Table 1 Baseline characteristics of patients stratified by post-index mean HbA1c for all-cause mortality outcome.
 |  | Users of low-hypoglycemic-risk drugs | Users of high-hypoglycemic-risk drugs | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 |  | Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 |  | Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 |  |
 |  | N = 637 | N = 639 | N = 639 | N = 638 | N = 638 | p value | N = 719 | N = 723 | N = 717 | N = 720 | N = 719 | p value |
Post-index HbA1c (%), mean (SD) | 5.8 (0.6) | 6.5 (0.1) | 6.8 (0.1) | 7.2 (0.1) | 8.5 (1.7) | < 0.001 | 6.0 (0.5) | 6.8 (0.1) | 7.2 (0.1) | 7.7 (0.2) | 9.4 (2.8) | < 0.001 | |
Age, years, mean (SD) | 62 (13.4) | 62.6 (11.7) | 61 (11.5) | 59.6 (11.4) | 58.2 (13.3) | < 0.001 | 60.4 (13.2) | 58.4 (12.0) | 57.5 (11.2) | 56.1 (11.3) | 55.3 (12.4) | < 0.001 | |
Male, n (%) | 346 (54.3) | 333 (52.1) | 328 (51.3) | 330 (51.7) | 342 (53.6) | 0.79 | 415 (57.7) | 424 (58.6) | 417 (58.2) | 382 (53.1) | 392 (54.5) | 0.126 | |
Comorbidity, n (%) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | |
 | Coronary artery disease | 151 (23.7) | 155 (24.3) | 160 (25.0) | 138 (21.6) | 137 (21.5) | 0.46 | 101 (14.1) | 88 (12.2) | 81 (11.3) | 70 (9.7) | 65 (9.0) | 0.022 |
 | Congestive heart failure | 34 (5.3) | 25 (3.9) | 14 (2.2) | 28 (4.4) | 31 (4.9) | 0.051 | 23 (3.2) | 15 (2.1) | 23 (3.2) | 14 (1.9) | 15 (2.1) | 0.30 |
 | Atrial fibrillation | 12 (1.9) | 13 (2.0) | 7 (1.1) | 5 (0.8) | 8 (1.3) | 0.27 | 10* | 3 (0.4) | 2 (0.3) | 0.50 | ||
 | Peripheral vascular disease | 7 (1.1) | 8 (1.3) | 5 (0.8) | 9 (1.4) | 3 (0.5) | 0.45 | 8 (1.1) | 4 (0.6) | 3 (0.4) | 9 (1.3) | 5 (0.7) | 0.33 |
 | Cerebrovascular disease | 50 (7.9) | 41 (6.4) | 26 (4.1) | 28 (4.4) | 44 (6.9) | 0.016 | 63 (8.8) | 34 (4.7) | 41 (5.7) | 28 (3.9) | 44 (6.1) | 0.001 |
 | Hypertension | 382 (60.0) | 394 (61.7) | 369 (57.8) | 364 (57.1) | 335 (52.5) | 0.013 | 352 (49.0) | 300 (41.5) | 289 (40.3) | 291 (40.4) | 282 (39.2) | 0.001 |
 | Hyperlipidemia | 311 (48.8) | 369 (57.8) | 370 (57.9) | 360 (56.4) | 288 (45.1) | < 0.001 | 231 (32.1) | 278 (38.5) | 304 (42.4) | 305 (42.4) | 215 (29.9) | < 0.001 |
 | Chronic kidney disease | 135 (21.2) | 116 (18.2) | 107 (16.7) | 90 (14.1) | 98 (15.4) | 0.009 | 104 (14.5) | 64 (8.9) | 70 (9.8) | 62 (8.6) | 78 (10.9) | 0.002 |
eGFR (mL/min/1.73 m2), n (%) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||
 | ≥ 60 | 488 (76.6) | 554 (86.7) | 563 (88.1) | 576 (90.3) | 570 (89.3) | < 0.001 | 595 (82.8) | 667 (92.3) | 667 (93.0) | 667 (92.6) | 663 (92.2) | < 0.001 |
 | 30–59 | 117 (18.4) | 77 (12.1) | 71 (11.1) | 59 (9.2) | 63 (9.9) |  | 108 (15.0) | 49 (6.8) | 44 (6.1) | 47 (6.5) | 43 (6.0) |  |
 | < 30 | 32 (5.0) | 8 (1.3) | 5 (0.8) | 3 (0.5) | 5 (0.8) |  | 16 (2.2) | 7 (1.0) | 6 (0.8) | 6 (0.8) | 13 (1.8) |  |
Charlson–Deyo Comorbidity Index, mean (SD) | 1.7 (1.5) | 1.5 (1.3) | 1.5 (1.2) | 1.4 (1.1) | 1.4 (1.3) | < 0.001 | 1.3 (1.2) | 1.1 (1.0) | 1.2 (1.1) | 1.1 (1.0) | 1.1 (1.2) | 0.064 | |
Diabetes Complications Severity Index, mean (SD) | 1.2 (1.6) | 1.1 (1.5) | 0.8 (1.2) | 0.8 (1.2) | 0.8 (1.3) | < 0.001 | 0.7 (1.2) | 0.5 (0.9) | 0.5 (1.1) | 0.4 (1.0) | 0.5 (1.0) | < 0.001 | |
Multimorbidity Frailty Index | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||
