Elevated homocysteine levels are associated with increased diabetes risk in patients with hypertension: a multicenter longitudinal study - Summary - MDSpire

Elevated homocysteine levels are associated with increased diabetes risk in patients with hypertension: a multicenter longitudinal study

  • By

  • Ya He

  • Xianwei Tian

  • Chenru Zhao

  • Meng Chen

  • Hongyan Zhang

  • June 9, 2026

  • 0 min

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Objective:

To investigate the potential relationship between homocysteine (Hcy) and the risk of diabetes in patients with hypertension.

Key Findings:
  • Elevated Hcy was significantly associated with increased diabetes risk.
  • Each 1 μmol/L increase in Hcy corresponded to a 3.3% higher risk of diabetes.
  • A 1-standard deviation increase in Hcy corresponded to a 27.7% higher risk.
  • Thresholds identified at 15.2 μmol/L for females and 15.9 μmol/L for males, beyond which diabetes risk increased markedly.
Interpretation:

Elevated Hcy levels in hypertensive patients are significantly associated with an increased future risk of diabetes.

Limitations:
  • Study design may not account for all confounding factors.
  • Findings are based on a specific population and may not be generalizable.
Conclusion:

Elevated Hcy levels in hypertensive patients are associated with increased diabetes risk, suggesting that lowering Hcy may contribute to both blood pressure control and diabetes risk reduction.

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