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Type 1 diabetes: earlier onset is linked to cardiovascular complications and reduced lifespan

BMJ 2018; 362 doi: (Published 10 August 2018) Cite this as: BMJ 2018;362:k3487
  1. Susan Mayor
  1. London

Developing type 1 diabetes at a younger age is associated with a higher risk of cardiovascular complications and a lower lifespan than later onset, a Swedish observational cohort study has shown.1

“Although the relative risk of cardiovascular disease is increased after an early diabetes diagnosis, the absolute risk is low,” said Araz Rawshani, study coauthor, from the University of Gothenburg in Sweden.

“However, age at disease onset appears to be an important determinant of survival as well as cardiovascular outcomes in early adulthood, warranting consideration of earlier treatment with cardioprotective drugs,” he added.

Current guidelines recommend aggressive management of cardiovascular risk factors in people with type 1 diabetes, particularly in those aged over 40 or with evidence of microvascular complications. But even those whose risk factors …

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