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. 2016 Mar 30;352:i1450. doi: 10.1136/bmj.i1450

Table 3.

Number of incident events, person years, rates, and adjusted hazard ratios for each study outcome by use of diabetes drug

Study outcome/diabetes drug group No of events No of person years Rate per 10 000 person years of exposure Adjusted hazard ratios (95% CI)*
Blindness
Glitazones 79 54 981 14.4 0.71 (0.57 to 0.89)
Gliptins 117 70 197 16.7 0.83 (0.69 to 1.01)
Metformin 2021 1 045 943 19.3 0.70 (0.66 to 0.75)
Sulphonylureas 1220 494 418 24.7 0.96 (0.89 to 1.04)
Insulin 202 56 153 36.0 1.48 (1.28 to 1.72)
Other hypoglycaemic agents 52 27 715 18.8 0.86 (0.65 to 1.13)
Hyperglycaemia
Glitazones 180 32 966 54.6 0.88 (0.76 to 1.02)
Gliptins 265 46 686 56.8 0.93 (0.82 to 1.05)
Metformin 5368 712 777 75.3 0.65 (0.62 to 0.67)
Sulphonylureas 2216 297 347 74.5 0.99 (0.94 to 1.04)
Insulin 415 32 321 128.4 1.69 (1.53 to 1.87)
Other hypoglycaemic agents 130 17 531 74.2 0.95 (0.80 to 1.14)
Hypoglycaemia
Glitazones 355 54 507 65.1 1.22 (1.10 to 1.37)
Gliptins 319 69 719 45.8 0.86 (0.77 to 0.96)
Metformin 3905 1 047 042 37.3 0.58 (0.55 to 0.61)
Sulphonylureas 4064 491 712 82.7 2.93 (2.78 to 3.09)
Insulin 1133 53 882 210.3 4.57 (4.27 to 4.89)
Other hypoglycaemic agents 176 27 313 64.4 1.07 (0.92 to 1.25)
Amputation
Glitazones 62 55 551 11.2 0.77 (0.60 to 1.00)
Gliptins 99 71 007 13.9 0.88 (0.71 to 1.08)
Metformin 1195 1 059 266 11.3 0.70 (0.64 to 0.77)
Sulphonylureas 819 502 028 16.3 1.05 (0.95 to 1.15)
Insulin 199 56 798 35.0 1.64 (1.41 to 1.91)
Other hypoglycaemic agents 45 28 028 16.1 0.93 (0.69 to 1.25)
Kidney failure
Glitazones 54 55 677 9.7 1.05 (0.80 to 1.38)
Gliptins 64 71 251 9.0 0.99 (0.77 to 1.27)
Metformin 562 1 064 018 5.3 0.41 (0.37 to 0.46)
Sulphonylureas 881 502 691 17.5 1.21 (1.10 to 1.33)
Insulin 235 56 573 41.5 1.45 (1.25 to 1.68)
Other hypoglycaemic agents 35 28 166 12.4 0.80 (0.56 to 1.14)

Hazard ratio for each diabetes drug group is compared with patients not prescribed that particular medication.

*Hazard ratios adjusted for: sex; age; calendar year; duration since diagnosis of diabetes (five levels); ethnicity (nine levels); Townsend deprivation score; smoking status (five levels); use of anticoagulants, thiazides, ACE inhibitors, angiotensin 2 blockers; calcium channel blockers; statins; aspirin; existing complications (blindness, hyperglycaemia, hypoglycaemia, amputation, severe kidney failure); hypertension; cardiovascular disease; atrial fibrillation; chronic renal disease; rheumatoid arthritis; valvular heart disease; peripheral vascular disease; body mass index; systolic blood pressure; HbA1c; serum creatinine; cholesterol:high density lipoprotein ratio. Hazard ratios also mutually adjusted for use of each of the other diabetes drug classes.