Table 2 Associations between change in TC and risk of CVD.

From: Changes in total cholesterol level and cardiovascular disease risk among type 2 diabetes patients

TC level before T2D diagnosis (mg/dL)

Low (< 180 mg/dL)

Middle (180 to 240 mg/dL)

High (≥ 240 mg/dL)

TC level after T2D diagnosis (mg/dL)

Low

Middle

High

Low

Middle

High

Low

Middle

High

Number of subjects (N)

3681

1815

148

4367

7662

1245

1093

2395

1415

CVD (I20–I25, I60–I69)

 All

  Number of cases (n)

322

212

21

348

799

161

74

230

201

  aHR

1

1.31

1.80

0.83

1

1.10

0.65

0.68

1

  95% CI

Reference

1.10–1.56

1.15–2.83

0.73–0.94

Reference

0.92–1.31

0.49–0.86

0.56–0.83

Reference

 Among non-users of lipid-lowering drugs

  Subtotal (N)

2657

1386

68

2324

5394

605

151

1038

516

  Number of cases (n)

245

161

13

206

575

88

18

118

92

  aHR

1

1.27

2.25

0.86

1

1.12

0.65

0.62

1

  95% CI

Reference

1.04–1.56

1.27–3.97

0.73–1.01

Reference

0.89–1.41

0.39–1.09

0.47–0.82

Reference

 Among users of lipid-lowering drugs

  Subtotal (N)

1024

429

80

2043

2268

640

942

1357

899

  Number of cases (n)

77

51

8

142

224

73

56

112

109

  aHR

1

1.49

1.47

0.75

1

1.08

0.69

0.76

1

  95% CI

Reference

1.04–2.14

0.70–3.10

0.61–0.93

Reference

0.82–1.41

0.49–0.96

0.58–0.99

Reference

CHD (I20–I25)

 All

  Number of cases (n)

153

100

10

181

390

82

37

109

99

  aHR

1

1.31

1.63

0.85

1

1.15

0.61

0.66

1

  95% CI

Reference

1.01–1.69

0.85–3.13

0.71–1.02

Reference

0.90–1.46

0.41–0.90

0.50–0.87

Reference

 Among non-users of lipid-lowering drugs

  Subtotal (N)

2657

1386

68

2324

5394

605

151

1038

516

  Number of cases (n)

111

67

4

95

268

43

9

46

43

  aHR

1

1.14

1.39

0.86

1

1.24

0.70

0.50

1

  95% CI

Reference

0.84–1.55

0.51–3.81

0.68–1.08

Reference

0.89–1.71

0.33–1.48

0.33–0.77

Reference

 Among users of lipid-lowering drugs

  Subtotal (N)

1024

428

80

2043

2268

640

942

1357

899

  Number of cases (n)

42

33

6

86

122

39

28

63

56

  aHR

1

1.77

2.08

0.84

1

1.09

0.64

0.83

1

  95% CI

Reference

1.11–2.81

0.86–5.01

0.63–1.10

Reference

0.76–1.57

0.40–1.03

0.57–1.19

Reference

Stroke (I60–I69)

 All

  Number of cases (n)

172

114

12

170

413

80

37

122

102

  aHR

1

1.32

2.11

0.80

1

1.05

0.69

0.71

1

  95% CI

Reference

1.04–1.68

1.16–3.83

0.67–0.96

Reference

0.82–1.34

0.47–1.02

0.54–0.93

Reference

 Among non-users of lipid-lowering drugs

  Subtotal (N)

2657

1386

68

2324

5394

605

151

1038

516

  Number of cases (n)

135

95

10

114

309

45

9

73

49

  aHR

1

1.39

3.03

0.88

1

1.02

0.60

0.74

1

  95% CI

Reference

1.07–1.82

1.70–6.40

0.71–1.09

Reference

0.74–1.40

0.29–1.25

0.51–1.07

Reference

 Among users of lipid-lowering drugs

  Subtotal (N)

1024

429

80

2043

2268

640

942

1357

899

  Number of cases (n)

37

19

2

56

104

35

28

49

53

  aHR

1

1.18

0.72

0.65

1

1.07

0.74

0.68

1

  95% CI

Reference

0.67–2.09

0.17–3.06

0.47–0.90

Reference

0.73–1.57

0.46–1.18

0.46–1.02

Reference

  1. aHR, adjusted hazard ratio analyzed by Cox proportional hazards regression analysis adjusted for age, sex, socioeconomic status, body mass index, smoking status, alcohol consumption, physical activity, blood pressure, fasting serum glucose, anti-diabetic medication, and lipid-lowering medication.
  2. TC total cholesterol, T2D type 2 diabetes mellitus, CVD cardiovascular disease, CHD coronary heart disease, N, n number, CI confidential interval.