PMID- 32577198 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220415 IS - 2042-0188 (Print) IS - 2042-0196 (Electronic) IS - 2042-0188 (Linking) VI - 11 DP - 2020 TI - Incidence and risk factors of type 2 diabetes mellitus in individuals with different fasting plasma glucose levels. PG - 2042018820928844 LID - 10.1177/2042018820928844 [doi] LID - 2042018820928844 AB - OBJECTIVE: Our aim was to examine the incidence and risk factors of type 2 diabetes mellitus (T2DM) among individuals with different fasting plasma glucose (FPG) levels. METHODS: According to the first FPG value recorded between January 2006 and December 2017, individuals without T2DM (FPG <7 mmol/L) were divided into three groups: normal fasting glucose (NFG, FPG < 5.6 mmol/L), slightly impaired fasting glucose (IFG(low), 5.6 mmol/L ⩽ FPG < 6.1 mmol/L), and severely impaired fasting glucose (IFG(high), 6.1 mmol/L ⩽ FPG < 7.0 mmol/L). Physical examination results, blood biochemical indicators, and questionnaire survey data were collected and the T2DM incidence was examined during the follow-up period. A Cox regression model was used to analyze the T2DM risk factors in the three groups. RESULTS: A total of 44,852 individuals (55.33% men) were included in our study. During the follow-up period (mean follow-up time: 3.73 +/- 0.01 years), 2912 T2DM cases occurred. The T2DM incidence rate of the NFG, IFG(low), and IFG(high) groups were 1.5%, 22.2%, and 43.8%, respectively (p < 0.05). In the NFG group, the risk factors for T2DM were older age, overweight, obesity, hypertension, hyperuricemia, and increased estimated glomerular filtration rate (eGFR); the protective factors were female sex and high high-density lipoprotein cholesterol (HDL-C). In the IFG(low) group, the risk factors for T2DM were older age, overweight, obesity, hypertension, and high total cholesterol (TC); the protective factors were increased triglyceride, low-density lipoprotein cholesterol (LDL-C), and HDL-C. In the IFG(high) group, the risk factors for T2DM were older age, obesity, high eGFR, and high TC; the protective factors were female sex, hyperuricemia, high LDL-C, and high HDL-C (all, p < 0.05). CONCLUSIONS: The increased T2DM rates were associated with increased FPG. Risk factors for T2DM vary in the NFG, IFG(low), and IFG(high) groups. CI - (c) The Author(s), 2020. FAU - Han, Yumei AU - Han Y AD - Beijing Physical Examination Center, Beijing, China. FAU - Zhang, Shan AU - Zhang S AD - School of Public Health, Capital Medical University, Beijing, China. FAU - Chen, Shuo AU - Chen S AD - Beijing Physical Examination Center, Beijing, China. FAU - Zhang, Jingbo AU - Zhang J AD - Beijing Physical Examination Center, Beijing, China. FAU - Guo, Xiuhua AU - Guo X AD - School of Public Health, Capital Medical University, Beijing, China. FAU - Yang, Xinghua AU - Yang X AUID- ORCID: 0000-0001-5608-0255 AD - School of Public Health, Capital Medical University, 10 Xitoutiao, Youanmen, Fengtai District, Beijing 100069, China. LA - eng PT - Journal Article DEP - 20200610 PL - United States TA - Ther Adv Endocrinol Metab JT - Therapeutic advances in endocrinology and metabolism JID - 101532143 PMC - PMC7288838 OTO - NOTNLM OT - fasting plasma glucose OT - risk factor OT - type 2 diabetes mellitus COIS- Conflict of interest statement: The authors declare that there is no conflict of interest. EDAT- 2020/06/25 06:00 MHDA- 2020/06/25 06:01 PMCR- 2020/06/10 CRDT- 2020/06/25 06:00 PHST- 2019/12/11 00:00 [received] PHST- 2020/05/03 00:00 [accepted] PHST- 2020/06/25 06:00 [entrez] PHST- 2020/06/25 06:00 [pubmed] PHST- 2020/06/25 06:01 [medline] PHST- 2020/06/10 00:00 [pmc-release] AID - 10.1177_2042018820928844 [pii] AID - 10.1177/2042018820928844 [doi] PST - epublish SO - Ther Adv Endocrinol Metab. 2020 Jun 10;11:2042018820928844. doi: 10.1177/2042018820928844. eCollection 2020.