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Tables for:
The Relationship Between Glucose and Incident Cardiovascular Events: A Metaregression Analysis of Published Data From 20 Studies of 95,783 Individuals Followed for 12.4 Years

[Diabetes Care 22(2):233-240, 1999. © 1999 American Diabetes Association, Inc]


Table 1. Characteristics of abstracted studies


ReferenceAge
(years)
Men
(%)
Number
screened
Diabetes
exclusions
Number
followed
Study
duration
(years)
Cardio-
vascular
deaths (n)
Cardio-
vascular
events plus
deaths (n)
Glucose
method
Glucose
intervals
Highest glucose
interval
(mmol/l)
Fasting
   Scheidt-Nave
   et al. (19)
40-79433,458DM Hx,
BCH
3,45814217217Plasma77.2-7.7
   Shaten
   et al. (24)
35-5710012,866DM meds12,69410.5426426Serum6>=7.8
   Yarnell
   et al. (29)
45-591004,860DM Hx4,3494NA209Plasma5>=7.8
   Schroll and
   Hagerup (30)
50100388DM Hx383101818Blood55.3-12.5
   Ohlson
   et al. (31)
73100973DM Hx,
BCH
83217N/A141Whole blood5>5
   Pyorala
   et al. (16,65)
40-591001,059DM Hx845104242Blood55.2-15.2
2-h (dose)*
   Stamler et al.
   (14) (100 g)
42-581001,694DM Hx1,69415166166Plasma56.7-23.3
   Pyorala et al.
   (16,65)
   (75-90 g)
40-591001,059DM Hx845104242Blood55.6-18.5
   Fuller et al.
   (17) (50 g)
40-6410018,403DM Hx18,10615915915Capillary54.8-11.1
   Balkau et al.
   (21) (75 g)
44-551007,166DM Hx7,03815.6167167Blood3>=11.1
   Da Silva et al.
   (25) (100 g)
40-591001,499DM Hx1,49151212Capillary56.8-17.8
   Grabauskas
   (33) (75 g)
45-591002,455DMHx2,41310114114Plasma510-17.8
   Tuomilehto
   et al.
   (22) (75 g)
240431,537NA1,53755151Capillary3>=11.1
1-h (dose)*
   Stenhouse
   et al.
   (15) (50 g)
40-591003,331DM Hx638112121Plasma56.8-2
   Donahue
   et al.
   (18) (50 g)
45-701006,394DM Hx6,39412119303Serum510.6-29 6
   Vaccaro
   et al.
   (20) (50 g)
34-65100873DM Hx87319144144Plasma511.7 (mean)
   Reunanen
   et al.
   (27)
   (60-90 g)
40-591003,351DM Hx3,26746464Plasma510.8-28.1
   Pyorala
   et al.
   (16,65)
   (75-90 g)
40-591001,059DM Hx845104242Blood58.0-20.3
Casual
   Perry
   et al. (23)
40-591007,735DM Hx,
BCH
7,1779.5222505Serum5>=26
   Hawthorne
   and Gilmour
   (26)
45-641001,134DM Hx1,12862929Whole blood56.0-28.8
   Cruz-Vidal
   et al. (28)
45-641008,248DM meds5,4458.258383Whole blood57.8-34.2
   Lund Haheim
   et al. (32)
40-4910016,172DM Hx .16,021188080Serum526.2
   All studies20-84-112,311-95,78312.43,0743,707---

BCH, biochemical criteria for diabetes using the measured glucose level; DM Hx, history of diabetes; DM meds, on diabetes medications: NA. not available.

*Dose of oral glucose given.
Does not include any study more than once.


Table 2. Calculated regression coefficients and the reported effects of glucose and insulin on cardiovascular disease


