Sulfonylureas may be useful for glycemic management in patients with diabetes and liver cirrhosis

doi:10.1371/journal.pone.0243783

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/24857

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/24857

Title:	Sulfonylureas may be useful for glycemic management in patients with diabetes and liver cirrhosis
Authors:	Yen, FS;Lai, JN;Wei, JCC;Chiu, LT;Hwu, CM;Hou, MC;Hsu, CC
Date:	2020
Issue Date:	2022-08-09T08:09:07Z (UTC)
Publisher:	PUBLIC LIBRARY SCIENCE
ISSN:	1932-6203
Abstract:	This study aimed to investigate the long-term outcomes of sulfonylurea (SU) use in patients with T2DM and compensated liver cirrhosis. From January 1, 2000, to December 31, 2012, we selected the data of 3781 propensity-score-matched SU users and nonusers from Taiwan's National Health Insurance Research Database. The mean follow-up time for this study was 5.74 years. Cox proportional hazards models with robust sandwich standard error estimates were used to compare the risks of main outcomes between SU users and nonusers. The incidence of mortality during follow-up was 3.24 and 4.09 per 100 person-years for SU users and nonusers, respectively. The adjusted hazard ratios and 95% confidence intervals for all-cause mortality, major cardiovascular events, and decompensated cirrhosis in SU users relative to SU nonusers were 0.79 (0.71-0.88), 0.69 (0.61-0.80), and 0.82 (0.66-1.03), respectively. The SU-associated lower risks of death and cardiovascular events seemed to have a dose-response trend. This population-based cohort study demonstrated that SU use was associated with lower risks of death and major cardiovascular events compared with SU non-use in patients with T2DM and compensated liver cirrhosis. SUs may be useful for glycemic management for patients with liver cirrhosis.
URI:	http://dx.doi.org/10.1371/journal.pone.0243783 https://www.webofscience.com/wos/woscc/full-record/WOS:000600186100008 https://ir.csmu.edu.tw:8080/handle/310902500/24857
Relation:	PLOS ONE ,2020 ,v15 ,issue 12
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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