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Table 1 Baseline characteristics of people in the Hong Kong Diabetes Register (HKDR, randomized 2:1 into derivation and validation cohorts) and the Hong Kong Diabetes Surveillance Database (HKDSD). Laboratory and prescription data are from the first year after diagnosis. Values are counts (n) and percentages unless otherwise indicated

From: Development and validation of algorithms to classify type 1 and 2 diabetes according to age at diagnosis using electronic health records

 

HKDR

HKDSD

Cohort

Total

n = 15,297

Missing (n, %)

n = 561,924

Missing (n, %)

Derivation

n = 10,196

Validation

n = 5101

Age (years; mean, standard deviation)

55.7 (11.7)

55.6 (11.8)

55.7 (11.7)

0 (0.0)

61.8 (13.2)

0 (0.0)

Age < 18 years

36 (0.4)

28 (0.6)

64 (0.4)

1577 (0.3)

Age 18–39 years

801 (7.9)

375 (7.4)

1176 (7.7)

24,148 (4.3)

Age ≥ 40 years

9359 (91.8)

4698 (92.1)

14,057 (91.9)

536,199 (95.4)

Female

4488 (44.0)

2341 (45.9)

6829 (44.6)

270,282 (48.1)

Baseline Comorbidities*

 Ischemic heart disease

972 (9.5)

456 (8.9)

1428 (9.3)

 

49,931 (8.9)

 

 Congestive heart failure

411 (4.0)

196 (3.8)

607 (4.0)

28,745 (5.1)

 Stroke

855 (8.4)

426 (8.4)

1281 (8.4)

54,762 (9.8)

 Peripheral arterial disease

125 (1.2)

52 (1.0)

177 (1.2)

5241 (0.9)

 Cancer

1071 (10.5)

537 (10.5)

1608 (10.5)

63,510 (11.3)

 Chronic kidney disease

1885 (18.5)

948 (18.6)

2833 (18.5)

1 (0.0)

125,274 (22.5)

6101 (0.0)

 End-stage renal disease

133 (1.3)

78 (1.5)

211 (1.4)

8274 (1.5)

Risk Factors (mean, standard deviation unless otherwise indicated)

 A1C (%)

7.4 (1.0)

7.4 (1.0)

7.4 (1.0)

17 (0.1)

7.2 (1.1)

24,485 (4.4)

 Fasting plasma glucose (mmol/L)

7.7 (1.7)

7.7 (1.7)

7.7 (1.7)

90 (0.6)

7.4 (1.8)

32,708 (5.8)

 LDL-C (mmol/L)

2.5 (0.6)

2.5 (0.6)

2.5 (0.6)

48 (0.3)

2.7 (0.7)

38,691 (6.9)

 HDL-C (mmol/L)

1.3 (0.3)

1.3 (0.3)

1.3 (0.3)

45 (0.3)

1.3 (0.3)

37,813 (6.7)

 Triglycerides (median, IQR; mmol/L)

1.4 (0.9)

1.4 (0.9)

1.4 (0.9)

41 (0.3)

1.4 (0.9)

34,211 (6.1)

 eGFR (mL/min/1.73 m2)

79.4 (23.3)

79.9 (23.5)

79.5 (23.4)

1 (0.0)

76.3 (23.4)

6101 (0.0)

Glucose-Lowering Medications (excluding insulin)

 Metformin

9044 (88.7)

4540 (89.0)

13,584 (88.8)

 

399,235 (71.0)

 

 Sulfonylureas

7492 (73.5)

3752 (73.6)

11,244 (73.5)

301,158 (53.6)

 Thiazolidinediones

674 (6.6)

306 (6.0)

980 (6.4)

11,414 (2.0)

 DPP-4 inhibitors

1945 (19.1)

932 (18.3)

2877 (18.8)

24,529 (4.4)

 GLP-1 agonists

32 (0.3)

21 (0.4)

53 (0.4)

319 (0.1)

 SGLT2 inhibitors

171 (1.7)

79 (1.6)

250 (1.6)

1381 (0.2)

 Alpha-glucosidase inhibitor

347 (3.4)

159 (3.1)

506 (3.3)

7885 (1.4)

Insulin (n, %)

 Long-acting

505 (5.0)

232 (4.6)

737 (4.8)

 

7260 (1.3)

 

 Intermediate-acting

2903 (28.5)

1397 (27.4)

4303 (28.1)

54,859 (9.8)

 Short-acting

1337 (13.1)

630 (12.4)

1967 (12.9)

58,096 (10.3)

 Premixed

907 (8.9)

430 (8.4)

1337 (8.7)

18,040 (3.2)

 Multiple daily injections**

1001 (9.8)

480 (9.4)

1481 (9.7)

23,445 (4.2)

 Any insulin

3454 (33.9)

1648 (32.3)

5102 (33.4)

94,974 (16.9)

Other Medications

 Statin

7098 (69.6)

3546 (69.5)

10,644 (69.6)

 

349,324 (62.2)

 

 RAS inhibitor

7054 (69.2)

3530 (69.2)

10,584 (69.2)

344,949 (61.4)

 Antiplatelet agent

3651 (35.8)

1836 (36.0)

5487 (35.9)

197,612 (35.2)

  1. *based on principal diagnoses on hospitalization discharge abstracts within 2 years prior to diagnosis (except for renal conditions)
  2. chronic kidney disease eGFR< 60 mL/min/1.73 m2, end-stage renal disease eGFR< 15 mL/min/1.73 m2
  3. prescriptions ≥ 28 days in duration
  4. **any combination of long-acting and short-acting insulin
  5. Abbreviations: A1C glycated haemoglobin A1c, LDL-C low-density lipoprotein cholesterol, HDL-C high-density lipoprotein cholesterol, IQR interquartile range, eGFR estimated glomerular filtration rate, DPP-4 dipeptidyl peptidase-4, GLP-1 glucagon-like peptide-1, SGLT2 sodium-glucose transport protein 2, RAS renin-angiotensin system