Clinical Characteristics of Type 2 Diabetes Patients according to Family History of Diabetes.
BACKGROUND
Type 2 diabetes mellitus (T2DM) has a strong genetic component, and its prevalence is notably increased in the family members of T2DM patients. However, there are few studies about the family history of T2DM. We carried out this study to assess the influences of family history on clinical characteristics in T2DM patients.


METHODS
This is a cross-sectional study involving 651 T2DM patients. Patient history and physical examination were performed and fasting blood was taken. If any first degree relative was diabetic, a family history of diabetes was considered to exist.


RESULTS
Among the total 621 patients, 38.4% had a family history of diabetes. Patients with a family history had a younger age, higher weight, younger age at diagnosis and higher triglyceride level than did those without a family history. Dyslipidemia medication and metabolic syndrome were more prevalent in familial diabetes. Sex, blood pressure, previous treatment for diabetes, HbA1c, C-peptide, total cholesterol, high density lipoprotein cholesterol, and low density lipoprotein cholesterol were not different between familial and non-familial diabetes. Upon multiple linear regression analysis, the family history of diabetes remained significantly associated with serum triglyceride level.


CONCLUSIONS
In T2DM patients with a family history of diabetes, the disease tended to develop earlier. Metabolic syndrome and cardiovascular risk factors are more prevalent in familial T2DM than they were in non-familial T2DM. These results support the necessity of earlier screening for diabetes in family members of T2DM patients and more active prevention against cardiovascular disease in T2DM patients with a family history.
Jeong
Seung Uk
SU
Department of Internal Medicine, Jeju National University Hospital, Jeju, Korea.
Kang
Dong Gu
DG
Lee
Dae Ho
DH
Lee
Kang Woo
KW
Lim
Dong-Mee
DM
Kim
Byung Joon
BJ
Park
Keun-Yong
KY
Chin
Hyoun-Jung
HJ
Koh
Gwanpyo
G