Cardiometabolic & kidney

New diagnosis of diabetes in patients with myocardial infarction or stroke: a systematic review and meta-analysis

Eur J Prev CardiolPublished Systematic review and meta-analysis of observational studies

Authors' conclusion

Among patients admitted with MI or stroke, one in six gets a new diagnosis of diabetes.

Study context

Population
Adults with acute myocardial infarction (MI) or stroke without known diabetes82 studies
Participants
52 vs 30
Comparison
MI vs Stroke
  • MIn = 52
  • Stroken = 30
Outcome
Pooled proportion of new diagnosis of diabetes (NDD) at hospitalization
Methodological detailsrandom-effects, meta-regression, 17 (22%) studies tested all eligible patients; 19 (23%) registry-based
  • Random-effects
  • Meta-regression
  • 17 (22%) studies tested all eligible patients; 19 (23%) registry-based

Pooled result

As reported in the abstract

New diagnosis of diabetes
GroupValueStudies
MI16.0% (95% CI 14.3–17.7)52
Stroke15.3% (95% CI 12.5–18.0)30

Value

MI16.0% (95% CI 14.3–17.7)
Stroke15.3% (95% CI 12.5–18.0)

Studies

MI52
Stroke30

Further pooled results

New diagnosis of diabetes (NDD) by diagnostic method (subgroup)

Pooled proportion higher when oral glucose tolerance test used

Change in NDD proportion over time (meta-regression) · last 30 years

No change; decline per year
0.1% (95% CI −0.3% to 0.1%)

Original publication

New diagnosis of diabetes in patients with myocardial infarction or stroke: a systematic review and meta-analysis. Eur J Prev Cardiol. Published 13 May 2025. doi:10.1093/eurjpc/zwaf286

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