–84 %, i2 = 97 %). Mean serum vitamin D level was 17.21 ng/mL (95 % CI: 16.87–17.56 ng/mL). More frequently noted risk factors included duration of diabetes, fatigue, body mass index, and HbA1c levels. However, the findings are limited by substantial heterogeneity, predominance of cross-sectional designs, and a paucity of high-quality, well-controlled studies from India.
Conclusion
Hypovitaminosis D is highly prevalent in Type 2 diabetes mellitus patients in India, with the level highly below optimum thresholds. Routine screening of vitamin D levels and targeted supplementation strategies may further improve metabolic control and reduce complications among this vulnerable population.
{"title":"Prevalence and risk factors of hypovitaminosis D among patients with diabetes mellitus from India: A systematic review and meta-analysis","authors":"Gaurab Bhaduri , Shambo Samrat Samajdar , Subhro Chakraborty , Banshi Saboo , Shashank R. Joshi","doi":"10.1016/j.dsx.2025.103326","DOIUrl":"10.1016/j.dsx.2025.103326","url":null,"abstract":"<div><h3>Background</h3><div>There is considerable evidence regarding the potential risk of hypovitaminosis D for various chronic conditions, including type 2 diabetes mellitus (T2DM). Although India essentially shares a tropical climate, it reports a high prevalence of vitamin D deficiency that is predominant in people with diabetes. This systematic review and meta-analysis were designed to look into the risk factors associated with hypovitaminosis D in diabetic patients from India and assess the prevalence.</div></div><div><h3>Methods</h3><div>PubMed, Embase, and Cochrane Library were searched systematically for observational studies reporting the serum vitamin D levels of T2DM patients up to September 2024. A random effects model was employed to analyse the pooled prevalence of hypovitaminosis D and its risk factors.</div></div><div><h3>Results</h3><div>Twelve studies of 8953 patients with diabetes (sample size) were included in the review. The combined prevalence of hypovitaminosis D was 79 % (95 % CI: 75 %–84 %, i<sup>2</sup> = 97 %). Mean serum vitamin D level was 17.21 ng/mL (95 % CI: 16.87–17.56 ng/mL). More frequently noted risk factors included duration of diabetes, fatigue, body mass index, and HbA1c levels. However, the findings are limited by substantial heterogeneity, predominance of cross-sectional designs, and a paucity of high-quality, well-controlled studies from India.</div></div><div><h3>Conclusion</h3><div>Hypovitaminosis D is highly prevalent in Type 2 diabetes mellitus patients in India, with the level highly below optimum thresholds. Routine screening of vitamin D levels and targeted supplementation strategies may further improve metabolic control and reduce complications among this vulnerable population.</div></div>","PeriodicalId":48252,"journal":{"name":"Diabetes & Metabolic Syndrome-Clinical Research & Reviews","volume":"19 10","pages":"Article 103326"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.dsx.2025.103316
Emily N.C. Manoogian , Courtney M. Peterson , Dorothy D. Sears , Mary Playdon , Siobhan Banks , Maxine Bonham , Amandine Chaix , Lisa S. Chow , Adriana Coletta , Rafael De Cabo , Paula Desplats , Charna Dibner , Kelsey Gabel , Sheri L. Johnson , Lance J. Kriegsfeld , Sheetal Hardikar , John A. Hawley , Leonie K. Heilbronn , John Hogenesch , Dara L. James , Tinh-Hai Collet
{"title":"Short-term 24h dietary recalls from observational studies cannot support claims on mortality","authors":"Emily N.C. Manoogian , Courtney M. Peterson , Dorothy D. Sears , Mary Playdon , Siobhan Banks , Maxine Bonham , Amandine Chaix , Lisa S. Chow , Adriana Coletta , Rafael De Cabo , Paula Desplats , Charna Dibner , Kelsey Gabel , Sheri L. Johnson , Lance J. Kriegsfeld , Sheetal Hardikar , John A. Hawley , Leonie K. Heilbronn , John Hogenesch , Dara L. James , Tinh-Hai Collet","doi":"10.1016/j.dsx.2025.103316","DOIUrl":"10.1016/j.dsx.2025.103316","url":null,"abstract":"","PeriodicalId":48252,"journal":{"name":"Diabetes & Metabolic Syndrome-Clinical Research & Reviews","volume":"19 10","pages":"Article 103316"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145498160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.dsx.2025.103344
Ningjian Wang , Anoop Misra
{"title":"Highlights of the current issue","authors":"Ningjian Wang , Anoop Misra","doi":"10.1016/j.dsx.2025.103344","DOIUrl":"10.1016/j.dsx.2025.103344","url":null,"abstract":"","PeriodicalId":48252,"journal":{"name":"Diabetes & Metabolic Syndrome-Clinical Research & Reviews","volume":"19 10","pages":"Article 103344"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.dsx.2025.103331
Yusuff Adebayo Adebisi , Chimwemwe Ngoma , Davide Campagna , Antonio Ceriello , Najim Z. Alshahrani , Anoop Misra , Abdul Basit , Cristina Russo , Tadej Battelino , Noel Somasundaram , Muhammad Yazid Jalaludin , Phuong Le Dinh , Yoshifumi Saisho , Magdalena Walicka , Venera Tomaselli , Giulio Cantone , Othmar Moser , Riccardo Polosa
Background
Cigarette smoking is a well-established risk factor for diabetes, but the relationship between e-cigarette use and diabetes remains uncertain. Evidence to date has been drawn almost entirely from North America and Asia, with little information from European populations.
