Irish Medical Journal
Volume 101, Issue 6, 2008

Immigrant patients with type 2 diabetes mellitus have poorer initial and on-going glycemic control than a matched population of Irish patients (Article)

Thabit H. , Martin G. , Brema I. , Daly M. , Walsh S. , Mannion C. , Nolan J.J.*
  • a Metabolic Research Unit, St James's Hospital, Trinity College, James's St, Dublin 8, Ireland
  • b Department of Germanic Studies, Trinity College, Dublin 2, Ireland
  • c Metabolic Research Unit, St James's Hospital, Trinity College, James's St, Dublin 8, Ireland
  • d Metabolic Research Unit, St James's Hospital, Trinity College, James's St, Dublin 8, Ireland
  • e Metabolic Research Unit, St James's Hospital, Trinity College, James's St, Dublin 8, Ireland
  • f Metabolic Research Unit, St James's Hospital, Trinity College, James's St, Dublin 8, Ireland
  • g Metabolic Research Unit, St James's Hospital, Trinity College, James's St, Dublin 8, Ireland

Abstract

We compared the glycemic and cardiovascular risk status of non-Caucasian patients with type 2 diabetes mellitus (T2DM) who recently emigrated to Ireland with a matched population of Irish patients. We identified 105 non-Caucasian patients with T2DM who recently emigrated to Ireland and compared them with 105 Irish patients with T2DM, who were matched for age, sex and duration of diabetes. Immigrants with T2DM had significantly worse initial (9.8% vs 9.1%, p<0.05) and on-going (8.3% vs 7.1%, p<0.05) glycemic control and higher microalbumin to creatinine ratio compared to the Irish patients. A greater proportion of immigrants with T2DM were on insulin therapy for their diabetes. Irish patients had significantly higher fasting triglyceride concentrations compared to the immigrants (1.9+/-0.1 mmol/l vs 1.6+/-0.1 mmol/l, p<0.05). This vulnerable population of immigrants with T2DM is currently at higher risk of complications of diabetes and warrants greater attention to glycemic control and control of other risk factors.

Author Keywords

[No Keywords available]

Index Keywords

albumin Blood Glucose immigrant Databases as Topic cardiovascular risk Caucasian race difference non insulin dependent diabetes mellitus Diabetes Mellitus, Type 2 human risk assessment middle aged statistics controlled study data base Time Factors diet restriction prognosis Triglycerides insulin Humans Ireland glycemic control male Emigrants and Immigrants female risk factor Risk Factors high risk population population research Article blood glucose blood level major clinical study adult migration triacylglycerol Emigration and Immigration Case-Control Studies case control study pathophysiology creatinine time
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-53449092152&partnerID=40&md5=ea0bfae82f5e6f65e8f788e7cce2b85c
ISSN: 03323102
Cited by: 4
Original Language: English