Multiple complications among people with diabetes from Finland: an 18-year follow-up in 1994-2011.

Objective: In this study, we examined trends in severe diabetes-related complications (acute myocardial infarction, stroke, lower extremity amputation, and end-stage renal disease) and prevalence of multiple complications in a total population with diabetes in Finland during an 18-year period.

Research Design And Methods: The total population with diabetes aged 30 years or older in 1994-2011 was obtained from several Finnish health registers. Only the first episode of each end point was included in the analysis.

Increased cancer mortality in diabetic people treated with insulin: a register-based follow-up study.

Background: The national 10-year Development Programme for the Prevention and Care of Diabetes (DEHKO) was launched in Finland in 2000. The program focused on improving early diagnosis of type 2 diabetes and preventing diabetes-related complications. The FinDM database was established for epidemiological monitoring of diabetes and its complications.

Socio-economic predictors of mortality among diabetic people.

Background: The present study examines the role of six aspects of socio-economic status (income, occupational position, education, unemployment, living alone and type of residential area) in mortality among types 1 and 2 diabetic people in Finland. All-cause mortality and causes of deaths (for example, alcohol diseases) are assessed.

Methods: People with diabetes aged 30-79 years in 2000-03 were identified from national registers.

Socioeconomic differences in mortality among diabetic people in Finland.

Aims: A clear socioeconomic gradient in mortality emerged among diabetic people in Finland from the early 1980s to the early 1990s. The present study examines whether this development continued between 1991 and 2003.

Methods: People with diabetes aged 30-79 in 1991-2002 were identified in the national registers, and followed up for mortality until 31 December 2003.

Coronary heart disease among diabetic and nondiabetic people - socioeconomic differences in incidence, prognosis and mortality.

Objective: To investigate coronary heart disease (CHD) morbidity and mortality and their patterning by socioeconomic status among diabetic and nondiabetic individuals in Finland.

Methods: All diabetic persons aged 35-74 years entitled to free anti-diabetic medication were drawn from the 1991-1996 national health insurance files along with nondiabetic referents. Outcome events for up to 6 years of follow-up, corresponding to 418,987 and 867,813 person-years in diabetic and nondiabetic people, respectively, were identified from national health insurance, hospital discharge and causes of death registers using personal identification codes.

Widening socioeconomic mortality disparity among diabetic people in Finland.

Background: A clear social class gradient in mortality has been consistently reported among western populations. However, in the early 1980s in Finland, no major socioeconomic differences in mortality were found among people with diabetes. The present study examines whether this exceptional finding persisted in the 1990s.