Methods
We conducted a cross-sectional study of 17,854 adults aged 16 years and older from the 2017, 2018, 2019, and 2021 waves of the nationally representative Scottish Health Survey. Diabetes status was based on self-report of doctor-diagnosed diabetes. Participants were classified into six mutually exclusive categories of smoking and e-cigarette use: never users of either cigarettes or e-cigarettes, ex-smokers (former smokers who never used e-cigarettes), current exclusive cigarette smokers, current exclusive e-cigarette users, current dual users, and former e-cigarette users. Weighted prevalence estimates and survey-weighted binary logistic regression models were used to examine associations, adjusting for age group, sex, education, deprivation quintile, ethnicity, alcohol use, physical activity, and hypertension.
Results
Diabetes prevalence was highest among ex-smokers (11.3 %, 95 % CI: 10.1–12.5). Prevalence was 5.7 % (95 % CI: 5.2–6.2) among never users of either cigarettes or e-cigarettes, 6.2 % (95 % CI: 4.9–7.9) among current exclusive cigarette smokers, 4.9 % (95 % CI: 3.4–7.1) among current exclusive e-cigarette users, 8.3 % (95 % CI: 5.8–11.8) among current dual users, and 5.1 % (95 % CI: 4.1–6.3) among former e-cigarette users. In adjusted models, ex-smokers had 35 % higher odds of diabetes compared with never users of either cigarettes or e-cigarettes (OR = 1.35, 95 % CI = 1.14–1.60, p < 0.001), whereas current exclusive smokers (OR = 0.78, 95 % CI = 0.58–1.03, p = 0.084), current exclusive e-cigarette users (OR = 0.81, 95 % CI = 0.53–1.22, p = 0.309), current dual users (OR = 1.49, 95 % CI = 0.94–2.38, p = 0.091), and former e-cigarette users (OR = 1.00, 95 % CI = 0.78–1.29, p = 0.973) were not significantly different from never users. Sensitivity analyses restricting ex-smokers to those with ≥5 years since cessation and limiting the sample to adults aged ≥45 years reproduced the same pattern of results.
Conclusions
In this nationally representative study of Scottish adults, excess diabetes prevalence was observed among ex-smokers, a pattern that may reflect both reverse causation if individuals quit smoking after diagnosis and the lasting metabolic effects of cumulative smoking exposure. Neither current nor former e-cigarette use was associated with diabetes, and the observed variation in prevalence appeared linked to smoking history rather than e-cigarette use. However, because vaping is relatively recent, further longitudinal research is needed to clarify any long-term risks.
