"Type 2 diabetes under the age of 40; low income has three times higher risk of death"
Nov 27, 2024
A research team led by Kim Shin-gon and Kim Nam-hoon of the Department of Endocrinology at Korea University Anam Hospital and Kim Ji-yoon of the Department of Endocrine Metabolism at Samsung Medical Center confirmed that low income increases the risk of death by about three times in young type 2 diabetes patients.
The number of young diabetics is increasing rapidly worldwide. In Korea, the incidence and prevalence of young diabetic patients under the age of 40 are also on the rise, and more than 300,000 young patients are currently suffering from diabetes.
It has been studied that the socio-economic environment of diabetics affects the risk of complications or death, but no studies have been conducted on whether income levels affect young diabetics.
The research team analyzed about 600,000 patients with type 2 diabetes aged 20 to 79 using data from the National Health Insurance Service from 2008 to 2013. In the study, the income level of patients was divided into three quartiles and the relationship with mortality risk was identified.
The study found that among type 2 diabetes patients under 40 years of age, those in the bottom third of the income ranking had a 2.88 times higher risk of death than those in the top third. In patients with type 2 diabetes over 60 years of age, the risk of death was found to be 1.26 times higher when the same analysis was performed. This means that type 2 diabetes patients under 40 years of age have a significantly greater risk of death based on income than type 2 diabetes patients over 60 years of age.
In addition, patients with type 2 diabetes included in the bottom third of the income ranking had a 2.66 times higher risk of death from cardiovascular disease and a 1.41 times higher risk of developing cardiovascular disease than those in the top third.
Professor Kim Nam-hoon "Young diabetic patients have difficulty managing their blood sugar and developing complications quickly. In addition to the medical aspect, the socio-economic environment appears to have a significant impact on the health of young diabetics" and efforts are needed to address health complaints from various angles, such as expanding support for young diabetics at the national and policy levels"
The findings were published in the November issue of JAMA Network Open, an academic journal of the American Medical Association.
The number of young diabetics is increasing rapidly worldwide. In Korea, the incidence and prevalence of young diabetic patients under the age of 40 are also on the rise, and more than 300,000 young patients are currently suffering from diabetes.
It has been studied that the socio-economic environment of diabetics affects the risk of complications or death, but no studies have been conducted on whether income levels affect young diabetics.
The research team analyzed about 600,000 patients with type 2 diabetes aged 20 to 79 using data from the National Health Insurance Service from 2008 to 2013. In the study, the income level of patients was divided into three quartiles and the relationship with mortality risk was identified.
The study found that among type 2 diabetes patients under 40 years of age, those in the bottom third of the income ranking had a 2.88 times higher risk of death than those in the top third. In patients with type 2 diabetes over 60 years of age, the risk of death was found to be 1.26 times higher when the same analysis was performed. This means that type 2 diabetes patients under 40 years of age have a significantly greater risk of death based on income than type 2 diabetes patients over 60 years of age.
In addition, patients with type 2 diabetes included in the bottom third of the income ranking had a 2.66 times higher risk of death from cardiovascular disease and a 1.41 times higher risk of developing cardiovascular disease than those in the top third.
Professor Kim Nam-hoon "Young diabetic patients have difficulty managing their blood sugar and developing complications quickly. In addition to the medical aspect, the socio-economic environment appears to have a significant impact on the health of young diabetics" and efforts are needed to address health complaints from various angles, such as expanding support for young diabetics at the national and policy levels"
The findings were published in the November issue of JAMA Network Open, an academic journal of the American Medical Association.
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