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Glucose-lowering drugs or strategies and cardiovascular outcomes in patients with or at risk for type 2 diabetes: a meta-analysis of randomised controlled.

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Presentation on theme: "Glucose-lowering drugs or strategies and cardiovascular outcomes in patients with or at risk for type 2 diabetes: a meta-analysis of randomised controlled."— Presentation transcript:

1 Glucose-lowering drugs or strategies and cardiovascular outcomes in patients with or at risk for type 2 diabetes: a meta-analysis of randomised controlled trials  Dr Jacob A Udell, MD, Matthew A Cavender, MD, Prof Deepak L Bhatt, MD, Saurav Chatterjee, MD, Prof Michael E Farkouh, MD, Benjamin M Scirica, MD  The Lancet Diabetes & Endocrinology  Volume 3, Issue 5, Pages (May 2015) DOI: /S (15) Copyright © 2015 Elsevier Ltd Terms and Conditions

2 Figure 1 Study flow diagram
The Lancet Diabetes & Endocrinology 2015 3, DOI: ( /S (15) ) Copyright © 2015 Elsevier Ltd Terms and Conditions

3 Figure 2 Risk of heart failure events with glucose-lowering drugs or strategies versus standard care Determined with an inverse-variance random-effects model. The Lancet Diabetes & Endocrinology 2015 3, DOI: ( /S (15) ) Copyright © 2015 Elsevier Ltd Terms and Conditions

4 Figure 3 Risk of heart failure events with glucose-lowering drugs or strategies versus standard care, stratified by strategy or drug class Determined with an inverse-variance random-effects model. PPAR=peroxisome proliferator-activated receptor. DPP=dipeptidyl peptidase. The Lancet Diabetes & Endocrinology 2015 3, DOI: ( /S (15) ) Copyright © 2015 Elsevier Ltd Terms and Conditions

5 Figure 4 Risk of MACE with glucose-lowering drugs or strategies versus standard care Determined with an inverse-variance random-effects model. MACE=major adverse cardiovascular events. The Lancet Diabetes & Endocrinology 2015 3, DOI: ( /S (15) ) Copyright © 2015 Elsevier Ltd Terms and Conditions

6 Figure 5 Major adverse cardiovascular events and individual cardiovascular events with glucose-lowering drugs or strategies versus standard care Determined with an inverse-variance random-effects model. The Lancet Diabetes & Endocrinology 2015 3, DOI: ( /S (15) ) Copyright © 2015 Elsevier Ltd Terms and Conditions

7 Figure 6 Relation between weight gain and heart failure
Slope of the regression line is +0·0298, which after exponentiation, translates into a 7·1% (95% CI 1·0–13·6) relative greater risk for heart failure for every 1·0 kg increase in weight between glucose-lowering drugs or strategies versus standard care (p=0·022). The Lancet Diabetes & Endocrinology 2015 3, DOI: ( /S (15) ) Copyright © 2015 Elsevier Ltd Terms and Conditions


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