Table 3.
Estimated, adjusted odds ratios for the association between antihypertensive drug classes and development of a diabetic foot ulcera
| Model 1 (antihypertensives) | Model 2 (PVD × antihyypertensives) | Model 3 (neuropathy × antihypertensives) | ||||
|---|---|---|---|---|---|---|
| Variables | OR (95% CI) | P value | OR (95% CI) | P value | OR (95% CI) | P value |
| SBP variability quartiles (ref= quartile 1, lowest variability) | ||||||
| 2 | 1.112 (1.069–1.157) | <0.001 | 1.112 (1.069–1.157) | <0.001 | 1.112 (1.069–1.157) | <0.001 |
| 3 | 1.197 (1.151–1.245) | <0.001 | 1.197 (1.151–1.245) | <0.001 | 1.197 (1.151–1.245) | <0.001 |
| 4 (highest variability) | 1.284 (1.234–1.336) | <0.001 | 1.284 (1.234–1.336) | <0.001 | 1.285 (1.235–1.337) | <0.001 |
| PVD | 9.291 (8.830–9.777) | <0.001 | 9.260 (8.122–10.558) | <0.001 | 9.294 (8.832–9.780) | <0.001 |
| Neuropathy | 1.545 (1.498–1.594) | <0.001 | 1.545 (1.498–1.594) | <0.001 | 1.675 (1.542–1.820) | <0.001 |
| Antihypertensive use | ||||||
| CCB | 0.884 (0.857–0.912) | <0.001 | 0.890 (0.861–0.919) | <0.001 | 0.875 (0.843–0.907) | <0.001 |
| BB | 1.030 (1.001–1.061) | 0.045 | 1.035 (1.004–1.067) | 0.025 | 1.062 (1.025–1.099) | 0.001 |
| Other drugs | 1.044 (0.997–1.093) | 0.067 | 1.037 (0.989–1.088) | 0.133 | 1.057 (1.003–1.114) | 0.037 |
| Interaction terms | ||||||
| PVD × CCB use | 0.927 (0.835–1.028) | 0.150 | ||||
| PVD × BB use | 0.940 (0.849–1.041) | 0.237 | ||||
| PVD × other use | 1.078 (0.931–1.248) | 0.317 | ||||
| Neuropathy × CCB use | 1.035 (0.970–1.104) | 0.303 | ||||
| Neuropathy × BB use | 0.907 (0.853–0.965) | 0.002 | ||||
| Neuropathy × other use | 0.953 (0.870–1.045) | 0.310 | ||||
BB, beta blocker; CCB, calcium channel blocker; PVD, peripheral vascular disease.
All models are adjusted for marital status, duration of diabetes, hemoglobin A1C, hypoglycemic medication use, renal failure, retinopathy, PVD, neuropathy, Charcot arthropathy, foot deformity, number of podiatry visits, BMI, serum albumin, chronic venous stasis, LDL cholesterol, and cholesterol-lowering medication use.