Early diabetes education and long-term cardiovascular outcomes among adults with newly diagnosed Type 2 diabetes.

IF 2.3

Primary care diabetes Pub Date : 2026-10-06 DOI:10.1016/j.pcd.2026.10.001

Deborah A Cohen, Claudia Nau, Seungyong Han, Mina Habib, Roland Sturm, John Martin, Kristi Reynolds, Haoyuan Zhong, Erika Estrada, Xia Li, David Yi, Bing Han

{"title":"Early diabetes education and long-term cardiovascular outcomes among adults with newly diagnosed Type 2 diabetes.","authors":"Deborah A Cohen, Claudia Nau, Seungyong Han, Mina Habib, Roland Sturm, John Martin, Kristi Reynolds, Haoyuan Zhong, Erika Estrada, Xia Li, David Yi, Bing Han","doi":"10.1016/j.pcd.2026.10.001","DOIUrl":null,"url":null,"abstract":"Aims: To assess whether early diabetes education after incident type 2 diabetes diagnosis was associated with lower long-term risk of myocardial infarction, heart failure, and stroke.Methods: We analyzed electronic health records (EHR) for 134,411 patients diagnosed with type 2 diabetes (T2DM) from 2008 to 2019, comparing those who never enrolled in any diabetes education classes or were not involved in individual counseling to those who attended classes within the 3 months of their initial diagnosis. Using Cox proportional hazards models, we estimated hazard ratios (HR) for myocardial infarction (MI), heart failure (HF), and stroke over a 12-year follow-up period.Results: Compared to patients who never took any diabetes education classes, those who enrolled were at lower risk of MI [HR: 0.77 (95% CI 0.69, 0.87), HF [HR: 0.84 (95% CI 0.75, 0.94)] and stroke (HR: 0.84 (95% CI 0.75, 0.93)] after adjustment for demographic and clinical risk factors.Conclusions: Early diabetes education was associated with lower long-term cardiovascular risk among adults with newly diagnosed type 2 diabetes. These findings support timely referral to structured diabetes self-management education in primary care.","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Primary care diabetes","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.pcd.2026.10.001","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Aims: To assess whether early diabetes education after incident type 2 diabetes diagnosis was associated with lower long-term risk of myocardial infarction, heart failure, and stroke.

Methods: We analyzed electronic health records (EHR) for 134,411 patients diagnosed with type 2 diabetes (T2DM) from 2008 to 2019, comparing those who never enrolled in any diabetes education classes or were not involved in individual counseling to those who attended classes within the 3 months of their initial diagnosis. Using Cox proportional hazards models, we estimated hazard ratios (HR) for myocardial infarction (MI), heart failure (HF), and stroke over a 12-year follow-up period.

Results: Compared to patients who never took any diabetes education classes, those who enrolled were at lower risk of MI [HR: 0.77 (95% CI 0.69, 0.87), HF [HR: 0.84 (95% CI 0.75, 0.94)] and stroke (HR: 0.84 (95% CI 0.75, 0.93)] after adjustment for demographic and clinical risk factors.

Conclusions: Early diabetes education was associated with lower long-term cardiovascular risk among adults with newly diagnosed type 2 diabetes. These findings support timely referral to structured diabetes self-management education in primary care.

查看原文本刊更多论文

新诊断为2型糖尿病的成人早期糖尿病教育与长期心血管预后

目的：评估2型糖尿病诊断后早期糖尿病教育是否与降低心肌梗死、心力衰竭和中风的长期风险相关。方法：我们分析了2008年至2019年期间134,411名诊断为2型糖尿病（T2DM）患者的电子健康记录（EHR），将从未参加过任何糖尿病教育课程或未参与个人咨询的患者与在首次诊断后3个月内参加过课程的患者进行比较。使用Cox比例风险模型，我们估计了12年随访期间心肌梗死（MI）、心力衰竭（HF）和中风的风险比（HR）。结果：与从未参加任何糖尿病教育课程的患者相比，在调整人口统计学和临床危险因素后，参加课程的患者发生心肌梗死[HR: 0.77 (95% CI 0.69, 0.87)，心衰[HR: 0.84 (95% CI 0.75, 0.94)]和卒中(HR: 0.84 (95% CI 0.75, 0.93)]的风险较低。结论：早期糖尿病教育与新近诊断为2型糖尿病的成人较低的长期心血管风险相关。这些发现支持在初级保健中及时转介结构化糖尿病自我管理教育。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Primary care diabetes

自引率

0.00%

发文量