- Young adults with diabetes mellitus (DM) have high rates of cardiometabolic risk factors.
Why this matters
- As of 2015, 4.6 million adults age 18-44 years had diabetes, with an annual 4.3% increase from 1988 to 1994.
- This group represents a future population with greater morbidity and mortality, loss of QoL, and health care system burden.
- Data from the National Health and Nutrition Examination Survey, 2007-2016.
- Funding: None.
- Compared with older adults, young adults (ages 18-44 years) with diabetes reported less:
- Lipid-lowering medication use: 20.5% vs 55.5%; and
- Antihypertensives use: 29.3% vs 63.7%.
- Among those with diabetes, 25.5% of younger and 12.6% of older adults had HbA1c >9% (75 mmol/mol).
- After adjustment for age, sex, race/ethnicity, poverty-to-income ratio, and health insurance status, more young adults with vs without diabetes had:
- Total-to-HDL (high-density lipoprotein) cholesterol ratio ≥5.9: 22.8% vs 8.8% (95% CI, 9.4-18.5); and
- BP ≥140/90 mmHg: 9.5% vs 5.4% (95% CI, 1.3-7.0).
- With diabetes, more younger vs older adults had total-to-HDL cholesterol ratio ≥5.9:
- 22.8% vs 12.5% (95% CI, 4.6-14.5).
- Did not distinguish between diabetes types 1 and 2.
- Multiple survey cycles combined.
- Diabetes, income, and health insurance status self-reported.
- Cross-sectional data.