Cochrane · systematic review · CD012661

Development of type 2 diabetes mellitus in people with intermediate hyperglycaemia

Richter, B, Hemmingsen, B, Metzendorf, MI, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Metabolic and Endocrine DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
43
current version
GRADE rated
43
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 29 · 67.4%Moderate 14 · 32.6%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings: overall prognosis of people with intermediate hyperglycaemia for developing T2DM

14 questions
OutcomeEffectEvidenceStatus / GRADE
1
no estimate extractedNRModerate
Downgraded: imprecision
2
no estimate extracted2 participantsModerate
Downgraded: imprecision
3
no estimate extracted17 participantsModerate
Downgraded: imprecision
4
no estimate extracted17 participantsModerate
Downgraded: imprecision
5
no estimate extracted18 participantsModerate
Downgraded: imprecision
6
no estimate extracted22 participantsModerate
Downgraded: imprecision
7
no estimate extracted18 participantsModerate
Downgraded: imprecision
8
no estimate extracted34 participantsModerate
Downgraded: imprecision
9
no estimate extracted38 participantsModerate
Downgraded: imprecision
10
no estimate extracted23 participantsModerate
Downgraded: imprecision
11
no estimate extractedNRModerate
Downgraded: imprecision
12
no estimate extracted31 participantsModerate
Downgraded: imprecision
15
no estimate extractedNRModerate
Downgraded: imprecision
20
no estimate extractedNRModerate
Downgraded: imprecision

Summary of findings: risk of intermediate hyperglycaemia (IFG5.6 mmol/L definition) versus normoglycaemia for developing T2DM

5 questions
OutcomeEffectEvidenceStatus / GRADE
HR: 4 IRR: 6 OR: 10
Summary of findings: risk of intermediate hyperglycaemia (IFG5.6 mmol/L definition) vs normoglycaemia
no estimate extracted2385 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 3 IRR: 3 OR: 9
Summary of findings: risk of intermediate hyperglycaemia (IFG5.6 mmol/L definition) vs normoglycaemia
no estimate extracted5685 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 0 IRR: 0 OR: 1
Summary of findings: risk of intermediate hyperglycaemia (IFG5.6 mmol/L definition) vs normoglycaemia
no estimate extracted0 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 1 IRR: 1 OR: 1
Summary of findings: risk of intermediate hyperglycaemia (IFG5.6 mmol/L definition) vs normoglycaemia
no estimate extracted947 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 8 IRR: 10 OR: 21
Summary of findings: risk of intermediate hyperglycaemia (IFG5.6 mmol/L definition) vs normoglycaemia
no estimate extracted9017 participantsLow
Downgraded: risk of bias, imprecision, inconsistency

Summary of findings: risk of intermediate hyperglycaemia (IFG6.1 mmol/L definition) versus normoglycaemia for developing T2DM

5 questions
OutcomeEffectEvidenceStatus / GRADE
HR: 5 IRR: 2 OR: 7
Summary of findings: risk of intermediate hyperglycaemia (IFG6.1 mmol/L definition) vs normoglycaemia
no estimate extracted1054 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 4 IRR: 4 OR: 7
Summary of findings: risk of intermediate hyperglycaemia (IFG6.1 mmol/L definition) vs normoglycaemia
no estimate extracted1736 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 0 IRR: 0 OR: 1
Summary of findings: risk of intermediate hyperglycaemia (IFG6.1 mmol/L definition) vs normoglycaemia
no estimate extracted0 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 0 IRR: 0 OR: 0
Summary of findings: risk of intermediate hyperglycaemia (IFG6.1 mmol/L definition) vs normoglycaemia
no estimate extracted0 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 9 IRR: 6 OR: 15
Summary of findings: risk of intermediate hyperglycaemia (IFG6.1 mmol/L definition) vs normoglycaemia
no estimate extracted2818 participantsLow
Downgraded: risk of bias, imprecision, inconsistency

Summary of findings: risk of intermediate hyperglycaemia (IGT definition) versus normoglycaemia for developing T2DM

