Risk of cardiac autonomic neuropathy in latent autoimmune diabetes in adults is similar to type 1 diabetes and lower compared to type 2 diabetes: A cross‐sectional study

Aims Microvascular complications' risk differs between people with latent autoimmune diabetes in adults (LADA) and people with type 2 diabetes. We aimed to investigate whether the prevalence of cardiac autonomic neuropathy, a life‐threatening complication of diabetes, also varies depending on d...

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Bibliographic Details
Published in:Diabetic medicine 2021-02, Vol.38 (2), p.e14455-n/a
Main Authors: Maddaloni, Ernesto, Moretti, Chiara, Del Toro, Rossella, Sterpetti, Sara, Ievolella, Maria Vittoria, Arnesano, Gabriele, Strollo, Rocky, Briganti, Silvia Irina, D'Onofrio, Luca, Pozzilli, Paolo, Buzzetti, Raffaella
Format: Article
Language:English
Subjects:
Adult
Autoimmune diseases
Autonomic nervous system
Autonomic Nervous System Diseases - epidemiology
Autonomic Nervous System Diseases - etiology
Autonomic Nervous System Diseases - physiopathology
cardiac autonomic neuropathy
Cardiovascular diseases
Cardiovascular system
Cholesterol
Cholesterol, HDL - metabolism
Cross-Sectional Studies
Diabetes
diabetes heterogeneity
Diabetes mellitus (insulin dependent)
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - metabolism
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - metabolism
Diabetic Neuropathies - epidemiology
Diabetic Neuropathies - etiology
Diabetic Neuropathies - physiopathology
Diabetic neuropathy
Female
Heart
Heart Rate - physiology
High density lipoprotein
Humans
Hypertension - epidemiology
Hypotension, Orthostatic - etiology
Hypotension, Orthostatic - physiopathology
latent autoimmune diabetes in adults
Latent Autoimmune Diabetes in Adults - complications
Latent Autoimmune Diabetes in Adults - epidemiology
Latent Autoimmune Diabetes in Adults - metabolism
Logistic Models
Male
Microvasculature
Middle Aged
Odds Ratio
Regression analysis
Risk Factors
Smoking - epidemiology
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Summary:Aims Microvascular complications' risk differs between people with latent autoimmune diabetes in adults (LADA) and people with type 2 diabetes. We aimed to investigate whether the prevalence of cardiac autonomic neuropathy, a life‐threatening complication of diabetes, also varies depending on diabetes type. Methods In this cross‐sectional study, 43 adults with LADA, 80 with type 1 diabetes and 61 with type 2 diabetes were screened for cardiac autonomic neuropathy with recommended tests. Logistic regression models were used to test differences between diabetes types adjusting for confounders. Results Cardiac autonomic neuropathy was diagnosed in 17 (40%) participants with LADA, 21 (26%) participants with type 1 diabetes and 39 (64%) participants with type 2 diabetes (p 
ISSN:0742-3071
1464-5491
DOI:10.1111/dme.14455