Evidence map›Paper›PMID 42804034›Full record

ArticleEndocrine2026

Association of coexisting celiac disease with macrovascular and microvascular complications in adults with type 2 diabetes mellitus: a retrospective propensity score-matched cohort study.

Renan Prado, Melissa Lou Silva

Abstract readMulticenter Study
In one paragraph

Article in Endocrine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Renan PradoDepartment of Internal Medicine, Cleveland Clinic Main Campus, Cleveland, OH, 44195, USA. prador2@ccf.org.
Melissa Lou SilvaLiver Imaging Group, Department of Radiology, University of California San Diego, La Jolla, 92122, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCeliac disease (CD) and type 2 diabetes mellitus (T2DM) are increasingly recognized as overlapping metabolic conditions. However, the impact of concomitant CD on diabetes-related complications and metabolic outcomes in patients with T2DM remains poorly characterized. We aimed to compare clinical outcomes between patients with T2DM and CD versus patients without CD.

methodsWe performed a retrospective multicenter electronic health record (EHR)-based cohort study using the TriNetX research network. Adults with T2DM and concomitant CD were identified using ICD-10-CM codes for T2DM and CD, along with either markedly elevated tissue transglutaminase IgA levels or upper endoscopy procedures. Propensity score matching (1:1) was performed for demographics, cardiovascular risk factors, lipid disorders, medications, and laboratory markers, yielding 8,760 patients per cohort. Outcomes included albuminuria, depression, anxiety, severe hyperglycemia, ophthalmic complications, hospitalization, neuropathy, nephropathy, and a composite cardiovascular outcome.

resultsAfter matching, patients with T2DM and CD had significantly higher hazards of albuminuria (HR 1.30, 95% CI 1.15-1.46), depression (HR 1.14, 95% CI 1.07-1.21), anxiety (HR 1.12, 95% CI 1.06-1.18), severe hyperglycemia (HR 1.39, 95% CI 1.27-1.53), ophthalmic complications (HR 1.77, 95% CI 1.55-2.02), neuropathy (HR 1.73, 95% CI 1.59-1.88), nephropathy (HR 1.13, 95% CI 1.04-1.22), and a composite cardiovascular outcome (HR 1.09, 95% CI 1.01-1.17) compared with matched controls. Hospitalization risk did not differ between cohorts (HR 0.97, 95% CI 0.92-1.01). Mean follow-up after matching were 1,574 days and 1,438 days.

conclusionsAmong patients with T2DM, concomitant CD was associated with significantly higher risks of macro and microvascular diabetic complications, and psychiatric comorbidities.

Indexed as

Celiac DiseaseDiabetes Mellitus, Type 2Diabetic AngiopathiesAdultAgedComorbidityFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesRisk FactorsCeliac diseaseDiabetes complicationsGluten free dietHyperglycemiaType 2 diabetes mellitus

Identifiers

PMID42804034
PMCPMC13619779

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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.