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. 2017 Dec 8;20(4):821–830. doi: 10.1111/dom.13155

Table 2.

Frequency of deaths, total exposure and crude event rates by mean follow‐up HbA1c category

Parameter Lower (<7%) Moderate (≥7% and <8.5%) High (≥8.5% and <9.5%) Very high (≥9.5%) Overall
Metformin
Number of deaths 1708 928 49 34 2719
Person‐years of exposure 104 268 72 022 6666 3095 186 051
Mean follow‐up, years 2.88 2.24 1.25 1.02 2.42
Crude event rate per 1000 person‐years (95% CI) 16.4 (15.6‐17.2) 12.9 (12.1‐13.7) 7.4 (5.3‐9.4) 11.0 (7.3‐14.7) 14.6 (14.1‐15.2)
Crude rate ratio 1.27 (1.17‐1.38) 1 0.57 (0.42‐0.75) 0.85 (0.6‐1.19)
Sulphonylureas
Number of deaths 768 505 73 29 1375
Person‐years of exposure 12 564 11 899 2214 1147 27 823
Mean follow‐up, years 2.20 1.90 1.28 1.03 1.88
Crude event rate per 1000 person‐years (95% CI) 61.1 (56.8‐65.5) 42.4 (38.7‐46.1) 33.0 (25.4‐40.5) 25.3 (16.1‐34.5) 49.4 (46.8‐52)
Crude rate ratio 1.44 (1.29‐1.61) 1 0.78 (0.6‐0.99) 0.60 (0.4‐0.85)
Insulin
Number of deaths 182 389 170 108 849
Person‐years of exposure 2818 7847 3307 1898 15 870
Mean follow‐up, years 2.03 2.60 2.33 1.90 2.32
Crude event rate per 1000 person‐years (95% CI) 64.6 (55.2‐74) 49.6 (44.6‐54.5) 51.4 (43.7‐59.1) 56.9 (46.2‐67.6) 53.5 (49.9‐57.1)
Crude rate ratio 1.30 (1.09‐1.55) 1 1.04 (0.86‐1.24) 1.15 (0.92‐1.42)
Regimens with a low hypoglycaemia risk
Number of deaths 1928 1128 72 41 3169
Person‐years of exposure 125 054 93 951 10 006 4952 233 962
Mean follow‐up, years 2.81 2.14 1.21 0.97 2.30
Crude event rate per 1000 person‐years (95% CI) 15.4 (14.7‐16.1) 12.0 (11.3‐12.7) 7.2 (5.5‐8.9) 8.3 (5.7‐10.8) 13.5 (13.1‐14)
Crude rate ratio 1.28 (1.19‐1.38) 1 0.60 (0.47‐0.76) 0.69 (0.5‐0.93)
Regimens with a higher hypoglycaemia risk excluding insulin
Number of deaths 1280 959 138 64 2441
Person‐years of exposure 38 958 49 927 9691 4760 103 336
Mean follow‐up, years 2.23 2.17 1.60 1.32 2.06
Crude event rate per 1000 person‐years (95% CI) 32.9 (31.1‐34.7) 19.2 (18‐20.4) 14.2 (11.9‐16.6) 13.4 (10.2‐16.7) 23.6 (22.7‐24.6)
Crude rate ratio 1.71 (1.57‐1.86) 1 0.74 (0.62‐0.88) 0.70 (0.54‐0.9)
Regimens with a higher hypoglycaemia risk including insulin
Number of deaths 1504 1444 334 195 3477
Person‐years of exposure 44 597 68 873 17 828 9331 140 628
Mean follow‐up, years 2.21 2.27 1.87 1.57 2.13
Crude event rate per 1000 person‐years (95% CI) 33.7 (32‐35.4) 21.0 (19.9‐22) 18.7 (16.7‐20.7) 20.9 (18‐23.8) 24.7 (23.9‐25.5)
Crude rate ratio 1.61 (1.5‐1.73) 1 0.89 (0.79‐1.01) 1.00 (0.86‐1.16)

Abbreviation: CI, confidence interval.