Osteoarthritis

Association Between Symptomatic Knee Osteoarthritis and Target Glycemic Control in Individuals With Type 2 Diabetes

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

Individuals with T2DM and painful knee OA are less likely to be at glycemic target, increasing their risk of diabetes complications.

Study context

Population
Individuals with T2DM aged ≥45 years, three academic centers in Canada (mean age 66.2 years, 50.7% women)28.5% with knee osteoarthritis (OA)
Participants
351 individuals
Exposure
Symptomatic knee OA vs no knee OA
Outcome
Target glycemic control (HbA1c ≤7.0%)
Methodological detailsmulticentre, multivariable logistic regression adjusted for age, gender, education level and BMI
  • Multicentre
  • Multivariable logistic regression adjusted for age, gender, education level and BMI

Main finding

As reported in the abstract

Knee OA vs No knee OAEstimate (95% CI)
After adjusting for confounders
aOR 0.65(0.39–1.08)
Target glycemic control (HbA1c ≤7.0%)
OR (unadjusted) 0.60(0.37–0.97)
Overall at glycemic target
43.9%

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
Target glycemic control, knee OA with pain ≥20/100Knee OA with pain ≥20/100vs No knee OAStatistically significant in adjusted analysis0.58 (0.34–0.99)

Original publication

Association Between Symptomatic Knee Osteoarthritis and Target Glycemic Control in Individuals With Type 2 Diabetes. Arthritis Care Res (Hoboken). Published 28 March 2026. doi:10.1002/acr.70019

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