Cardiovascular Risk Associated With Acarbose Versus Metformin as the First-Line Treatment in Patients With Type 2 Diabetes: A Nationwide Cohort Study
Author(s) -
ChiaHsuin Chang,
YiCheng Chang,
JouWei Lin,
ShuTing Chen,
LeeMing Chuang,
MeiShu Lai
Publication year - 2015
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2014-2443
Subject(s) - acarbose , medicine , metformin , hazard ratio , myocardial infarction , type 2 diabetes , diabetes mellitus , stroke (engine) , cohort , cohort study , propensity score matching , confidence interval , heart failure , proportional hazards model , endocrinology , insulin , mechanical engineering , engineering
Metformin is the first-line oral therapy for type 2 diabetes with proven benefits against cardiovascular risk. Recent evidence suggested that acarbose might be similar to metformin in glucose-lowering efficacy and cardiovascular risk reduction. Therefore, international guidelines have suggested the use of acarbose as alternative first-line antidiabetic therapy.
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