Research Article

Cardiovascular Mortality in Type 2 Diabetes Patients with Incident Exposure to Insulin Glargine

Table 1

Competing risk analysis for myocardial infarction mortality.

Variables Cumulative time Cumulative dose
SHR (CI 95%)aSHR (CI 95%)

Deaths () 152152
Age at inception1.054 (1.035–1.074)<0.0011.053 (1.034–1.072)<0.001
Male gender2.149 (1.559–2.964)<0.0012.091 (1.513–2.889)<0.001
TILb0.960 (0.744–1.239)0.7530.979 (0.760–1.262)0.873
Screening timec0.928 (0.849–1.014)0.1000.935 (0.855–1.022)0.138
Glargine0.945 (0.899–0.994)0.0280.961 (0.922–1.002)0.064
Basal human insulin0.958 (0.919–0.999)0.0440.975 (0.920–1.034)0.400
Regular insulin1.017 (0.990–1.043)0.2170.990 (0.975–1.005)0.199
Rapid-acting analogs1.002 (0.943–1.065)0.9430.988 (0.941–1.037)0.632
Premixed human insulin0.960 (0.939–0.981)<0.0010.972 (0.954–0.990)0.002
Premixed analogue insulin0.956 (0.927–0.987)0.0050.983 (0.961–1.006)0.143
Metformin0.979 (0.942–1.018)0.2910.999 (0.999–1.000)0.540
Glimepiride1.013 (0.952–1.078)0.6791.060 (0.743–1.514)0.748
Gliclazide0.995 (0.922–1.074)0.9070.991 (0.965–1.019)0.536
Glipizide1.007 (0.924–1.097)0.8780.996 (0.873–1.136)0.947
Glibenclamide0.984 (0.931–1.040)0.5610.979 (0.832–1.153)0.801
Repaglinide0.894 (0.770–1.038)0.1420.296 (0.079–1.103)0.070
Pioglitazone0.992 (0.921–1.068)0.8321.002 (0.955–1.051)0.943
Rosiglitazone0.887 (0.722–1.091)0.2560.684 (0.336–1.390)0.294

SHR: subhazard ratios, similar to hazard ratios (HR) from the classic Cox regression.
bTreatment intensity level (see Section 2).
cTime between screening and date of insulin initiation (years).