Impact of low fasting plasma glucose on mortality in the general population.

ABSTRACT:

Background

While the association between hypoglycaemia and poor outcomes in diabetes is well established, it is unclear whether such an association is generalizable to those without diabetes.

Methods

A total of 8497 participants free of cardiovascular disease and diabetes from the Third National Health and Nutrition Examination Survey were included. We examined the relationship between baseline low (<80?mg/dL) and high (?126?mg/dL) fasting plasma glucose compared to normal levels (80-99?mg/dL).

Results

Over a median follow-up of 14?years, 2101 deaths occurred, of which 570 were due to cardiovascular disease. In a model adjusted for sociodemographic and cardiovascular disease risk factors, individuals with low fasting plasma glucose were at increased risk of cardiovascular disease and all-cause mortality [hazard ratio?=?1.79 (95% confidence interval?=?1.04-3.08) and hazard ratio?=?1.35 (95% confidence interval?=?1.02-1.78), respectively], compared to those with normal fasting plasma glucose. These associations were stronger among men than women for both cardiovascular disease mortality and all-cause mortality.

Conclusion

Low fasting plasma glucose in individuals without diabetes is a risk factor for cardiovascular disease and all-cause mortality, especially in men.

SUBMITTER: Chevli PA 

PROVIDER: S-EPMC7607395 | biostudies-literature | 2020 May-Jun

REPOSITORIES: biostudies-literature