Evidence map›Paper›PMID 39986940›Full record

Observational studyNutrition, metabolism, and cardiovascular diseases : NMCD2025

Diabetes and risk of premature atherosclerotic cardiovascular disease.

Jamal S Rana, Fatima Farrukh, Howard H Moffet, Jennifer Y Liu, Ankeet S Bhatt, Pierre Sabouret, Andrew J Karter

Abstract readObservational Study
In one paragraph

Observational study in Nutrition, metabolism, and cardiovascular diseases : NMCD, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jamal S RanaDivision of Cardiology, Kaiser Permanente Oakland Medical Center, USA; Division of Research, Kaiser Permanente Northern California, USA. Electronic address: jamal.s.rana@kp.org.
Fatima FarrukhInternal Medicine, University of Cincinnati, USA.
Howard H MoffetDivision of Research, Kaiser Permanente Northern California, USA.
Jennifer Y LiuDivision of Research, Kaiser Permanente Northern California, USA.
Ankeet S BhattDivision of Research, Kaiser Permanente Northern California, USA; Division of Cardiology, Kaiser Permanente San Francisco Medical Center, USA.
Pierre SabouretUniversity Pierre and Marie Curie, Cardiology Department, Emeritus, Paris, France.
Andrew J KarterDivision of Research, Kaiser Permanente Northern California, USA.

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Optimizing Medical Decision Making for Older Patients with Type 2 DiabetesR01AG063391 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI HUANG, ELBERT S., KARTER, ANDREW JOHN · 2019 to 2023
$3.2M
Preferences, Management, and Outcomes in the Oldest Patients with DiabetesR56AG051683 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI HUANG, ELBERT S., KARTER, ANDREW JOHN · 2016 to 2016
$773k
NIA NIH HHS R01 AG063391NIA NIH HHS R56 AG051683NIDDK NIH HHS P30 DK092924
6 · The paper itself

Abstract

BACKGROUND AND

aimRisk of premature atherosclerotic cardiovascular disease (ASCVD) attributable to diabetes is poorly understood. We evaluated the impact of diabetes on future risk of ASCVD in young men and women. METHODS AND

resultsObservational cohort study of young adults (ages 30-55 years) without established ASCVD (as of January 1, 2006) who were members of Kaiser Permanente Northern California, an integrated healthcare delivery system. Adjusted demographics (age, race) and traditional risk factors (hypertension, LDL-cholesterol, HDL- C, total cholesterol, smoking). Models were specified to estimate risk ratios (RRs) for incident ASCVD events by diabetes status: no diabetes (reference) versus diabetes with no treatment, with oral hypoglycemic (OH) only and with OH plus insulin. Incident ASCVD events were defined as a composite of nonfatal myocardial infarction, ischemic stroke, or coronary heart disease death through December 31, 2020. In fully adjusted models, individuals with diabetes using insulin exhibited a 5-fold higher risk among women (RR: 5.44; 95 % CI: 4.90-6.05) and a 3-fold higher risk among men (RR: 3.13; 95 % CI: 2.84-3.45) for incident ASCVD events compared to those without diabetes.

conclusionsA proactive stance towards ASCVD risk management in young individuals with diabetes, healthcare professionals can help improve the morbidity and mortality associated with this complex interplay of metabolic and cardiovascular disease.

Indexed as

AtherosclerosisDiabetes MellitusAdultAge FactorsBiomarkersCaliforniaFemaleHeart Disease Risk FactorsHumansHypoglycemic AgentsIncidenceInsulinMaleMiddle AgedPrognosisRisk AssessmentBiomarkersHypoglycemic AgentsInsulin

Identifiers

PMID39986940
PMCPMC13561531

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.