5 questions
OutcomeEffectEvidenceStatus / GRADE
HR: 3 IRR: 5 OR: 6
Summary of findings: risk of intermediate hyperglycaemia (IGT definition) vs normoglycaemia
no estimate extracted1780 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 2 IRR: 5 OR: 11
Summary of findings: risk of intermediate hyperglycaemia (IGT definition) vs normoglycaemia
no estimate extracted2230 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 0 IRR: 0 OR: 2
Summary of findings: risk of intermediate hyperglycaemia (IGT definition) vs normoglycaemia
no estimate extracted0 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
IRR: 2 OR: 1 HR: 0
Summary of findings: risk of intermediate hyperglycaemia (IGT definition) vs normoglycaemia
no estimate extracted1087 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 5 IRR: 12 OR: 20
Summary of findings: risk of intermediate hyperglycaemia (IGT definition) vs normoglycaemia
no estimate extracted4010 participantsLow
Downgraded: risk of bias, imprecision, inconsistency

Summary of findings: risk of intermediate hyperglycaemia (combined IFG and IGT definition) versus normoglycaemia for developing T2DM

5 questions
OutcomeEffectEvidenceStatus / GRADE
HR: 3 IRR: 4 OR: 3
Summary of findings: risk of intermediate hyperglycaemia (combined IFG and IGT definition) vs normoglycaemia
no estimate extracted461 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 1 IRR: 4 OR: 6
Summary of findings: risk of intermediate hyperglycaemia (combined IFG and IGT definition) vs normoglycaemia
no estimate extracted221 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 0 IRR: 0 OR: 0
Summary of findings: risk of intermediate hyperglycaemia (combined IFG and IGT definition) vs normoglycaemia
no estimate extracted0 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 1 IRR: 1 OR: 0
Summary of findings: risk of intermediate hyperglycaemia (combined IFG and IGT definition) vs normoglycaemia
no estimate extracted356 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 5 IRR: 9 OR: 9
Summary of findings: risk of intermediate hyperglycaemia (combined IFG and IGT definition) vs normoglycaemia
no estimate extracted1038 participantsLow
Downgraded: risk of bias, imprecision, inconsistency

Summary of findings: risk of intermediate hyperglycaemia (HbA1c5.7 definition) versus normoglycaemia for developing T2DM

4 questions
OutcomeEffectEvidenceStatus / GRADE
HR: 3 IRR: 1 OR: 1
Summary of findings: risk of intermediate hyperglycaemia (HbA1c5.7 definition) vs normoglycaemia
no estimate extracted3196 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 1 IRR: 0 OR: 2
Summary of findings: risk of intermediate hyperglycaemia (HbA1c5.7 definition) vs normoglycaemia
no estimate extracted2027 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 0 IRR: 0 OR: 0
Summary of findings: risk of intermediate hyperglycaemia (HbA1c5.7 definition) vs normoglycaemia
no estimate extracted0 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
HR: 4 IRR: 1 OR: 3
Summary of findings: risk of intermediate hyperglycaemia (HbA1c5.7 definition) vs normoglycaemia
no estimate extracted5223 participantsLow
Downgraded: risk of bias, imprecision, inconsistency

Summary of findings: risk of intermediate hyperglycaemia (HbA1c6.0 definition) versus normoglycaemia for developing T2DM

5 questions
OutcomeEffectEvidenceStatus / GRADE
HR: 2 IRR: 0 OR: 1
Summary of findings: risk of intermediate hyperglycaemia (HbA1c6.0 definition) vs normoglycaemia
no estimate extracted1040 participantsLow
Downgraded: risk of bias, imprecision
HR: 4 IRR: 0 OR: 1
Summary of findings: risk of intermediate hyperglycaemia (HbA1c6.0 definition) vs normoglycaemia
no estimate extracted3492 participantsLow
Downgraded: risk of bias, imprecision
HR: 0 IRR: 0 OR: 0
Summary of findings: risk of intermediate hyperglycaemia (HbA1c6.0 definition) vs normoglycaemia
no estimate extracted0 participantsLow
Downgraded: risk of bias, imprecision
IRR: 0 OR: 1 HR: 0
Summary of findings: risk of intermediate hyperglycaemia (HbA1c6.0 definition) vs normoglycaemia
no estimate extracted0 participantsLow
Downgraded: risk of bias, imprecision
HR: 6 IRR: 0 OR: 3
Summary of findings: risk of intermediate hyperglycaemia (HbA1c6.0 definition) vs normoglycaemia
no estimate extracted4532 participantsLow
Downgraded: risk of bias, imprecision