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January 1, 2026International Journal of EndocrinologyOpen Access

Elevated triglyceride-glucose index linked to ~38% higher all-cause mortality risk.

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Why the study?

The impact of the triglyceride-glucose (TyG) index on mortality in patients with diabetes and hypertension remains unclear.

Is the triglyceride-glucose (TyG) index associated with all-cause and cardiovascular mortality in patients with diabetes mellitus and hypertension?

Population

3296 diabetes patients with hypertension from the National Health and Nutrition Examination Survey

Comparison

Levels of triglyceride-glucose (TyG) index

Design

Retrospective cohort study

Follow-up

Median 82 months (IQR, 44–129)

Key result

The triglyceride-glucose index showed a nonlinear association with mortality, with the risk of all-cause death increasing above an index of 8.9 (HR 1.38; 95% CI 1.14-1.67).

Authors

YZYuanyuan ZhaoDDDongjie DuZLZhi Liu

Discussion

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Member takes

Overview

TyG index >8.9 was associated with higher mortality; leaves open its added value for risk stratification in diabetes with hypertension.

Study Design

Type

Cohort (n=3,296)

Multicenter

Yes

Structured PICO

Is the triglyceride-glucose (TyG) index associated with all-cause and cardiovascular mortality in patients with diabetes mellitus and hypertension?

P
Population
3296 adults with diabetes mellitus and hypertension from the National Health and Nutrition Examination Survey (2001-2018)
I
Intervention
Triglyceride-glucose (TyG) index
C
Comparator
Different levels of TyG index (below vs above inflection points of 8.9 and 9.0)
O
Outcome
All-cause mortality and cardiovascular mortalityhard clinical

Main Result

Effect estimate: HR 1.38 (95% CI 1.14-1.67)

In patients with diabetes and hypertension, a TyG index above 8.9 is associated with increased all-cause mortality, and above 9.0 with increased cardiovascular mortality, particularly in those under 65 years old.

Cite This Study

Zhao et al. (2026) conducted a cohort in Diabetes Mellitus with Hypertension (n=3,296). Triglyceride-glucose (TyG) index vs. TyG index below inflection points (8.9 for all-cause, 9.0 for CV mortality) was evaluated on All-cause mortality (HR 1.38, 95% CI 1.14-1.67). The triglyceride-glucose index showed a nonlinear association with mortality, with the risk of all-cause death increasing above an index of 8.9 (HR 1.38; 95% CI 1.14-1.67).

synapsesocial.com/papers/6a0fed08b6f5ee0401601a0ahttps://doi.org/10.1155/ije/4467241
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Non-linear association between the triglyceride-glucose index and all-cause and cardiovascular mortality in diabetes mellitus patients with hypertension: a retrospective cohort study2025 · 1 citations
  2. 2Association of the triglyceride–glucose index with all-cause and cause-specific mortality in patients with comorbid hypertension and diabetes: A population-based cohort study2025 · 1 citations
  3. 3Association between triglyceride–glucose index and all-cause and cardiovascular mortality in US adults: A cohort study2025 · 1 citations
  4. 4Nonlinear relationship between triglyceride-glucose index and cardiovascular mortality with competing risk analysis on populations aged 18–80 years2025 · 2 citations
  5. 5Association of triglyceride glucose index with all-cause and cardiovascular mortality in the general population2023 · 145 citations