Application of New International Classification of Adult‐Onset Diabetes in Chinese Inpatients with Diabetes Mellitus

Article

Wang, Weihao, Pei, Xiaobei, Zhang, Lina, Chen, Zhi, Lin, Dong, Duan, Xiaoye, Fan, Jingwen, Pan, Qi and Guo, Lixin. 2021. "Application of New International Classification of Adult‐Onset Diabetes in Chinese Inpatients with Diabetes Mellitus." Diabetes - Metabolism: Research and Reviews. 37 (7). https://doi.org/10.1002/dmrr.3427

Article Title	Application of New International Classification of Adult‐Onset Diabetes in Chinese Inpatients with Diabetes Mellitus
ERA Journal ID	16022
Article Category	Article
Authors	Wang, Weihao, Pei, Xiaobei, Zhang, Lina, Chen, Zhi, Lin, Dong, Duan, Xiaoye, Fan, Jingwen, Pan, Qi and Guo, Lixin
Journal Title	Diabetes - Metabolism: Research and Reviews
Journal Citation	37 (7)
Article Number	e3427
Number of Pages	8
Year	2021
Publisher	John Wiley & Sons
Place of Publication	United Kingdom
ISSN	1520-7560
Digital Object Identifier (DOI)	https://doi.org/10.1002/dmrr.3427
Web Address (URL)	https://onlinelibrary.wiley.com/doi/10.1002/dmrr.3427
Abstract	Background To determine whether the new international cluster-based classification method can be applied to Chinese inpatients with diabetes mellitus (DM). Methods Adult patients with DM hospitalized in our tertiary care centre from January 2017 to December 2018 were included in the study. K-means cluster analysis was done in clusters based on glutamic acid decarboxylase antibodies, body mass index, glycosylated haemoglobin, homeostasis model-assessed beta cell function, insulin resistance index, and age at diagnosis of DM. Chi-square test was used to analyse inter-subgroup differences in DM-related complications and family history of DM. p < 0.05 was considered significant. Results A total of 1152 inpatients with DM were included in the study. Five subgroups were obtained by cluster analysis with highest proportion of population in mild obesity-related DM subgroup (34.55%), followed by mild age-related DM (21.55%), severe insulin deficiency DM (20.51%), severe insulin resistance DM (19.02%), and severe autoimmune DM subgroup (4.36%). The prevalence of diabetic retinopathy, diabetic peripheral vascular disease, diabetic ketosis, coronary heart disease, hypertension, and family history of DM differed significantly among the subgroups (p < 0.05 for all). Conclusions This cluster-based classification could be applied to hospitalized adult patients with DM in China. It might help in strategizing for DM patients, and hence, improve management of DM in these patients.
Keywords	classification; cluster analysis; diabetes; inpatients
Contains Sensitive Content	Does not contain sensitive content
ANZSRC Field of Research 2020	460102. Applications in health
Public Notes	The accessible file is the accepted version of the paper. Please refer to the URL for the published version.
Byline Affiliations	Beijing Hospital, China
	University of Queensland

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