吸烟是糖尿病的一个公认的危险因素,但使用电子烟与糖尿病之间的关系仍不确定。迄今为止的证据几乎全部来自北美和亚洲,很少有来自欧洲人口的信息。方法:我们对2017年、2018年、2019年和2021年具有全国代表性的苏格兰健康调查浪潮中的17,854名16岁及以上的成年人进行了横断面研究。糖尿病状况基于医生诊断糖尿病的自我报告。参与者被分为吸烟和电子烟使用的六个相互排斥的类别:从不使用香烟或电子烟,前吸烟者(从不使用电子烟的前吸烟者),当前独家吸烟者,当前独家电子烟用户,当前双重用户和前电子烟用户。加权患病率估计值和调查加权二元logistic回归模型用于检验相关性,调整了年龄组、性别、教育、贫困五分位数、种族、酒精使用、体育活动和高血压。结果戒烟者糖尿病患病率最高(11.3%,95% CI: 10.1-12.5)。从未吸过香烟或电子烟的人中患病率为5.7% (95% CI: 5.2-6.2),目前独家吸电子烟的人中患病率为6.2% (95% CI: 4.9 - 7.9),目前独家吸电子烟的人中患病率为4.9% (95% CI: 3.4-7.1),目前双重吸电子烟的人中患病率为8.3% (95% CI: 5.8-11.8),曾经吸过电子烟的人中患病率为5.1% (95% CI: 4.1-6.3)。在调整模型中,抽过烟的机率要高出35%糖尿病而从不香烟或电子烟的用户(or = 1.35, 95% CI -1.60 = 1.14, p & lt; 0.001),而目前独家吸烟者(or = 0.78, 95% CI -1.03 = 0.58, p = 0.084),目前独家烟用户(or = 0.81, 95% CI -1.22 = 0.53, p = 0.309),目前双用户(or = 1.49, 95% CI -2.38 = 0.94, p = 0.091),和前烟用户(or = 1.00, 95% CI -1.29 = 0.78,P = 0.973)与从未使用过的无显著差异。敏感性分析将戒烟者限定为戒烟≥5年的人,并将样本限定为≥45岁的成年人,结果也相同。结论:在这项对苏格兰成年人进行的具有全国代表性的研究中,在戒烟者中观察到糖尿病的患病率过高,这种模式可能反映了个体在诊断后戒烟的反向因果关系和累积吸烟暴露的持久代谢影响。目前和以前的电子烟使用都与糖尿病无关,观察到的患病率变化似乎与吸烟史有关,而不是与电子烟使用有关。然而,由于电子烟是相对较新的,因此需要进一步的纵向研究来阐明任何长期风险。
{"title":"Differential associations between smoking, e-cigarette use, and diabetes prevalence","authors":"Yusuff Adebayo Adebisi , Chimwemwe Ngoma , Davide Campagna , Antonio Ceriello , Najim Z. Alshahrani , Anoop Misra , Abdul Basit , Cristina Russo , Tadej Battelino , Noel Somasundaram , Muhammad Yazid Jalaludin , Phuong Le Dinh , Yoshifumi Saisho , Magdalena Walicka , Venera Tomaselli , Giulio Cantone , Othmar Moser , Riccardo Polosa","doi":"10.1016/j.dsx.2025.103331","DOIUrl":"10.1016/j.dsx.2025.103331","url":null,"abstract":"<div><h3>Background</h3><div>Cigarette smoking is a well-established risk factor for diabetes, but the relationship between e-cigarette use and diabetes remains uncertain. Evidence to date has been drawn almost entirely from North America and Asia, with little information from European populations.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study of 17,854 adults aged 16 years and older from the 2017, 2018, 2019, and 2021 waves of the nationally representative Scottish Health Survey. Diabetes status was based on self-report of doctor-diagnosed diabetes. Participants were classified into six mutually exclusive categories of smoking and e-cigarette use: never users of either cigarettes or e-cigarettes, ex-smokers (former smokers who never used e-cigarettes), current exclusive cigarette smokers, current exclusive e-cigarette users, current dual users, and former e-cigarette users. Weighted prevalence estimates and survey-weighted binary logistic regression models were used to examine associations, adjusting for age group, sex, education, deprivation quintile, ethnicity, alcohol use, physical activity, and hypertension.</div></div><div><h3>Results</h3><div>Diabetes prevalence was highest among ex-smokers (11.3 %, 95 % CI: 10.1–12.5). Prevalence was 5.7 % (95 % CI: 5.2–6.2) among never users of either cigarettes or e-cigarettes, 6.2 % (95 % CI: 4.9–7.9) among current exclusive cigarette smokers, 4.9 % (95 % CI: 3.4–7.1) among current exclusive e-cigarette users, 8.3 % (95 % CI: 5.8–11.8) among current dual users, and 5.1 % (95 % CI: 4.1–6.3) among former e-cigarette users. In adjusted models, ex-smokers had 35 % higher odds of diabetes compared with never users of either cigarettes or e-cigarettes (OR = 