Reference Age
(years)Men
(%)Number
screenedDiabetes
exclusionsNumber
followedStudy
duration
(years)Cardio-
vascular
deaths (n)Cardio-
vascular
events plus
deaths (n)Glucose
methodGlucose
intervalsHighest glucose
interval
(mmol/l)Fasting Scheidt-Nave
et al. (19)40-79 43 3,458 DM Hx,
BCH3,458 14 217 217 Plasma 7 7.2-7.7 Shaten
et al. (24)35-57 100 12,866 DM meds 12,694 10.5 426 426 Serum 6 >=7.8 Yarnell
et al. (29)45-59 100 4,860 DM Hx 4,349 4 NA 209 Plasma 5 >=7.8 Schroll and
Hagerup (30)50 100 388 DM Hx 383 10 18 18 Blood 5 5.3-12.5 Ohlson
et al. (31)73 100 973 DM Hx,
BCH832 17 N/A 141 Whole blood 5 >5 Pyorala
et al. (16,65)40-59 100 1,059 DM Hx 845 10 42 42 Blood 5 5.2-15.2 2-h (dose)* Stamler et al.
(14) (100 g)42-58 100 1,694 DM Hx 1,694 15 166 166 Plasma 5 6.7-23.3 Pyorala et al.
(16,65)
(75-90 g)40-59 100 1,059 DM Hx 845 10 42 42 Blood 5 5.6-18.5 Fuller et al.
(17) (50 g)40-64 100 18,403 DM Hx 18,106 15 915 915 Capillary 5 4.8-11.1 Balkau et al.
(21) (75 g)44-55 100 7,166 DM Hx 7,038 15.6 167 167 Blood 3 >=11.1 Da Silva et al.
(25) (100 g)40-59 100 1,499 DM Hx 1,491 5 12 12 Capillary 5 6.8-17.8 Grabauskas
(33) (75 g)45-59 100 2,455 DMHx 2,413 10 114 114 Plasma 5 10-17.8 Tuomilehto
et al.
(22) (75 g)240 43 1,537 NA 1,537 5 51 51 Capillary 3 >=11.1 1-h (dose)* Stenhouse
et al.
(15) (50 g)40-59 100 3,331 DM Hx 638 11 21 21 Plasma 5 6.8-2 Donahue
et al.
(18) (50 g)45-70 100 6,394 DM Hx 6,394 12 119 303 Serum 5 10.6-29 6 Vaccaro
et al.
(20) (50 g)34-65 100 873 DM Hx 873 19 144 144 Plasma 5 11.7 (mean) Reunanen
et al.
(27)
(60-90 g)40-59 100 3,351 DM Hx 3,267 4 64 64 Plasma 5 10.8-28.1 Pyorala
et al.
(16,65)
(75-90 g)40-59 100 1,059 DM Hx 845 10 42 42 Blood 5 8.0-20.3 Casual Perry
et al. (23)40-59 100 7,735 DM Hx,
BCH7,177 9.5 222 505 Serum 5 >=26 Hawthorne
and Gilmour
(26)45-64 100 1,134 DM Hx 1,128 6 29 29 Whole blood 5 6.0-28.8 Cruz-Vidal
et al. (28)45-64 100 8,248 DM meds 5,445 8.25 83 83 Whole blood 5 7.8-34.2 Lund Haheim
et al. (32)40-49 100 16,172 DM Hx . 16,021 18 80 80 Serum 5 26.2 All studies 20-84 - 112,311 - 95,783 12.4 3,074 3,707 - - - 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.
