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Table 4 Subgroup analysis according to the characteristics of diabetes in quartile 4 versus fasting glucose variability of quartiles 1–3

From: Glucose variability and the risks of stroke, myocardial infarction, and all-cause mortality in individuals with diabetes: retrospective cohort study

 

Stroke

Myocardial infarction

All-cause mortality

IR per 1000

HR (95% CI)

IR per 1000

HR (95% CI)

IR per 1000

HR (95% CI)

Duration of diabetesa

  < 5 years (n = 412310)

4.02

1.01 (0.97–1.06)

2.63

1.03 (0.98–1.08)

7.41

1.16 (1.12–1.19)

  ≥ 5 years (n = 211927)

7.74

1.17 (1.12–1.22)

4.66

1.17 (1.11–1.24)

12.87

1.22 (1.18–1.26)

  P for interaction

 

< 0.001

 

0.001

 

0.011

Baseline fasting glucosea

  < 126 mg/dL (n = 188779)

6.30

1.21 (1.15–1.27)

3.94

1.16 (1.09–1.23)

11.64

1.17 (1.13–1.21)

  ≥ 126 mg/dL (n = 435458)

4.81

0.95 (0.92–0.99)

3.03

1.01 (0.96–1.06)

8.20

1.11 (1.08–1.14)

  P for interaction

 

< 0.001

 

< 0.001

 

< 0.001

Subtype of diabetesa

 T2DM (n = 608626)

5.02

1.14 (1.11–1.17)

3.26

1.14 (1.10–1.19)

9.70

1.22(1.19–1.25)

 T1DM (n = 15611)

13.49

1.11 (0.99–1.24)

8.01

0.96 (0.84–1.11)

26.23

1.25(1.15–1.35)

  P for interaction

 

0.267

 

0.065

 

0.186

Metforminb

 No (n = 327239)

4.05

1.17 (1.12–1.22)

2.48

1.18 (1.12–1.25)

8.59

1.30 (1.26–1.34)

 Yes (n = 296998)

7.22

1.18 (1.13–1.22)

4.72

1.16 (1.11–1.22)

12.80

1.25 (1.22–1.29)

 P for interaction

 

0.622

 

0.976

 

0.150

Sulfonylureab

 No (n = 323998)

3.56

1.19 (1.13–1.24)

2.48

1.18 (1.12–1.25)

7.42

1.30 (1.26–1.34)

 Yes (n = 300239)

7.72

1.17 (1.13–1.21)

4.72

1.16 (1.11–1.22)

14.16

1.26 (1.23–1.30)

  P for interaction

 

0.858

 

0.976

 

0.380

Meglitinideb

 No (n = 608306)

5.19

1.17 (1.13–1.20)

3.34

1.16 (1.12–1.20)

10.02

1.27 (1.25–1.30)

 Yes (n = 15931)

10.02

1.28 (1.11–1.48)

6.51

1.37(1.15–1.64)

20.14

1.37 (1.24–1.52)

  P for interaction

 

0.139

 

0.056

 

0.080

Thiazolidinedioneb

 No (n = 573541)

5.21

1.17 (1.14–1.21)

3.37

1.17 (1.13–1.22)

10.17

1.28 (1.25–1.31)

 Yes (n = 50696)

6.44

1.17 (1.06–1.29)

3.97

1.13 (0.99–1.28)

11.37

1.25 (1.16–1.34)

 P for interaction

 

0.969

 

0.561

 

0.526

DPP-4 inhibitorb

 No (n = 576404)

5.25

1.17 (1.13–1.20)

3.37

1.17 (1.13–1.21)

10.23

1.27 (1.25–1.30)

 Yes (n = 47833)

6.06

1.21 (1.09–1.35)

4.06

1.18 (1.03–1.35)

10.63

1.35 (1.24–1.46)

  P for interaction

 

0.287

 

0.835

 

0.079

a-Glucosidase inhibitorb

 No (n = 543357)

4.70

1.15 (1.12–1.19)

3.09

1.15 (1.10–1.20)

9.29

1.28 (1.25–1.31)

 Yes (n = 80880)

9.92

1.23 (1.16–1.32)

5.94

1.24 (1.14–1.34)

17.62

1.25 (1.19–1.31)

  P for interaction

 

0.053

 

0.157

 

0.519

Insulinb

 No (n = 580262)

4.75

1.15 (1.11–1.18)

3.05

1.14 (1.10–1.19)

9.02

1.24 (1.22–1.27)

 Yes (n = 43975)

11.68

1.11 (1.03–1.19)

7.68

1.08 (0.99–1.18)

24.31

1.19 (1.13–1.25)

  P for interaction

 

0.874

 

0.568

 

0.492

  1. aAdjusted for age, sex, body mass index, alcohol drinking, smoking, regular exercise, presence of hypertension, dyslipidemia, chronic kidney disease, and lower 20% income, duration of diabetes over 5 years, the number of classes of oral anti-diabetic medication taken in the 12 months prior to baseline, presence of prescription history of insulin, and mean of fasting glucose
  2. bAdjusted for age, sex, body mass index, alcohol drinking, smoking, regular exercise, presence of hypertension, dyslipidemia, chronic kidney disease, and lower 20% income, duration of diabetes over 5 years, and mean of fasting glucose