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. Author manuscript; available in PMC: 2026 Jan 1.
Published in final edited form as: Diabetes Obes Metab. 2024 Oct 21;27(1):328–337. doi: 10.1111/dom.16021

TABLE 2.

Odds ratios (ORs) from unadjusted and adjusted generalized estimating equation models for anti-diabetic medications.

Outcome Metformin ever users
Insulin ever users
Sulfonylureas ever users
DPP-4i ever users


Unadjusted
Adjusted
Unadjusted
Adjusted
Unadjusted
Adjusted
Unadjusted
Adjusted
Covariates OR (95% CI) OR (95% CI) OR (95% CI) OR (95% CI) OR (95% CI) OR (95% CI) OR (95% CI) OR (95% CI)
Year
 2009 Referent Referent Referent Referent Referent Referent Referent Referent
 2010 1.11 (1.09, 1.13)*** 1.13 (1.11, 1.16)*** 1.09 (1.07, 1.11)*** 1.08 (1.06, 1.11)*** 0.95 (0.93, 0.96)*** 0.94 (0.92, 0.96)*** 1.42 (1.29, 1.56)*** 1.42 (1.29, 1.56)***
 2011 1.14 (1.11, 1.17)*** 1.20 (1.16, 1.23)*** 1.19 (1.16, 1.22)*** 1.18 (1.15, 1.21)*** 0.91 (0.89, 0.93)*** 0.90 (0.88, 0.93)*** 4.08 (3.65, 4.55)*** 4.18 (3.74, 4.68)***
 2012 1.09 (1.06, 1.12)*** 1.17 (1.14, 1.20)*** 1.31 (1.28, 1.35)*** 1.29 (1.26, 1.33)*** 0.84 (0.82, 0.86)*** 0.83 (0.80, 0.85)*** 6.63 (5.93, 7.42)*** 7.13 (6.36, 7.99)***
 2013 1.05 (1.02, 1.09)*** 1.17 (1.13, 1.21)*** 1.46 (1.42, 1.50)*** 1.43 (1.39, 1.48)*** 0.78 (0.75, 0.80)*** 0.77 (0.74, 0.79)*** 7.62 (6.80, 8.55)*** 8.68 (7.72, 9.76)***
Age (in years) × 10 years 0.81 (0.80, 0.82)*** 0.82 (0.81, 0.84)*** 1.06 (1.04, 1.07)*** 1.00 (0.99, 1.02) 1.04 (1.03, 1.05)*** 1.06 (1.05, 1.08)*** 1.15 (1.13, 1.18)*** 0.99 (0.96, 1.01)
Male 1.00 (0.97, 1.04) 0.99 (0.95, 1.03) 0.95 (0.91, 0.99)** 0.95 (0.92, 0.99)* 1.24 (1.20, 1.29)*** 1.24 (1.19, 1.28)*** 1.05 (0.98, 1.12) 0.93 (0.87, 1.08)
Private insurance (Yes) 1.10 (1.07, 1.13)*** 1.10 (1.07, 1.13)*** 0.95 (0.93, 0.97)*** 0.99 (0.96, 1.01) 1.03 (1.00, 1.06)* 1.01 (0.98, 1.04) 0.92 (0.96, 0.98)** 1.09 (1.03, 1.17)**
Medicaid (Yes) 0.92 (0.90, 0.95)*** 0.91 (0.88, 0.94)*** 1.06 (1.03, 1.09)*** 1.08 (1.05, 1.11)*** 0.98 (0.95, 1.01) 0.97 (0.94, 1.00) 0.60 (0.56, 0.64)*** 0.97 (0.88, 1.07)
Comorbidities
 Cardiovascular disease 0.80 (0.78, 0.82)*** 0.92 (0.90, 0.95)*** 1.27 (1.24, 1.30)*** 1.22 (1.19, 1.25)*** 1.04 (1.02, 1.07)*** 1.04 (1.01, 1.06)** 1.17 (1.11, 1.23)*** 1.12 (1.05, 1.19)***
 Liver disease 0.81 (0.78, 0.85)*** 0.82 (0.79, 0.86)*** 1.21 (1.16, 1.26)*** 1.16 (1.11, 1.21)*** 1.02 (0.97, 1.06) 1.03 (0.99, 1.08) 1.06 (0.96, 1.17) 1.03 (0.92, 1.16)
 Depression 1.00 (0.97, 1.03) 1.01 (0.98, 1.05) 1.17 (1.14, 1.21)*** 1.16 (1.12, 1.19)*** 0.98 (0.95, 1.01) 1.00 (0.97, 1.03) 1.14 (1.06, 1.22)*** 0.98 (0.91, 1.05)
 Dementia 0.49 (0.44, 0.54)*** 0.63 (0.57, 0.70)*** 1.20 (1.07, 1.35)** 1.01 (0.90, 1.14) 0.68 (0.60, 0.77)*** 0.67 (0.59, 0.75)*** 0.82 (0.65, 1.03) 0.75 (0.58, 0.98)*
Alcohol/drug use disorder 0.89 (0.86, 0.93)*** 0.87 (0.83, 0.90)*** 1.10 (1.05, 1.14)*** 1.05 (1.01, 1.09)* 1.00 (0.96, 1.04) 1.01 (0.97, 1.05) 0.68 (0.62, 0.75)*** 0.84 (0.75, 0.94)**
Chronic renal disease 0.44 (0.42, 0.45)*** 0.49 (0.47, 0.51)*** 1.50 (1.45, 1.56)*** 1.38 (1.33, 1.43)*** 0.97 (0.93, 1.00) 0.96 (0.92, 0.99)* 1.27 (1.17, 1.37)*** 1.15 (1.05, 1.25)**

Abbreviation: DPP-4i, dipeptidyl peptidase-4 inhibitors.

*

p <0.05

**

p < 0.01

***

p < 0.001.