{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:43:53Z","timestamp":1791528233273,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T00:00:00Z","timestamp":1687132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Diabetes development mechanisms vary by weight status. We aimed to compare cardiometabolic risk and characterize fasting plasma glucose (FPG) and glycated haemoglobin (HbA1c) trajectories before diagnosing type 2 diabetes in individuals with\/without obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data from the China Health and Retirement Longitudinal Study (CHARLS) and English Longitudinal Study of Ageing (ELSA) were analysed. Participants without diabetes and with a body mass index of 18.5\u201040\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      at baseline were included. Incident diabetes was ascertained by self\u2010reported physician diagnosis and\/or antidiabetic drug use, FPG \u2265126\u2009mg\/dl and\/or HbA1c \u22656.5%. The difference in the FPG\/HbA1c trajectory before the diabetes diagnosis in participants with\/without obesity was examined using mixed\u2010effects models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 11\u2009925 eligible participants, 1361 incident diabetes cases (mean age: 61.4\u2009years; male: 46.2%) were identified within 15\u2009years of follow\u2010up. Obese diabetes showed higher levels of diastolic blood pressure and C\u2010reactive protein at diagnosis than non\u2010obese diabetes. Mixed\u2010effects models indicated the difference in the FPG trajectory before diagnosis by weight status was non\u2010significant with a slope difference of 0.149\u2009mg\/dl (SE\u2009=\u20090.642,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.816, CHARLS) and 0.013\u2009mg\/dl (SE\u2009=\u20090.013,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.337, ELSA). However, obese diabetes showed a steep increase in HbA1c before diagnosis with a slope difference of 0.036% (SE\u2009=\u20090.016,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.021) in the CHARLS and 0.032% (SE\u2009=\u20090.014,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.027) in the ELSA, respectively. Sex\u2010stratified analyses showed that the difference in HbA1c trajectory before the diabetes diagnosis by weight status was only significant in males.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Obese and non\u2010obese diabetes developments may share a similar FPG but distinct HbA1c trajectory. Obese diabetes interventions require more attention to cardiometabolic risks. Moreover, studies addressing weight\/sex\u2010related differences in diabetes aetiologies and treatments are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.15173","type":"journal-article","created":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T21:59:44Z","timestamp":1687211984000},"page":"2835-2845","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Trajectories of fasting glucose and glycated haemoglobin in obese and non\u2010obese incident diabetes: Results from two large cohort studies"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6835-4479","authenticated-orcid":false,"given":"Hong\u2010Jie","family":"Yu","sequence":"first","affiliation":[{"name":"School of Nursing the University of Hong Kong  Hong Kong SAR 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