Reference Person-years Cardiovascular
eventsCardiovascular
mortalityIndependent
effectsß-coefficient
(95% Cl)P value* ß-coefficient
(95% Cl)P value* Glucose
(P value)Insulin
(P value)Fasting Scheidt-Nave
et al. (19)48,412 1.386
(0.646 to 2.126)0.0003 1.386
(0.646 to 2.126)0.0003 <0.02a,b,c,d,e,f, NA Shaten
et al. (24)133,287 0.400
(-0.227 to 1.026)0.22 0.400
(-0.227 to 1.026)0.22 <0 01abcdf§ NA Yarnell
et al. (29)17,396 1.320
(0.451 to 2.189)0.0055 NA NA NSbcdef NA Schroll and
Hagerup (30)3,830 -0.003
(-1.052 to 1.046)0.995 -0.003
(-1.052 to 1.046)0.995 NSbcde NS Ohlson
et al. (31)14,144 -0.339
(-2.146 to 1.469)0.71 NA NA NA NA Pyorala
et al. (16,65)8,450 0.280
(-0.204 to 0.764)0.27 0.280
(-0.204 to 0.764)0.27 NSabcde <O.01 All 225,519 0.606
(0.113 to 1.099)0.016 0.531
(-0.006 to 1.067)0.052 - - 2-h Stamler
et al. (14)25,410 0.021
(-0.126 to 0.168)0.78 0.021
(-0.126 to 0.168)0.78 NSabcde NA Pyorala
et al. (16,65)8,450 0.392
(0.067 to 0.716)0.023 0.392
(0.067 to 0.716)0.023 NSabcde <0.01 Fuller
et al. (17)271,590 0.792
(0.580 to 1.004)<0.0001 0.792
(0.580 to 1.004)<0.0001 NA NA Balkau
et al. (21)109,792.8 1.111
(0.407 to 1.816)0.005 1.111
(0.407 to 1.816)0.005 NA <0.005 Da Silva
et al. (25)7,455 0.201
(-0.520 to 0.922)0.59 0.201
(-0.520 to 0.922)0.59 NSabcde NA Grabauskas (33) 24,130 0.470
(0.232 to 0.707)0.0002 0.470
(0.232 to 0.707)0.0002 <0 01abcdf NA Tuomilehto
et al. (22)7,685 1.095
(0.362 to 1.829)0.005 1.095
(0.362 to 1.829)0.005 NA NA All 454,512.8 0.531
(0.204 to 0.858)0.0015 0.531
(0.204 to 0.858)0.0015 - - 1-h Stenhouse
et al. (15)7,018 0.102
(-0.305 to 0.509)0.63 0.102
(-0.305 to 0.509)0.63 NSabcde NA Donahue
et al. (18)76,728 0.136
(0.057 to 0.215)0.001 0.278
(0.159 to 0.397)<0.0001 <0.01abcdef NA Vaccaro
et al. (20)16,587 0.501
(0.207 to 0.795)0.001 0.501
(0.207 to 0.795)0.001 <0.05abcdef NA Reunanen
et al. (27)13,068 0.114
(-0.068 to 0.296)0.23 0.114
(-0.068 to 0.296)0.23 NSabcde NA Pyorala
et al. (16,65)8,450 0.499
(0.197 to 0.801)0.002 0.499
(0.197 to 0.801)0.002 NSabcde <0.01 All 121,851 0.242
(0.084 to 0.400)0.0013 0.287
(0.140 to 0.433)0.0001 - - Casual Perry
et al. (23)68,181.5 0.616
(-0.148 to 1.380)0.12 -0.255
(-1.417 to 0.907)0.67 NA NA Hawthorne and
Gilmour (26)6,768 0.073
(-0.202 to 0.348)0.61 0.073
(-0.202 to 0.348)0.61 NSabcde NA Cluz-Vidal
et al. (28)44,921.3 0.248
(0.032 to 0.465)0.046 0.248
(0.032 to 0.464)0.046 NA NA Lund Haheim
et al. (32)288,378 1.026
(-0.935 to 2.978)0.31 1.026
(-0.935 to 2.978)0.31 NSac NA All 408,248.8 0.157
(-0.092 to 0.405)0.22 0.085
(-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:
a age, b blood pressure (systolic or diastolic), c BMI or weight, d lipids, e smoking, or f other 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.
Reference Cardiovascular 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 All 0.817
(-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 All 1.029
(0.438 to 1.620)0.0006
* Goodness of fit.