Clinical Characteristics of Type 2 Diabetes Patients according to Family History of Diabetes.
10.4093/kdj.2010.34.4.222
- Author:
Seung Uk JEONG
1
;
Dong Gu KANG
;
Dae Ho LEE
;
Kang Woo LEE
;
Dong Mee LIM
;
Byung Joon KIM
;
Keun Yong PARK
;
Hyoun Jung CHIN
;
Gwanpyo KOH
Author Information
1. Department of Internal Medicine, Jeju National University Hospital, Jeju, Korea. okdom@medimail.co.kr
- Publication Type:Original Article
- Keywords:
Diabetes mellitus, type 2;
Family history;
Metabolic syndrome;
Triglyceride
- MeSH:
Blood Pressure;
C-Peptide;
Cardiovascular Diseases;
Cholesterol;
Cholesterol, HDL;
Cholesterol, LDL;
Cross-Sectional Studies;
Diabetes Mellitus, Type 2;
Dyslipidemias;
Fasting;
Humans;
Linear Models;
Lipoproteins;
Mass Screening;
Physical Examination;
Prevalence;
Risk Factors
- From:Korean Diabetes Journal
2010;34(4):222-228
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Type 2 diabetes mellitus (T2DM) has a strong genetic component, and its prevalence is notably increased in the family members of T2DM patients. However, there are few studies about the family history of T2DM. We carried out this study to assess the influences of family history on clinical characteristics in T2DM patients. METHODS: This is a cross-sectional study involving 651 T2DM patients. Patient history and physical examination were performed and fasting blood was taken. If any first degree relative was diabetic, a family history of diabetes was considered to exist. RESULTS: Among the total 621 patients, 38.4% had a family history of diabetes. Patients with a family history had a younger age, higher weight, younger age at diagnosis and higher triglyceride level than did those without a family history. Dyslipidemia medication and metabolic syndrome were more prevalent in familial diabetes. Sex, blood pressure, previous treatment for diabetes, HbA1C, C-peptide, total cholesterol, high density lipoprotein cholesterol, and low density lipoprotein cholesterol were not different between familial and non-familial diabetes. Upon multiple linear regression analysis, the family history of diabetes remained significantly associated with serum triglyceride level. CONCLUSION: In T2DM patients with a family history of diabetes, the disease tended to develop earlier. Metabolic syndrome and cardiovascular risk factors are more prevalent in familial T2DM than they were in non-familial T2DM. These results support the necessity of earlier screening for diabetes in family members of T2DM patients and more active prevention against cardiovascular disease in T2DM patients with a family history.
