Social deprivation, in addition to A1c and age, is tied to the increased risk of mortality in patients with type 1 diabetes….
In a study presented at the 2013 EASD conference, Thomas et al. evaluated the effects that social deprivation, which encompasses a poor quality of life, with a lack of healthcare resources, education, and etc., has on patients with type 1 diabetes.
The study included 1,038 patients with type 1 diabetes between the ages 18 to 70 in 2006. All eligible subjects attended clinics run by King’s Health Partners and had regular follow-up visits until 2012. A1c data was also obtained from individuals between the years 2002 and 2004.
By the end of 2012, 37 patients had died. Among the patients who died during the study, 61% of them were classified as being socially deprived, according to their Index of Multiple Deprivation (IMD) scores. Those who died during the 10-year study period had an average IMD score of 32.3, while those still alive had a score of 23.6.
Apart from social deprivation, older age and higher HbA1c percentages were also independent risk factors for death among these patients. However, duration of diabetes was not found to increase risk, as it was not significantly different among the patients who died and those who were still alive.
Thomas S, et al "Age, glycaemic control and social deprivation independently predict 10-year mortality in a UK type 1 diabetes cohort" EASD 2013; Abstract 316.