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Table 1 Baseline clinical characteristics of patients with valid information on vital status on October 31, 2015, stratified by eGDR tertiles

From: Insulin resistance, diabetic kidney disease, and all-cause mortality in individuals with type 2 diabetes: a prospective cohort study

Variables

T1

eGDR ≥ 5.35

mg/kg/min

T2

eGDR 4.15–5.34

mg/kg/min

T3

eGDR < 4.14

mg/kg/min

p

n (%)

5218 (33.3)

5219 (33.3)

5219 (33.3)

 

Age, years

65.5 ± 11.3

68.3 ± 9.6

66.0 ± 9.8

< 0.0001

Gender, n (%)

   

< 0.0001

Females

2096 (40.2)

2231 (42.7)

2427 (46.5)

 

Males

3122 (59.8)

2988 (57.3)

2792 (53.5)

 

Smoking status, n (%)

   

< 0.0001

Never

2960 (56.7)

2955 (56.6)

2934 (56.2)

 

Former

1375 (26.4)

1528 (29.3)

1504 (28.8)

 

Current

883 (16.9)

736 (14.1)

781 (15.0)

 

Diabetes duration, years

11.6 ± 10.0

13.7 ± 10.5

14.2 ± 9.9

< 0.0001

HbA1c, mmol/mol

51.3 ± 13.1

55.6 ± 11.3

70.0 ± 17.8

< 0.0001

HbA1c, %

6.84 ± 1.20

7.24 ± 1.03

8.56 ± 1.63

 

Anti-hyperglycaemic treatment, n (%)

   

< 0.0001

Lifestyle

1029 (19.7)

743 (14.2)

341 (6.5)

 

OHA

3198 (61.3)

3403 (65.2)

3019 (57.8)

 

OHA + insulin

314 (6.0)

371 (7.1)

825 (15.8)

 

Insulin

677 (13.0)

702 (13.5)

1035 (19.8)

 

BMI, kg/m2

25.61 ± 3.72

28.06 ± 3.06

33.22 ± 5.10

< 0.0001

Waist circumference, cm

95.7 ± 7.6

100.7 ± 6.21

111.1 ± 10.2

< 0.0001

Triglycerides, mmol/l

1.17 (0.86, 1.62)

1.32 (0.97, 1.84)

1.54 (1.13, 2.16)

< 0.0001

Total cholesterol, mmol/l

4.76 ± 0.96

4.75 ± 0.98

4.81 ± 1.03

0.015

HDL cholesterol, mmol/l

1.34 ± 0.37

1.29 ± 0.35

1.23 ± 0.33

< 0.0001

Non-HDL cholesterol, mmol/l

3.42 ± 0.91

3.46 ± 0.94

3.58 ± 0.99

< 0.0001

LDL cholesterol, mmol/l

2.81 ± 0.82

2.77 ± 0.84

2.77 ± 0.86

0.036

Lipid-lowering therapy, n (%)

2013 (38.6)

2607 (50.0)

2618 (50.2)

< 0.0001

Dyslipidaemia, n (%)

4090 (78.4)

4395 (84.2)

4371 (83.8)

< 0.0001

Systolic BP, mmHg

131.8 ± 16.7

140.6 ± 17.6

141.7 ± 18.2

< 0.0001

Diastolic BP, mmHg

76.8 ± 8,7

79.2 ± 9.4

80.3 ± 9.9

< 0.0001

Pulse pressure, mmHg

55.1 ± 14.6

61.4 ± 15.8

61.4 ± 15.7

< 0.0001

Anti-hypertensive therapy, n (%)

2234 (42.8)

4307 (82.5)

4532 (86.8)

< 0.0001

RAS blockers, n (%)

1798 (34.5)

3613 (69.2)

3929 (75.3)

< 0.0001

Hypertension, n (%)

2754 (52.8)

5150 (98.7)

5192 (99.5)

< 0.0001

Anti-platelet therapy, n (%)

1609 (30.8)

2306 (44.2)

