Outcomes at randomization | Outcomes at end of trial | ||||||
---|---|---|---|---|---|---|---|
Metformin + insulin | Placebo + insulin | Metformin + insulin | Placebo + insulin | Metformin vs placebo Model 1 | Metformin vs placebo Model 2 | Metformin vs placebo Model 3 | |
Resting systolic blood pressure (mmHg) | 136.5 (16.2) | 134.5 (14.2) | 136.7 (16.2) | 134.5 (13.9) | 1.06 (− 1.48; 3.59); P = 0.42 | 1.06 (− 1.59; 3.72); P = 0.43 | 0.87 (− 1.80; 3.56); P = 0.52 |
Resting diastolic blood pressure (mmHg) | 80.8 (10.0) | 79.9 (8.7) | 78.7 (9.3) | 78.7 (7.9) | − 0.37 (− 1.86; 1.11); P = 0.62 | − 0.01 (− 1.52; 1.54); P = 0.99 | 0.04 (− 1.50; 1.58); P = 0.96 |
Systolic blood pressure 30 s after standing (mmHg) | 130.4 (18.5) | 128.8 (15.8) | 128.7 (18.6) | 130 (18.2) | 3.09 (0.47; 5.71); P = 0.02 | 3.33 (0.58; 6.08); P = 0.02 | 3.35 (0.57; 6.12); P = 0.02 |
Diastolic blood pressure 30 s after standing (mmHg) | 80.5 (10.7) | 80.8 (9.1) | 78.1 (10) | 79.8 (9.7) | 1.17 (− 0.05; 2.39); P = 0.06 | 1.38 (− 0.12; 2.64); P = 0.03 | 1.30 (0.30; 2.57); P = 0.045 |
Systolic blood pressure 90 s after standing (mmHg) | 135.4 (17.9) | 134.6 (15.3) | 136.8 (17.8) | 135.2 (17.3) | − 0.01 (− 2.28; 2.26); P = 0.99 | 0.44 (− 1.92; 2.80); P = 0.71 | 0.61 (− 1.77; 2.99); P = 0.62 |
Diastolic blood pressure 90 s after standing (mmHg) | 83 (10.9) | 83.3 (9.1) | 81.3 (10.4) | 82.1 (9.5) | 0.44 (− 0.73; 1.60); P = 0.46 | 0.64 (− 0.58; 1.86); P = 0.30 | 0.62 (− 0.62; 1.86); P = 0.33 |
Systolic blood pressure 180 s after standing (mmHg) | 135.8 (18.4) | 135.4 (16.6) | 135.8 (17.5) | 135.2 (16.9) | 1.10 (− 0.89; 3.10); P = 0.28 | 0.99 (− 1.07; 3.05); P = 0.34 | 0.97 (− 1.11; 3.05); P = 0.36 |
Diastolic blood pressure 180 s after standing (mmHg) | 83.0 (10.9) | 83.3 (9.1) | 81.3 (10.4) | 82.1 (9.5) | 0.48 (− 0.64; 1.59); P = 0.40 | 0.45 (− 0.72; 1.62); P = 0.45 | 0.36 (− 0.82; 1.54); P = 0.55 |
Orthostatic hypotension diagnosis N (%) | 41 (21.8) | 30.0 (16.4) | 49 (25.8) | 38 (20.8) | 1.24 (0.66; 2.31) P = 0.51 | 1.33 (0.70; 2.54); P = 0.38 | 1.33 (0.70; 2.54); P = 0.38 |
Beat-to-beat | 9 (6; 16) | 9 (6; 15) | 8 (6; 14) | 9 (6; 15) | − 1.14 (− 2.37; 0.09); P = 0.07 | − 1.19 (− 2.47; 0.09); P = 0.07 | − 1.09 (− 2.38; 0.20); P = 0.10 |
Resting heart rate (beats pr. minute) | 70.1 (10.4) | 69.3 (10.3) | 70.6 (11.0) | 69.0 (10.5) | 1.03 (− 0.51; 2.57); P = 0.19 | 1.19 (− 0.40; 2.79); P = 0.14 | 1.17 (− 0.44; 2.78); P = 0.16 |
Heart rate 30 s after standing (beats pr. minute) | 80.2 (12.3) | 79.2 (11.1) | 80.3 (12.8) | 79.0 (11.7) | 0.09 (− 1.18; 1.36); P = 0.89 | 0.18 (− 1.15; 1.51); P = 0.79 | 0.8 (− 1.26; 1.41); P = 0.91 |
Heart rate 90 s after standing (beats pr. minute) | 78.2 (11.9) | 79.2 (12.4) | 78.8 (12.6) | 77.6 (11.5) | 0.19 (− 0.92; 1.30); P = 0.74 | 0.04 (− 1.12; 1.20); P = 0.94 | 0.04 (− 1.21; 1.39); P = 0.95 |
Heart rate 180 s after standing (beats pr. minute) | 79.2 (12.6) | 78.4 (11.75) | 78.6 (13.0) | 77.8 (11.2) | 0.40 (− 0.66; 1.46); P = 0.46 | 0.19 (− 0.90 1.28); P = 0.73 | 0.02 (− 1.07 1.11); P = 0.97 |
Vibration detection threshold (volts) | 20 (15; 29) | 22 (16; 32) | 22.5 (16; 30) | 20 (16; 30) | − 0.33 (− 1.99; 1.32); P = 0.70 | − 0.40 (− 2.11; 1.32); P = 0.65 | − 0.49 (− 2.12; 1.25); P = 0.58 |
DPN Vibration detection threshold (age-adjusted) N (%) | 25 (13.7) | 23 (12.2) | 34 (18.0) | 26 (14.3) | 1.42 (0.64; 13.17) P = 0.39. | 1.33 (0.57; 3.08); P = 0.51 | 1.33 (0.57; 3.08); P = 0.51 |