1.35, 95 % CI = 1.14–1.60, p < 0.001), whereas current exclusive smokers (OR = 0.78, 95 % CI = 0.58–1.03, p = 0.084), current exclusive e-cigarette users (OR = 0.81, 95 % CI = 0.53–1.22, p = 0.309), current dual users (OR = 1.49, 95 % CI = 0.94–2.38, p = 0.091), and former e-cigarette users (OR = 1.00, 95 % CI = 0.78–1.29, p = 0.973) were not significantly different from never users. Sensitivity analyses restricting ex-smokers to those with ≥5 years since cessation and limiting the sample to adults aged ≥45 years reproduced the same pattern of results.</div></div><div><h3>Conclusions</h3><div>In this nationally representative study of Scottish adults, excess diabetes prevalence was observed among ex-smokers, a pattern that may reflect both reverse causation if individuals quit smoking after diagnosis and the lasting metabolic effects of cumulative smoking exposure. Neither current nor former e-cigarette use was associated with diabetes, and the observed variation in prevalence appeared linked to smoking history rather than e-cigarette use. However, because vaping is relatively recent, further longitudinal research is needed to clarify any long-term risks.</div></div>","PeriodicalId":48252,"journal":{"name":"Diabetes & Metabolic Syndrome-Clinical Research & Reviews","volume":"19 10","pages":"Article 103331"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.dsx.2025.103328
Ali Jafari , Mohammad Amin Karimi , Mahsa Mahmoudinezhad , Fatemeh Razavi , Helia Mardani , Vali Musazadeh
Background and aims
This systematic review and meta-analysis was conducted to evaluate the effects of artichoke supplementation on cardiometabolic health markers in adults.
Methods
A comprehensive literature search of PubMed, Scopus, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials was conducted up to September 2024.
Results
Artichoke supplementation significantly reduced body mass index (WMD = −0.51 kg/m2, 95 % CI: 0.93 to −0.09) and waist circumference (WMD = −1.21 cm, 95 % CI: 2.24 to −0.17), while its effects on body weight and hip circumference were not statistically significant. Blood pressure outcomes revealed significant reductions in both systolic (WMD = −2.49 mmHg, 95 % CI: 4.33 to −0.65) and diastolic (WMD = −1.53 mmHg, 95 % CI: 3.01 to −0.05) pressures. Significant lipid profile improvements were observed in total cholesterol (WMD = −12.29 mg/dL, 95 % CI: 19.92 to −4.65), low-density lipoprotein cholesterol (WMD = −10.31 mg/dL, 95 % CI: 18.57 to −2.04), and triglycerides (WMD = −12.85 mg/dL, 95 % CI: 24.77 to −0.93), with no significant effect on high-density lipoprotein cholesterol. Regarding glycemic indices, insulin (WMD = −1.83 mU/L, 95 % CI: 3.33 to −0.32) and homeostatic model assessment for insulin resistance (WMD = −0.92, 95 % CI: 1.33 to −0.51) were significantly reduced, whereas fasting blood glucose and HbA1c were unaffected. Among liver function markers, alanine aminotransferase (WMD = −8.47 U/L, 95 % CI: 14.71 to −2.23) and alkaline phosphatase (WMD = −7.86 U/L, 95 % CI: 15.26 to −0.45) were significantly reduced, while aspartate aminotransferase showed a borderline non-significant effect. No significant change was observed in creatinine levels.
Conclusion
Artichoke supplementation may offer modest but significant improvements in several cardiometabolic risk markers.
