PMID- 25301574 OWN - NLM STAT- MEDLINE DCOM- 20150330 LR - 20220331 IS - 1475-2840 (Electronic) IS - 1475-2840 (Linking) VI - 13 DP - 2014 Oct 11 TI - Plasma triglycerides predict ten-years all-cause mortality in outpatients with type 2 diabetes mellitus: a longitudinal observational study. PG - 135 LID - 10.1186/s12933-014-0135-6 [doi] LID - 135 AB - BACKGROUND: Cardiovascular disease (CVD) is the leading cause of death in type 2 diabetes mellitus (T2DM). American Diabetes Association standards of care set a series of targets recommended for the CVD prevention: blood pressure, LDL and HDL cholesterol (LDL-C and HDL-C), triglycerides and HbA1c goals. The aim of this study was to evaluate cardiovascular risk factors in a T2DM outpatient population in order to estimate their specific clinical value in predicting long-term overall mortality. METHODS: Our study population was composed of 1917 T2DM outpatients attending the hospital-based Diabetes Clinic of Ferrara for a mean follow-up period of 10 years; recorded information included personal, clinical and biochemical data, and pharmacological treatment. RESULTS: A Cox proportional hazard analysis was performed, pointing out as age (HR:1.08; IC95%: 1.06-1.11), sex (males: HR:1.97; IC95%: 1.26-3.07), mean triglycerides levels during follow-up (III vs I tertile: HR:1.87; IC95%: 1.12-3.12) and lipid-lowering treatment (HR:0.56; IC95%: 0.35-0.90) were significantly associated with all-cause mortality, independent of confounding factors such as mean values of LDL-C, HDL-C, HbA1c, blood pressure, BMI, fasting glucose, and antihypertensive and antidiabetic treatment. CONCLUSIONS: This finding suggests that more attention should be given to the management of cardiovascular risk in type 2 diabetic patients with high triglycerides levels. FAU - Miselli, Maria-Agata AU - Miselli MA FAU - Nora, Edoardo Dalla AU - Nora ED FAU - Passaro, Angelina AU - Passaro A FAU - Tomasi, Franco AU - Tomasi F FAU - Zuliani, Giovanni AU - Zuliani G AD - Department of Medical Sciences, Section of Internal and Cardiorespiratory Medicine, University of Ferrara, Ferrara, Italy. zlngnn@unife.it. LA - eng PT - Journal Article PT - Observational Study DEP - 20141011 PL - England TA - Cardiovasc Diabetol JT - Cardiovascular diabetology JID - 101147637 RN - 0 (Biomarkers) RN - 0 (Triglycerides) SB - IM MH - Aged MH - Biomarkers/blood MH - Diabetes Mellitus, Type 2/*blood/diagnosis/*mortality MH - Female MH - Follow-Up Studies MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Mortality/trends MH - Predictive Value of Tests MH - Risk Factors MH - Triglycerides/*blood PMC - PMC4198794 EDAT- 2014/10/11 06:00 MHDA- 2015/03/31 06:00 PMCR- 2014/10/11 CRDT- 2014/10/11 06:00 PHST- 2014/07/01 00:00 [received] PHST- 2014/09/18 00:00 [accepted] PHST- 2014/10/11 06:00 [entrez] PHST- 2014/10/11 06:00 [pubmed] PHST- 2015/03/31 06:00 [medline] PHST- 2014/10/11 00:00 [pmc-release] AID - s12933-014-0135-6 [pii] AID - 135 [pii] AID - 10.1186/s12933-014-0135-6 [doi] PST - epublish SO - Cardiovasc Diabetol. 2014 Oct 11;13:135. doi: 10.1186/s12933-014-0135-6.