Juhaeri Juhaeri1, Shujun Gao, Wanju S Dai. 1. Epidemiology Unit, Global Pharmacovigilance and Epidemiology, sanofi-aventis, Bridgewater, NJ 08807, USA. juhaeri.juhaeri@sanofi-aventis.com
Abstract
PURPOSE: The aim of this study was to compare incidence rates of heart failure, stroke, and acute myocardial infarction (AMI) in Type 2 diabetic patients using different types of insulin. METHODS: Included were patients with a diagnosis of Type 2 diabetes and at least one insulin prescription from May 2001 to July 2007. Incidence rate ratios (RRs) of heart failure, stroke, and AMI were estimated using Poisson regression with adjustment for age, gender, history of hypertension, dyslipidemia history, days supply, and duration of diabetes. RESULTS: Incidence rates of heart failure, stroke, and AMI in the insulin glargine group were 306.9 (95%CI: [278.9, 334.8]), 174.8 (95%CI: [153.7, 195.8]), and 105.2 (95%CI: [88.9, 121.5]) cases per 10,000 person-years, respectively. After adjustment for covariates, the incidence rates of CVD events in the insulin glargine were comparable to those in the other long/intermediate acting insulin group (reference), except for AMI, which tended to be lower in the insulin glargine group (RR = 0.81, 95%CI: [0.65, 1.02]). Using the same reference, the incidence rate of stroke was higher in patients taking rapid/short acting insulin, premixed insulin, or mixed use of insulin except insulin glargine (RR = 1.20, 95%CI: [1.04, 1.40]). CONCLUSION: This study suggested that insulin glargine use might be associated with a lower risk of AMI, compared to the other long/intermediate acting insulin use, and that insulin regimen of rapid/short acting insulin, premixed insulin, or mixed use of insulin except insulin glargine was associated with a higher risk of stroke using the same reference.
PURPOSE: The aim of this study was to compare incidence rates of heart failure, stroke, and acute myocardial infarction (AMI) in Type 2 diabeticpatients using different types of insulin. METHODS: Included were patients with a diagnosis of Type 2 diabetes and at least one insulin prescription from May 2001 to July 2007. Incidence rate ratios (RRs) of heart failure, stroke, and AMI were estimated using Poisson regression with adjustment for age, gender, history of hypertension, dyslipidemia history, days supply, and duration of diabetes. RESULTS: Incidence rates of heart failure, stroke, and AMI in the insulinglargine group were 306.9 (95%CI: [278.9, 334.8]), 174.8 (95%CI: [153.7, 195.8]), and 105.2 (95%CI: [88.9, 121.5]) cases per 10,000 person-years, respectively. After adjustment for covariates, the incidence rates of CVD events in the insulinglargine were comparable to those in the other long/intermediate acting insulin group (reference), except for AMI, which tended to be lower in the insulinglargine group (RR = 0.81, 95%CI: [0.65, 1.02]). Using the same reference, the incidence rate of stroke was higher in patients taking rapid/short acting insulin, premixed insulin, or mixed use of insulin except insulinglargine (RR = 1.20, 95%CI: [1.04, 1.40]). CONCLUSION: This study suggested that insulinglargine use might be associated with a lower risk of AMI, compared to the other long/intermediate acting insulin use, and that insulin regimen of rapid/short acting insulin, premixed insulin, or mixed use of insulin except insulinglargine was associated with a higher risk of stroke using the same reference.
Authors: Elisabetta Patorno; Amanda R Patrick; Elizabeth M Garry; Sebastian Schneeweiss; Victoria G Gillet; Dorothee B Bartels; Elvira Masso-Gonzalez; John D Seeger Journal: Diabetologia Date: 2014-09-12 Impact factor: 10.122
Authors: Luis M Pérez-Belmonte; Jaime Sanz-Cánovas; María D García de Lucas; Michele Ricci; Beatriz Avilés-Bueno; Lidia Cobos-Palacios; Miguel A Pérez-Velasco; Almudena López-Sampalo; M Rosa Bernal-López; Sergio Jansen-Chaparro; José P Miramontes-González; Ricardo Gómez-Huelgas Journal: Front Endocrinol (Lausanne) Date: 2022-06-24 Impact factor: 6.055