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. 2012 Jun 13;7(6):e38877. doi: 10.1371/journal.pone.0038877

Table 3. Hazard Ratios (95% CI) of Associations between HbA1c, Diabetes Medication use, Disease Duration and Total Mortality in Individuals with Diabetes.

Cases PY HR a 95% CI HR b 95% CI
HbA1c ( n =4,345)
Q1 96 11,075 1 Referent 1 Referent
Q2 100 9,761 1.26 0.93, 1.70 1.16 0.85, 1.58
Q3 114 9,802 1.15 0.86, 1.54 1.03 0.77, 1.39
Q4 150 9,495 2.02 1.53, 2.65 1.77 1.32, 2.36
P-Trend <0001 <0001
per 1% increase 460 40,133 1.13 1.08, 1.19 1.11 1.06, 1.17
Diabetes medication ( n =4,516)
No medication use 101 12,569 0.53 0.34, 0.81 0.58 0.37, 0.90
Metformin (monotherapy) 30 2,043 1 Referent 1 Referent
Metformin (combined) 68 4,653 0.72 0.46, 1.14 0.65 0.41, 1.04
Sulfonamides 153 7,545 0.82 0.54, 1.24 0.78 0.51, 1.18
Combinations or other OHA 30 2,573 0.76 0.44, 1.30 0.74 0.43, 1.27
Insulin and OHA combined 32 2,692 0.91 0.54, 1.56 0.79 0.46, 1.36
Insulin therapy 130 7,971 0.92 0.60, 1.41 0.76 0.49, 1.04
Disease duration ( n =5,837)
<2.0 y 157 13,695 1 Referent 1 Referent
2.0 – 4.6 y 170 13,567 1.01 0.81, 1.27 0.96 0.76, 1.21
4.6 – 9.9 y 191 13,212 1.27 1.02, 1.69 1.06 0.84, 1.34
>9.9 y 190 12,936 1.41 1.10, 1.82 1.08 0.83, 1.41
P-Trend 0.003 0.44

Abbreviations: CI, confidence interval; HR, Hazard Ratio; OHA, Oral Hypoglycemic Agents; PY, person-years.

a

Model 1: Age- and center-stratified and adjusted for sex, co-morbidities, physical activity, smoking status, educational attainment, body mass index, and systolic blood pressure;

b

Model 2: Model 1 additionally adjusted for disease duration, diabetes medication use, or HbA1c and storage time when adequate.