TY - JOUR
T1 - Higher burden of cardiometabolic and socioeconomic risk factors in women with type 2 diabetes
T2 - An analysis of the Glycemic Reduction Approaches in Diabetes (GRADE) baseline cohort
AU - Gulanski, Barbara I.
AU - Butera, Nicole M.
AU - Krause-Steinrauf, Heidi
AU - Lichtman, Judith H.
AU - Harindhanavudhi, Tasma
AU - Green, Jennifer B.
AU - Suratt, Colleen E.
AU - Abouassi, Hiba
AU - Desouza, Cyrus
AU - Ahmann, Andrew J.
AU - Wexler, Deborah J.
AU - Aroda, Vanita R.
N1 - Publisher Copyright:
© 2023 BMJ Publishing Group. All rights reserved.
PY - 2023/4/24
Y1 - 2023/4/24
N2 - Introduction Type 2 diabetes mellitus (T2DM) is a powerful risk factor for cardiovascular disease (CVD), conferring a greater relative risk in women than men. We sought to examine sex differences in cardiometabolic risk factors and management in the contemporary cohort represented by the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE). Research design and methods GRADE enrolled 5047 participants (1837 women, 3210 men) with T2DM on metformin monotherapy at baseline. The current report is a cross-sectional analysis of baseline data collected July 2013 to August 2017. Results Compared with men, women had a higher mean body mass index (BMI), greater prevalence of severe obesity (BMI≥40 kg/m 2), higher mean LDL cholesterol, greater prevalence of low HDL cholesterol, and were less likely to receive statin treatment and achieve target LDL, with a generally greater prevalence of these risk factors in younger women. Women with hypertension were equally likely to achieve blood pressure targets as men; however, women were less likely to receive ACE inhibitors or angiotensin receptor blockers. Women were more likely to be divorced, separated or widowed, and had fewer years of education and lower incomes. Conclusions This contemporary cohort demonstrates that women with T2DM continue to have a greater burden of cardiometabolic and socioeconomic risk factors than men, particularly younger women. Attention to these persisting disparities is needed to reduce the burden of CVD in women. Trial registration number ClinicalTrials.gov
AB - Introduction Type 2 diabetes mellitus (T2DM) is a powerful risk factor for cardiovascular disease (CVD), conferring a greater relative risk in women than men. We sought to examine sex differences in cardiometabolic risk factors and management in the contemporary cohort represented by the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE). Research design and methods GRADE enrolled 5047 participants (1837 women, 3210 men) with T2DM on metformin monotherapy at baseline. The current report is a cross-sectional analysis of baseline data collected July 2013 to August 2017. Results Compared with men, women had a higher mean body mass index (BMI), greater prevalence of severe obesity (BMI≥40 kg/m 2), higher mean LDL cholesterol, greater prevalence of low HDL cholesterol, and were less likely to receive statin treatment and achieve target LDL, with a generally greater prevalence of these risk factors in younger women. Women with hypertension were equally likely to achieve blood pressure targets as men; however, women were less likely to receive ACE inhibitors or angiotensin receptor blockers. Women were more likely to be divorced, separated or widowed, and had fewer years of education and lower incomes. Conclusions This contemporary cohort demonstrates that women with T2DM continue to have a greater burden of cardiometabolic and socioeconomic risk factors than men, particularly younger women. Attention to these persisting disparities is needed to reduce the burden of CVD in women. Trial registration number ClinicalTrials.gov
KW - Diabetes Mellitus, Type 2
KW - Evidence-Based Medicine
KW - Risk Factors
KW - Women's Health
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U2 - 10.1136/bmjdrc-2022-003159
DO - 10.1136/bmjdrc-2022-003159
M3 - Article
C2 - 37094945
AN - SCOPUS:85153687663
SN - 2052-4897
VL - 11
JO - BMJ Open Diabetes Research and Care
JF - BMJ Open Diabetes Research and Care
IS - 2
M1 - e003159
ER -