 | Mean score (SD) | 5.1 (4.5) | 4.6 (4.0) | 4.3 (3.8) | 4.2 (3.8) | 4.1 (4.1) | < 0.001 | 3.7 (4.3) | 2.8 (3.3) | 2.8 (3.5) | 2.5 (3.1) | 2.5 (3.4) | < 0.001 |
 | Fit (0 to < 5.25) | 349 (54.8) | 367 (57.4) | 388 (60.7) | 400 (62.7) | 413 (64.7) | 0.009 | 496 (69.0) | 543 (75.1) | 553 (77.1) | 574 (79.7) | 578 (80.4) | < 0.001 |
 | Mild frailty (5.25 to < 10.5) | 219 (34.4) | 222 (34.7) | 198 (31.0) | 193 (30.3) | 178 (27.9) |  | 165 (23.0) | 162 (22.4) | 138 (19.3) | 128 (17.8) | 117 (16.3) |  |
 | Moderate and severe frailty (≥ 10.5) | 69 (10.8) | 50 (7.8) | 53 (8.3) | 45 (7.1) | 47 (7.4) |  | 58 (8.1) | 18 (2.5) | 26 (3.6) | 18 (2.5) | 24 (3.3) |  |
Medications at baseline, n (%) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||
 | Diuretics | 135 (21.2) | 90 (14.1) | 76 (11.9) | 82 (12.9) | 98 (15.4) | < 0.001 | 100 (13.9) | 66 (9.1) | 84 (11.7) | 66 (9.2) | 83 (11.5) | 0.019 |
 | ACE inhibitors | 28 (4.4) | 22 (3.4) | 28 (4.4) | 27 (4.2) | 28 (4.4) | 0.90 | 32 (4.5) | 30 (4.2) | 29 (4.0) | 26 (3.6) | 24 (3.3) | 0.83 |
 | ARB | 354 (55.6) | 349 (54.6) | 317 (49.6) | 322 (50.5) | 314 (49.2) | 0.060 | 294 (40.9) | 259 (35.8) | 264 (36.8) | 256 (35.6) | 259 (36.0) | 0.196 |
 | Beta-blockers | 248 (38.9) | 239 (37.4) | 218 (34.1) | 217 (34.0) | 206 (32.3) | 0.081 | 215 (29.9) | 153 (21.2) | 182 (25.4) | 171 (23.8) | 167 (23.2) | 0.002 |
 | Calcium channel blockers | 245 (38.5) | 227 (35.5) | 209 (32.7) | 200 (31.4) | 220 (34.5) | 0.077 | 241 (33.5) | 186 (25.7) | 181 (25.2) | 185 (25.7) | 176 (24.5) | 0.001 |
 | Alpha-blockers | 22 (3.5) | 22 (3.4) | 16 (2.5) | 23 (3.6) | 23 (3.6) | 0.79 | 34 (4.7) | 14 (1.9) | 18 (2.5) | 13 (1.8) | 27 (3.8) | 0.0031 |
 | Statin | 382 (60.0) | 450 (70.4) | 418 (65.4) | 418 (65.5) | 381 (59.7) | < 0.001 | 343 (47.7) | 366 (50.6) | 394 (55.0) | 390 (54.2) | 313 (43.5) | < 0.001 |
 | Aspirin | 164 (25.8) | 185 (29.0) | 162 (25.4) | 149 (23.4) | 158 (24.8) | 0.22 | 164 (22.8) | 143 (19.8) | 136 (19.0) | 138 (19.2) | 133 (18.5) | 0.25 |
 | P2Y12 inhibitors | 71 (11.2) | 68 (10.6) | 53 (8.3) | 44 (6.9) | 41 (6.4) | 0.005 | 32 (4.5) | 25 (3.5) | 33 (4.6) | 21 (2.9) | 28 (3.9) | 0.44 |
 | Anticoagulants | 19 (3.0) | 18 (2.8) | 10 (1.6) | 12 (1.9) | 12 (1.9) | 0.32 | 4 (0.6) | 8 (1.1) | 4 (0.6) | 2 (0.3) | 5 (0.7) | 0.39 |
Laboratory data at baseline, mean (SD) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | |||
 | HbA1c (%) | 7.1 (1.9) | 7.4 (2.0) | 7.5 (1.1) | 7.9 (1.4) | 8.8 (2.0) | < 0.001 | 8.3 (2.4) | 8.8 (2.6) | 9.1 (2.4) | 9.1 (2.0) | 10.0 (2.3) | < 0.001 |
 | Triglycerides (mg/dl) | 166.1 (129.3) | 162.2 (109.1) | 166.7 (116.6) | 167.9 (114.3) | 205.9 (182.8) | < 0.001 | 211.3 (350.6) | 182.9 (144.7) | 217.7 (404.7) | 213.7 (322.8) | 237.5 (241.2) | 0.020 |
 | LDL-C (mg/dl) | 109.9 (36.8) | 105.7 (31.5) | 107.5 (33.8) | 109.1 (33.0) | 116.9 (38.0) | < 0.001 | 118.3 (39.0) | 116.1 (36.6) | 121.9 (37.9) | 122.2 (37.8) | 123.3 (41.2) | 0.001 |
 | Creatinine (mg/dl) | 1.6 (6.0) | 1.1 (3.5) | 1.3 (5.5) | 1.4 (6.4) | 1.2 (3.9) | 0.40 | 1.1 (3.9) | 1.2 (5.8) | 1.5 (9.8) | 1.0 (3.5) | 0.9 (0.7) | 0.32 |
SGLT2i or GLP-1 RA during follow-up period, n (%) | 184 (28.9) | 181 (28.3) | 215 (33.7) | 211 (33.1) | 195 (30.6) | 0.14 | NA | NA | NA | NA | NA | NA |