Inflammatory myopathies

Adult-onset dermatomyositis is associated with an increased prevalence of diabetes mellitus independent of glucocorticoid use,

Semin Arthritis RheumPublished Retrospective cohort study

Main finding · Diabetes prevalenceResult — go to the resultOdds ratio 1.06

Authors' conclusion

Adult-onset dermatomyositis is associated with a significantly higher prevalence of diabetes independent of glucocorticoid exposure

Study context

Population
Patients with adult-onset dermatomyositis in an institutional database, January 1, 2007 - December 31, 2021 (median age 64 years)median age 64 years
Exposure
Adult-onset DM vs matched non-DM controls
Outcome
Prevalence of diabetes (American Diabetes Association criteria)
Methodological detailspropensity-score matched (1:2) on age, sex, BMI, race, smoking status, hypertension and dyslipidemia, logistic regression
  • Propensity-score matched (1:2) on age, sex, BMI, race, smoking status, hypertension and dyslipidemia
  • Logistic regression

Main finding

Diabetes prevalence

Odds ratio

1.06

P = 0.008

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

Timing of diabetes diagnosis relative to GC initiation

Over half of diabetes diagnoses occurred before GC initiation

Diabetes risk factors in adult-onset dermatomyositis

Higher BMI, hypertension and dyslipidemia significantly associated with diabetes
Myositis-specific and associated antibodies not significantly associated

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Adult-onset dermatomyositis is associated with an increased prevalence of diabetes mellitus independent of glucocorticoid use,. Semin Arthritis Rheum. Published 19 June 2026. doi:10.1016/j.semarthrit.2026.153028

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