Table 2.
Proportion change in specific antidiabetic drug usage with annual increments
Diabetes - Whole cohort | |||
Dementia Cases β (95% CI) | Dementia-free Controls β (95% CI) | Absolute difference | |
Insulin | 1.99% (1.65–2.34)* | 1.37% (1.27–1.47)* | 0.62% (D↑) |
Metformin | –1.33% (–1.65;–1.00)* | –1.09% (–1.23;–0.94)* | 0.24% (D↓) |
Sulfonylureas | –1.38% (–1.09;–0.96)* | –1.38% (–1.58;–1.18)* | 0% |
TZD | –0.20% (–0.23;–0.17)* | –0.18% (–0.21;–0.14)* | 0.02% (D↓) |
DPP-4i | 0.53% (0.47–0.60)* | 0.84% (0.76–0.93)* | 0.31% (ND↑) |
GLP-1a | 0.12% (0.07–0.17)* | 0.19% (0.17–0.22)* | 0.07% (ND↑) |
SGLT-2i | 0.06% (0.04–0.08)* | 0.17% (0.14–0.20)* | 0.11% (ND↑) |
Diabetes –PS-matched cohort | |||
Dementia Cases β (95% CI) | Dementia-free Controls β (95% CI) | Absolute difference | |
Insulin | 1.96% (1.61–2.31)* | 0.99% (0.82–1.15)* | 0.97% (D↑) |
Metformin | –1.33% (–1.64;–1.02)* | –1.06% (–1.23;–0.89)* | 0.27% (D↓) |
Sulfonylureas | –1.34% (–1.55;–1.13)* | –1.04% (–1.24; –0.84)* | 0.30% (D↓) |
TZD | –0.21% (–0.24;–0.17)* | –0.22% (–0.25;–0.18)* | 0.01 (ND↓) |
DPP-4i | 0.56% (0.49; 0.64)* | 1.14% (1.00–1.29)* | 0.58% (ND↑) |
GLP-1a | 0.13% (0.07–0.19)* | 0.26% (0.17–0.35)* | 0.13% (ND↑) |
SGLT-2i | 0.07% (0.01–0.12)* | 0.28% (0.13–0.43)* | 0.21% (ND↑) |
TZD, thiazolidinediones; DPP-4i, dipeptidyl-peptidase-4 inhibitors; GLP-1a, glucagon-like peptide-1 agonists; SGLT-2i, sodium-glucose co-transporter-2 inhibitors; PS, propensity score; Beta coefficients represent slope of percent change in antidiabetic drug usage with advancing time (one-year increments) derived from the linear regression analysis (with one predictor); time period included 14 years prior and 12 years after index date (date of dementia diagnosis); D↑ larger percentual dispensation increase in the dementia cohort; D↓ larger percentual dispensation decrease in the dementia cohort; ND↑ larger percentual dispensation increase in dementia-free cohort; ND↓ larger percentual dispensation decrease in dementia-free cohort; *p < 0.001.