Patient characteristics |
Age (mean; SD) |
51.0 |
9.0 |
51.7 |
8.7 |
50.5 |
9.2 |
<0.001 |
Sex |
|
|
|
|
|
|
<0.001 |
Male |
40,197 |
54.0 |
15,883 |
55.4 |
24,314 |
53.2 |
|
Female |
34,202 |
46.0 |
12,784 |
44.6 |
21,418 |
46.8 |
|
Region |
|
|
|
|
|
|
<0.001 |
Northeast |
9,856 |
13.3 |
4,202 |
14.7 |
5,654 |
12.4 |
|
North Central |
18,054 |
24.3 |
7,324 |
25.6 |
10,730 |
23.5 |
|
South |
33,816 |
45.5 |
12,228 |
42.7 |
21,588 |
47.2 |
|
West |
11,330 |
15.2 |
4,394 |
15.3 |
6,936 |
15.2 |
|
Unknown |
1,343 |
1.8 |
519 |
1.8 |
824 |
1.8 |
|
Insurance plan type |
|
|
|
|
|
|
<0.001 |
Comprehensive |
1,826 |
2.5 |
741 |
2.6 |
1,085 |
2.4 |
|
Exclusive provider organization |
835 |
1.1 |
309 |
1.1 |
526 |
1.2 |
|
Health maintenance organization |
12,858 |
17.3 |
4,686 |
16.4 |
8,172 |
17.9 |
|
Point of service |
5,919 |
8.0 |
2,246 |
7.8 |
3,673 |
8.0 |
|
Preferred provider organization |
45,048 |
60.6 |
17,418 |
60.8 |
27,630 |
60.4 |
|
Point of service with capitation |
341 |
0.5 |
129 |
0.5 |
212 |
0.5 |
|
Consumer-directed health plan |
2,214 |
3.0 |
919 |
3.2 |
1,295 |
2.8 |
|
High deductible health plan |
917 |
1.2 |
379 |
1.3 |
538 |
1.2 |
|
Unknown |
4,441 |
6.0 |
1,840 |
6.4 |
2,601 |
5.7 |
|
Index medication |
Human vs. analog |
|
|
|
|
|
|
0.160 |
Analog |
67,118 |
90.2 |
25,917 |
90.4 |
41,201 |
90.1 |
|
Human |
7,281 |
9.8 |
2,750 |
9.6 |
4,531 |
9.9 |
|
Basal vs. mixture |
|
|
|
|
|
|
<0.001 |
Basal |
65,990 |
88.7 |
25,063 |
87.4 |
40,927 |
89.5 |
|
Mixture |
8,409 |
11.3 |
3,604 |
12.6 |
4,805 |
10.5 |
|
Administration mode |
|
|
|
|
|
|
<0.001 |
Pen |
44,065 |
59.2 |
16,101 |
56.2 |
27,964 |
61.2 |
|
Vial |
30,334 |
40.8 |
12,566 |
43.8 |
17,768 |
38.9 |
|
Copayment (mean; SD) |
26.7 |
27.4 |
26.2 |
25.8 |
27.1 |
28.3 |
<0.001 |
Pre-period variables |
Charlson comorbidity index (mean; SD) |
1.7 |
1.4 |
1.7 |
1.4 |
1.7 |
1.4 |
0.195 |
Hospitalized |
16,626 |
22.4 |
6,241 |
21.8 |
10,385 |
22.7 |
0.003 |
Emergency room visit |
22,270 |
29.9 |
8,256 |
28.8 |
14,014 |
30.6 |
<0.001 |
Use of oral antidiabetic medication |
50,992 |
68.5 |
20,075 |
70.0 |
30,917 |
67.6 |
<0.001 |
Number of antidiabetic medication classes (mean; SD) |
1.9 |
1.5 |
2.0 |
1.5 |
1.8 |
1.4 |
<0.001 |
Number of all-cause medication classes (mean; SD) |
6.5 |
4.4 |
6.7 |
4.5 |
6.3 |
4.3 |
<0.001 |
Microvascular complication |
5,276 |
7.1 |
2,057 |
7.2 |
3,219 |
7.0 |
0.480 |
Macrovascular complication |
12,290 |
16.5 |
4,918 |
17.2 |
7,372 |
16.1 |
<0.001 |
Depression |
2,609 |
3.5 |
1,006 |
3.5 |
1,603 |
3.5 |
0.977 |
Obesity |
5,955 |
8.0 |
2,361 |
8.2 |
3,594 |
7.9 |
0.065 |
Dementia |
51 |
0.1 |
15 |
0.1 |
36 |
0.1 |
0.181 |
Alcohol use disorder |
595 |
0.8 |
228 |
0.8 |
367 |
0.8 |
0.915 |
Mental health disorder |
8,224 |
11.1 |
3,141 |
11.0 |
5,083 |
11.1 |
0.504 |
Use of antidepressant |
14,995 |
20.2 |
6,381 |
22.3 |
8,614 |
18.8 |
<0.001 |
Psychiatric medication use |
14,476 |
19.5 |
5,752 |
20.1 |
8,724 |
19.1 |
<0.001 |
Total healthcare costs (mean; SD) |
13,963 |
42,048 |
13,391 |
38,206 |
14,322 |
44,284 |
0.002 |