ReferencePerson-yearsCardiovascular
events
Cardiovascular
mortality
Independent
effects
ß-coefficient
(95% Cl)
P value*ß-coefficient
(95% Cl)
P value*Glucose
(P value)
Insulin
(P value)
Fasting
   Scheidt-Nave
   et al. (19)
48,4121.386
(0.646 to 2.126)
0.00031.386
(0.646 to 2.126)
0.0003<0.02a,b,c,d,e,f,NA
   Shaten
   et al. (24)
133,2870.400
(-0.227 to 1.026)
0.220.400
(-0.227 to 1.026)
0.22<0 01abcdf§NA
   Yarnell
   et al. (29)
17,3961.320
(0.451 to 2.189)
0.0055NANANSbcdefNA
   Schroll and
   Hagerup (30)
3,830-0.003
(-1.052 to 1.046)
0.995-0.003
(-1.052 to 1.046)
0.995NSbcdeNS
   Ohlson
   et al. (31)
14,144-0.339
(-2.146 to 1.469)
0.71NANANANA
   Pyorala
   et al. (16,65)
8,4500.280
(-0.204 to 0.764)
0.270.280
(-0.204 to 0.764)
0.27NSabcde<O.01
   All225,5190.606
(0.113 to 1.099)
0.0160.531
(-0.006 to 1.067)
0.052--
2-h
   Stamler
   et al. (14)
25,4100.021
(-0.126 to 0.168)
0.780.021
(-0.126 to 0.168)
0.78NSabcdeNA
   Pyorala
   et al. (16,65)
8,4500.392
(0.067 to 0.716)
0.0230.392
(0.067 to 0.716)
0.023NSabcde<0.01
   Fuller
   et al. (17)
271,5900.792
(0.580 to 1.004)
<0.00010.792
(0.580 to 1.004)
<0.0001NANA
   Balkau
   et al. (21)
109,792.81.111
(0.407 to 1.816)
0.0051.111
(0.407 to 1.816)
0.005NA<0.005
   Da Silva
   et al. (25)
7,4550.201
(-0.520 to 0.922)
0.590.201
(-0.520 to 0.922)
0.59NSabcdeNA
   Grabauskas (33)24,1300.470
(0.232 to 0.707)
0.00020.470
(0.232 to 0.707)
0.0002<0 01abcdfNA
   Tuomilehto
   et al. (22)
7,6851.095
(0.362 to 1.829)
0.0051.095
(0.362 to 1.829)
0.005NANA
   All454,512.80.531
(0.204 to 0.858)
0.00150.531
(0.204 to 0.858)
0.0015--
1-h
   Stenhouse
   et al. (15)
7,0180.102
(-0.305 to 0.509)
0.630.102
(-0.305 to 0.509)
0.63NSabcdeNA
   Donahue
   et al. (18)
76,7280.136
(0.057 to 0.215)
0.0010.278
(0.159 to 0.397)
<0.0001<0.01abcdefNA
   Vaccaro
   et al. (20)
16,5870.501
(0.207 to 0.795)
0.0010.501
(0.207 to 0.795)
0.001<0.05abcdefNA
   Reunanen
   et al. (27)
13,0680.114
(-0.068 to 0.296)
0.230.114
(-0.068 to 0.296)
0.23NSabcdeNA
   Pyorala
   et al. (16,65)
8,4500.499
(0.197 to 0.801)
0.0020.499
(0.197 to 0.801)
0.002NSabcde<0.01
   All121,8510.242
(0.084 to 0.400)
0.00130.287
(0.140 to 0.433)
0.0001--
Casual
   Perry
   et al. (23)
68,181.50.616
(-0.148 to 1.380)
0.12-0.255
(-1.417 to 0.907)
0.67NANA
   Hawthorne and
   Gilmour (26)
6,7680.073
(-0.202 to 0.348)
0.610.073
(-0.202 to 0.348)
0.61NSabcdeNA
   Cluz-Vidal
   et al. (28)
44,921.30.248
(0.032 to 0.465)
0.0460.248
(0.032 to 0.464)
0.046NANA
   Lund Haheim
   et al. (32)
288,3781.026
(-0.935 to 2.978)
0.311.026
(-0.935 to 2.978)
0.31NSacNA
   All408,248.80.157
(-0.092 to 0.405)
0.220.085
(-0.172 to 0.341)
0.052--

*Goodness of fit.
P values are shown for studies that calculated the incremental effect of increasing glucose levels on the risk of cardiovascular or total mortality alter statistical adjustment for one or more cardiovascular risk factors including:

aage,
bblood pressure (systolic or diastolic),
cBMI or weight,
dlipids,
esmoking, or
fother risk factors.

The P value was significant in men across glucose ranges and in women for glucose values >=6.1 mmol/l (11O mg/dl) only;
§The P value was significant for nonsmokers.

NA, not available.


Table 3. Calculated regression coefficients for the relationship between glucose and cardiovascular events after removal of the top glucose interval in selected studies


ReferenceCardiovascular events
ß-coefficient (95% Cl)P value*
Fasting
   Scheidt-Nave et al. (19)1.203
(0.328 to 2.079)
0.007
   Shaten et al. (24)0.083
(-0.660 to 0.826)
0.827
   Yarnell et al. (29)1.346
(0.245 to 2.448)
0.023
   All0.817
(-0.020 to 1.655)
0.056
2-h
   Balkau et al. (21)1.157
(0.029 to 2.284)
0.057
   Grabauskas et al. (33)0.970
(0.251 to 1.688)
0.008
   Tuomilehto et al. (22)1.128
(-1.530 to 3.785)
0.432
   All1.029
(0.438 to 1.620)
0.0006

*Goodness of fit.