HbA1c tends to remain stable during the 3 years following diabetes diagnosis I was thinking X4, maybe 5. We used the HbA1c concentration to estimate the diabetes status of the participants. However, these factors are likely to be equalised across regions, and the strength of the association of the health measures with diabetes are likely to vary across regions. However, we have not been able to rule out the potential effect of misclassification or undetected or undiagnosed diabetes We do not have data on individual medical or medication history, which may affect diabetes risk assessment and delay or prevent diagnosis.
In the CoRIS, diabetes diagnosis is ascertained through the clinical records of general practice, and the majority of participants reported their diabetes status to be known to their general practitioner or other medical practitioner. The rapid changes in the size and age structure of the Australian population will also introduce selection bias, particularly as uptake of diabetes testing is likely to vary by age and diabetes status. However, the inclusion of those with first diabetes diagnosis at ≥30 years, only those with available height and weight data, and those with diagnosed diabetes only at ages ≥40 years will introduce some selection, and limit the generalisability to those who have type 2 diabetes. from the CoRIS users with a more recent date of diabetes diagnosis.
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