Outcomes of second-line oral antidiabetic drugs in persons with young-onset type 2 diabetes
| Autor: | Chii-Min Hwu, Chih-Cheng Hsu, Fu-Shun Yen, Jia-Sin Liu, James Cheng-Chung Wei |
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| Rok vydání: | 2021 |
| Předmět: |
Drug
medicine.medical_specialty Endocrinology Diabetes and Metabolism media_common.quotation_subject 030209 endocrinology & metabolism Type 2 diabetes 03 medical and health sciences 0302 clinical medicine Endocrinology Diabetes mellitus Internal medicine Internal Medicine medicine Humans Hypoglycemic Agents 030212 general & internal medicine media_common Dipeptidyl-Peptidase IV Inhibitors Proportional hazards model business.industry Hazard ratio General Medicine medicine.disease Metformin Confidence interval Meglitinide Sulfonylurea Compounds Diabetes Mellitus Type 2 Drug Therapy Combination business medicine.drug |
| Zdroj: | Diabetes Research and Clinical Practice. 177:108928 |
| ISSN: | 0168-8227 |
| Popis: | Aim People with young-onset diabetes (YOD) exhibit a higher risk of morbidity and mortality than those with late-onset diabetes. Few studies have explored the preferred management of diabetes in such patients. We compared the risks of hospitalization and mortality among people with YOD to whom second-line oral antidiabetic drugs (OADs) were administered. Methods 7257 people taking second-line OADs after initial metformin therapy were enrolled during 2009–2014. Using add-on sulfonylureas (SUs) as a reference, the multivariable Cox regression model was used to compare the hospitalization and mortality risks among 5 categories of second-line OADs: alpha-glucosidase inhibitors, meglitinide, dipeptidyl peptidase-4 (DPP-4) inhibitors, SUs, and thiazolidinediones. Results After baseline characteristics, comorbidities, duration of diabetes, and drug use were controlled, the adjusted hazard ratios and 95% confidence interval for all-cause, cardiovascular, and non-infection hospitalization and all-cause mortality for metformin plus DPP-4 inhibitors were 0.62 (0.52–0.73), 0.49 (0.29–0.85), 0.64 (0.54–0.76), and 0.50 (0.27–0.92), respectively, when compared with the data for metformin plus SUs. Conclusions Among people with YOD, taking add-on DPP-4 inhibitors was associated with lower risks of all-cause hospitalization and mortality than taking add-on SUs. DPP-4 inhibitors thus seem to be a suitable second-line OAD for such patients. |
| Databáze: | OpenAIRE |
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