{"title":"Artichoke and cardiometabolic health: A systematic and meta-analytic synthesis of current evidence","authors":"Ali Jafari , Mohammad Amin Karimi , Mahsa Mahmoudinezhad , Fatemeh Razavi , Helia Mardani , Vali Musazadeh","doi":"10.1016/j.dsx.2025.103328","DOIUrl":"10.1016/j.dsx.2025.103328","url":null,"abstract":"<div><h3>Background and aims</h3><div>This systematic review and meta-analysis was conducted to evaluate the effects of artichoke supplementation on cardiometabolic health markers in adults.</div></div><div><h3>Methods</h3><div>A comprehensive literature search of PubMed, Scopus, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials was conducted up to September 2024.</div></div><div><h3>Results</h3><div>Artichoke supplementation significantly reduced body mass index (WMD = −0.51 kg/m<sup>2</sup>, 95 % CI: 0.93 to −0.09) and waist circumference (WMD = −1.21 cm, 95 % CI: 2.24 to −0.17), while its effects on body weight and hip circumference were not statistically significant. Blood pressure outcomes revealed significant reductions in both systolic (WMD = −2.49 mmHg, 95 % CI: 4.33 to −0.65) and diastolic (WMD = −1.53 mmHg, 95 % CI: 3.01 to −0.05) pressures. Significant lipid profile improvements were observed in total cholesterol (WMD = −12.29 mg/dL, 95 % CI: 19.92 to −4.65), low-density lipoprotein cholesterol (WMD = −10.31 mg/dL, 95 % CI: 18.57 to −2.04), and triglycerides (WMD = −12.85 mg/dL, 95 % CI: 24.77 to −0.93), with no significant effect on high-density lipoprotein cholesterol. Regarding glycemic indices, insulin (WMD = −1.83 mU/L, 95 % CI: 3.33 to −0.32) and homeostatic model assessment for insulin resistance (WMD = −0.92, 95 % CI: 1.33 to −0.51) were significantly reduced, whereas fasting blood glucose and HbA1c were unaffected. Among liver function markers, alanine aminotransferase (WMD = −8.47 U/L, 95 % CI: 14.71 to −2.23) and alkaline phosphatase (WMD = −7.86 U/L, 95 % CI: 15.26 to −0.45) were significantly reduced, while aspartate aminotransferase showed a borderline non-significant effect. No significant change was observed in creatinine levels.</div></div><div><h3>Conclusion</h3><div>Artichoke supplementation may offer modest but significant improvements in several cardiometabolic risk markers.</div></div>","PeriodicalId":48252,"journal":{"name":"Diabetes & Metabolic Syndrome-Clinical Research & Reviews","volume":"19 10","pages":"Article 103328"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145575120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.dsx.2025.103324
Yve Han , Huaxing Lou , Peng Zhao , Hui Li , Congyi Zhang , Hongru Sun
Aims
The study aims to quantify the changes in the age-standardized prevalence of Type 1 and type 2 diabetes among the elderly in the Western Pacific Region (WPR) from 1990 to 2021.
Methods
We analyzed data on diabetes prevalence, mortality, and DALYs among the elderly from the GBD, stratified by sex, age, and SDI. We calculated ASR, used APC and AAPC to assess trends, and conducted correlation, decomposition, and health inequality analyses.
Results
From 1990 to 2021, the age-standardized prevalence of type 1 and type 2 diabetes increased in the region's elderly. In 2021, rates were 19,573.81 per 100,000 for type 2 and 191.98 per 100,000 for type 1. Men experienced a higher burden, and type 2's burden increased with age. A negative SDI-diabetes burden correlation was observed, highlighting socio-economic complexities.
Conclusion
The rising trends in diabetes prevalence and DALYs among the elderly in the Western Pacific Region underscore the growing challenge of managing diabetes in an aging society. This highlights the need for targeted interventions and policies to address the health impacts of diabetes on the elderly population.
