Preclinical carotid atherosclerosis in patients with latent autoimmune diabetes in adults (LADA), type 2 diabetes and classical type 1 diabetes View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-12

AUTHORS

Marta Hernández, Carolina López, Jordi Real, Joan Valls, Emilio Ortega-Martinez de Victoria, Federico Vázquez, Esther Rubinat, Minerva Granado-Casas, Nuria Alonso, Teresa Molí, Angels Betriu, Albert Lecube, Elvira Fernández, Richard David Leslie, Dídac Mauricio

ABSTRACT

BACKGROUND: LADA is probably the most prevalent form of autoimmune diabetes. Nevertheless, there are few data about cardiovascular disease in this group of patients. The aim of this study was to investigate the frequency of carotid atherosclerotic plaques in patients with LADA as compared with patients with classic type 1 diabetes and type 2 diabetes. METHODS: Patients with LADA were matched for age and gender in different proportions to patients with type 2 diabetes, and classic type 1 diabetes. None of the patients had clinical cardiovascular disease. All subjects underwent B-mode carotid ultrasound to detect atheroma plaques. Demographics were obtained from all subjects. RESULTS: We included 71 patients with LADA, 191 patients with type 2 diabetes and 116 patients with type 1 diabetes. Carotid atherosclerosis was more frequent in patients with LADA compared with type 2 diabetes (73.2% vs. 56.9%, P = 0.0018) and classic type 1 diabetes (57.1%, P = 0.026); these changes occurred despite healthier macrovascular risk profiles in the former. Age (P < 0.001), smoking (P = 0.003) and hypertension (P = 0.019) were independently associated with carotid atherosclerosis. Multiple plaques were also more frequent in patients with LADA as compared with classic type 1 diabetes and type 2 diabetes (45.1% and 33.6% vs. 27.2%, respectively, P = 0.022). The frequency of carotid plaques increased with increasing diabetes duration in LADA patients compared with type 2 diabetes (85.7% vs. 58.8%, inverse OR 5.72 [1.5-21.8]; P = 0.009). CONCLUSIONS: LADA patients do not present with less carotid atherosclerosis than patients with type 1 and type 2 diabetes. Their macrovascular risk occurs despite a healthier macrovascular risk profile than those patients with type 2 diabetes. More... »

PAGES

94

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12933-017-0576-9

DOI

http://dx.doi.org/10.1186/s12933-017-0576-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1090913351

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28750634


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436 Institut de Recerca Biomèdica de Lleida, Lleida, Spain
437 Nursing School, Universitat de Lleida, Lleida, Spain
438 rdf:type schema:Organization
439 https://www.grid.ac/institutes/grid.452479.9 schema:alternateName Institut Universitari d'Investigació en Atenció Primària Jordi Gol
440 schema:name Epidemiologia i Salut Pública, Universitat International de Catalunya, Sant Cugat del Vallés, Spain
441 Unitat de Suport a la Recerca Lleida, Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain
442 rdf:type schema:Organization
443 https://www.grid.ac/institutes/grid.4868.2 schema:alternateName Queen Mary University of London
444 schema:name The Blizard Institute, Barts and the London School of Medicine and Dentistry, London, UK
445 rdf:type schema:Organization
 




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