Use of a type 1 genetic risk score for classification of diabetes type in young Australian adults: the Fremantle Diabetes Study Phase II

Intern Med J. 2024 Mar;54(3):494-498. doi: 10.1111/imj.16328. Epub 2024 Jan 15.

Abstract

The applicability of a UK-validated genetic risk score (GRS) was assessed in 158 participants in the Fremantle Diabetes Study Phase II diagnosed between 20 and <40 years of age with type 1 or type 2 diabetes or latent autoimmune diabetes of adults (LADA). For type 1 versus type 2/LADA, the area under the receiver operating characteristic curve (AUC) was highest for serum C-peptide (0.93) and lowest for the GRS (0.66). Adding age at diagnosis and body mass index to C-peptide increased the AUC minimally (0.96). The GRS appears of modest diabetes diagnostic value in young Australians.

Keywords: diabetes diagnosis; genetic risk score; type 1 diabetes.

MeSH terms

  • Adult
  • Australasian People*
  • Australia
  • Autoantibodies
  • C-Peptide / genetics
  • Diabetes Mellitus, Type 1*
  • Diabetes Mellitus, Type 2*
  • Genetic Risk Score
  • Humans
  • Latent Autoimmune Diabetes in Adults*

Substances

  • Autoantibodies
  • C-Peptide

Supplementary concepts

  • Australians