2333 (44.7)

< 0.0001

Anti-coagulant therapy, n (%)

152 (2.9)

243 (4.7)

274 (5.3)

< 0.0001

DR, n (%)

   

< 0.0001

No

4396 (84.2)

4128 (79.1)

3665 (70.2)

 

Non-advanced

484 (9.3)

624 (11.9)

839 (16.1)

 

Advanced

338 (6.5)

467 (8.9)

715 (13.7)

 

Albuminuria, mg/24 h

11.2 (5.8, 22.2)

13.1 (6.5, 32.5)

17.1 (8.1, 52.6)

< 0.0001

Albuminuria categories

   

< 0.0001

A1 (normoalbuminuria)

4226 (81.0)

3842 (73.6)

3392 (65.0)

 

A2 (microalbuminuria)

861 (16.5)

1160 (22.2)

1444 (27.7)

 

A3 (macroalbuminuria)

131 (2.5)

217 (4.2)

383 (7.3)

 

Serum creatinine, μmol/l

70.8 ± 15.7

74.0 ± 17.0

114.2 ± 35.1

< 0.0001

eGFR, ml·min−1·1.73 m−2

83.8 ± 20.1

78.3 ± 20.3

78.8 ± 22.0

< 0.0001

eGFR categories

   

< 0.0001

G1 (>90 ml·min−1·1.73 m−2)

2253 (43.2)

1691 (32.4)

1832 (35.1)

 

G2 (60–89 ml·min−1·1.73 m−2)

2303 (44.1)

2533 (48.5)

2338 (44.8)

 

G3 (30–59 ml·min−1·1.73 m−2)

593 (11.4)

906 (17.4)

928 (17.8)

 

G4–5 (< 30 ml·min−1·1.73 m−2)

69 (1.3)

89 (1.7)

121 (2.3)

 

DKD phenotypes

   

< 0.0001

No DKD

3837 (73.5)

3294 (63.1)

2853 (54,7)

 

Albuminuric DKD with preserved eGFR

719 (13.8)

930 (17.8)

1317 (25.2)

 

Nonalbuminuric DKD

389 (7.5)

548 (10.5)

539 (10.3)

 

Albuminuric DKD with reduced eGFR

273 (5.2)

447 (8.6)

510 (9.8)

 

CVD, n (%)

    

Any

889 (17.0)

1324 (25.4)

1407 (26.9)

< 0.0001

Acute myocardial infarction

412 (7.9)

652 (12.5)

678 (13.0)

< 0.0001

Coronary revascularization

361 (6.9)

578 (11.1)

640 (12.3)

< 0.0001

Any coronary event

558 (10.7)

892 (17.1)

946 (18.1)

< 0.0001

Stroke

134 (2.6)

190 (3.6)

189 (3.6)

0.002

Carotid revascularization

191 (3.7)

303 (5.8)

362 (6.9)

< 0.0001

Any cerebro-vascular event

307 (5.9)

467 (8.9)

518 (9.9)

< 0.0001

Ulcer/gangrene/amputation

144 (2.8)

183 (3.5)

229 (4.4)

< 0.0001

Lower limb revascularization

103 (2.0)

171 (3.3)

176 (3.4)

< 0.0001

Any peripheral event

214 (4.1)

309 (5.9)

360 (6.9)

< 0.0001

Cancer, n (%)

358 (6.9)

359 (6.9)

314 (6.0)

0.127

  1. Values are mean ± SD or median (interquartile range) for continuous variables and number of cases (percentage) for categorical variables. eGDR estimated glucose disposal rate, T1 tertile 1, higher insulin sensitivity, T2 tertile 2, T3 tertile 3, higher insulin resistance, HbA1c haemoglobinA1c, OHA oral hypoglycaemic agents, BMI body mass index, BP blood pressure, RAS renin-angiotensin system, DR diabetic retinopathy, eGFR estimated glomerular filtration rate, DKD diabetic kidney disease, CVD cardiovascular disease