{"title":"From 1990 to 2021, the burden of diabetes among the elderly in the Western Pacific Region (WPR) and projections for 2040 prevalence: A systematic analysis of the 2021 Global Burden of Disease study","authors":"Yve Han , Huaxing Lou , Peng Zhao , Hui Li , Congyi Zhang , Hongru Sun","doi":"10.1016/j.dsx.2025.103324","DOIUrl":"10.1016/j.dsx.2025.103324","url":null,"abstract":"<div><h3>Aims</h3><div>The study aims to quantify the changes in the age-standardized prevalence of Type 1 and type 2 diabetes among the elderly in the Western Pacific Region (WPR) from 1990 to 2021.</div></div><div><h3>Methods</h3><div>We analyzed data on diabetes prevalence, mortality, and DALYs among the elderly from the GBD, stratified by sex, age, and SDI. We calculated ASR, used APC and AAPC to assess trends, and conducted correlation, decomposition, and health inequality analyses.</div></div><div><h3>Results</h3><div>From 1990 to 2021, the age-standardized prevalence of type 1 and type 2 diabetes increased in the region's elderly. In 2021, rates were 19,573.81 per 100,000 for type 2 and 191.98 per 100,000 for type 1. Men experienced a higher burden, and type 2's burden increased with age. A negative SDI-diabetes burden correlation was observed, highlighting socio-economic complexities.</div></div><div><h3>Conclusion</h3><div>The rising trends in diabetes prevalence and DALYs among the elderly in the Western Pacific Region underscore the growing challenge of managing diabetes in an aging society. This highlights the need for targeted interventions and policies to address the health impacts of diabetes on the elderly population.</div></div>","PeriodicalId":48252,"journal":{"name":"Diabetes & Metabolic Syndrome-Clinical Research & Reviews","volume":"19 10","pages":"Article 103324"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.dsx.2025.103327
Melanie J. Davies , Amra Ciric Alibegovic , Anders Boeck Jensen , Renuka Munikrishnappa , Uffe Christian Braae
Aims
This real-world study assessed glycemic levels and further clinical outcomes, following initiation of detemir, in sub populations of people with T2D vulnerable to hypoglycemia.
Methods
This retrospective cohort study included people registered in the United Kingdom Clinical Practice Research Datalink (CPRD) GOLD database who initiated detemir between January 2004 and December 2019. Analyses were stratified by age, previous insulin experience, and history of renal, liver or cardiovascular disease (CVD).
Results
In total, 8975 eligible study participants were identified (44.4 %, aged ≥65 years; 23.7 %, renal disease; 15.6 %, CVD; 2.2 %, liver disease; 53.3 %, insulin-naïve). Six months post-index estimated changes (95 % confidence intervals [CI]) in HbA1c and body weight were −1.00 % (−1.1; −0.9) (−11 mmol/mol [−12; −9]) and 0.35 kg (0.03; 0.66), respectively. Rates of hypoglycemia were low, with no increase between pre- and post-index periods. Compared with pre-index, the mean number of oral glucose-lowering therapy prescriptions per person and mean number of people receiving each type of glucose-lowering therapy decreased post-index.
Conclusions
Detemir appears to be an effective and well-tolerated treatment for T2D in older people, and those with CVD, renal disease or liver disease.
{"title":"Experience with insulin detemir for type 2 diabetes in older people and people with comorbidities","authors":"Melanie J. Davies , Amra Ciric Alibegovic , Anders Boeck Jensen , Renuka Munikrishnappa , Uffe Christian Braae","doi":"10.1016/j.dsx.2025.103327","DOIUrl":"10.1016/j.dsx.2025.103327","url":null,"abstract":"<div><h3>Aims</h3><div>This real-world study assessed glycemic levels and further clinical outcomes, following initiation of detemir, in sub populations of people with T2D vulnerable to hypoglycemia.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included people registered in the United Kingdom Clinical Practice Research Datalink (CPRD) GOLD database who initiated detemir between January 2004 and December 2019. Analyses were stratified by age, previous insulin experience, and history of renal, liver or cardiovascular disease (CVD).</div></div><div><h3>Results</h3><div>In total, 8975 eligible study participants were identified (44.4 %, aged ≥65 years; 23.7 %, renal disease; 15.6 %, CVD; 2.2 %, liver disease; 53.3 %, insulin-naïve). Six months post-index estimated changes (95 % confidence intervals [CI]) in HbA1c and body weight were −1.00 % (−1.1; −0.9) (−11 mmol/mol [−12; −9]) and 0.35 kg (0.03; 0.66), respectively. Rates of hypoglycemia were low, with no increase between pre- and post-index periods. Compared with pre-index, the mean number of oral glucose-lowering therapy prescriptions per person and mean number of people receiving each type of glucose-lowering therapy decreased post-index.</div></div><div><h3>Conclusions</h3><div>Detemir appears to be an effective and well-tolerated treatment for T2D in older people, and those with CVD, renal disease or liver disease.</div></div>","PeriodicalId":48252,"journal":{"name":"Diabetes & Metabolic Syndrome-Clinical Research & Reviews","volume":"19 10","pages":"Article 103327"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}