Research Article

Risk of Microvascular Complications and Macrovascular Risk Factors in Early-Onset Type 1 Diabetes after at Least 10 Years Duration: An Analysis of Three Population-Based Cross-Sectional Surveys in Germany between 2009 and 2016

Table 1

Characteristics of the study population with type 1 diabetes onset in preschool age and diabetes duration of at least 10 years.

Variable (n missing)Total cohortNo complicationAt least one complication

N1.7891.537252
Survey wave (0)
 2009/10794 (44.4)649 (42.2)145 (57.5)
 2012/13434 (26.3)386 (25.1)48 (19.1)
 2015/16561 (31.4)502 (32.7)59 (23.4)
Female sex (0)874 (48.9)739 (48.1)135 (53.6)
Age in years (0)15.4 ± 2.015.2 ± 2.016.2 ± 2.2
Age at onset (0)3.0 ± 1.22.9 ± 1.23.2 ± 1.1
Diabetes duration in years (0)12.4 ± 1.712.3 ± 1.613.0 ± 2.0
Hypertension (9)96 (5.4)96 (39.51)
Dyslipidemia (17)139 (7.8)139 (59.15)
Retinopathy (16)24 (1.4)24 (10.17)
Nephropathy (14)35 (2.0)35 (14.71)
Socioeconomic status index (28)13.4 ± 4.413.5 ± 4.412.6 ± 4.4
Living with… (6)
 Both biological parents1.382 (77.5)1.198 (78.2)184 (73.3)
 Else401 (22.5)334 (21.8)67 (26.7)
BMI-SDS (48)0.30 ± 0.900.26 ± 0.890.54 ± 0.89
Freq. of vigorous physical activity (24)
 Never113 (6.4)86 (5.7)27 (10.8)
 1-2 times/month155 (8.8)126 (8.3)29 (11.7)
 1-2 times/week717 (40.6)609 (40.2)108 (43.4)
 More than 1-2 times/week780 (44.2)695 (45.8)85 (34.1)
HbA1c in % (78)8.2 ± 1.38.2 ± 1.38.6 ± 1.7
HbA1c in mmol/mol (78)66 ± 1566 ± 1470 ± 18
Freq. of SMBG (35)
 0–2/day81 (4.6)65 (4.3)16 (6.5)
 3–5/day853 (48.6)718 (47.7)135 (54.4)
 6–8/day676 (38.5)602 (40.0)74 (29.8)
 >8/day144 (8.2)121 (8.0)23 (9.3)
Freq. of omitted insulin injections (40)
 Never520 (29.7)450 (30.0)70 (28.2)
 1-2 times/week789 (45.1)675 (45.0)114 (46.0)
 3–5 times/week309 (17.7)268 (17.9)41 (16.5)
 (almost) 1 time/day103 (5.9)87 (5.8)16 (6.5)
 More than 1 time/day28 (1.6)21 (1.4)7 (2.8)
Insulin therapy (18)
 1–3 injections/day111 (6.3)91 (6.0)20 (8.0)
 ≥4 injections/day647 (36.5)565 (37.2)82 (32.7)
 CSII1.013 (57.2)864 (56.8)149 (59.4)
Participation in DMP (19)
 No767 (43.3)666 (43.8)101 (40.4)
 Yes686 (38.8)583 (38.4)103 (41.2)
 Not known317 (17.9)271 (17.8)46 (18.4)
Use of diabetes health card (17)
 No911 (51.4)787 (51.7)124 (49.8)
 Yes777 (43.9)660 (43.3)117(47.0)
 Not known84 (4.7)76 (5.0)8 (3.2)

Data are N (%) or mean ± SD. Abbreviations: BMI-SDS: body mass index standard deviation score; SMBG: self-monitoring of blood glucose; CSII: continuous subcutaneous insulin injection; DMP: disease management program; persons who reported to have never been diagnosed with hypertension, dyslipidemia, retinopathy, or nephropathy; persons who reported to have ever been diagnosed with at least one of hypertension, dyslipidemia, retinopathy, or nephropathy; range 3–21—higher values indicate higher socioeconomic status.