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Diabetes Ther (2018) 9:1431–1440 https://doi.org/10.1007/s13300-018-0443-z REVIEW Meta-Analysis of Sulfonylurea Therapy on Long-Term Risk of Mortality and Cardiovascular Events Compared to Other Oral Glucose-Lowering Treatments . . W. Ryan Powell Cindy L. Christiansen Donald R. Miller Received: April 11, 2018 / Published online: May 28, 2018 The Author(s) 2018 and experimental studies comparing the safety ABSTRACT of SUs to that of other diabetes medications in people with type 2 diabetes mellitus through Introduction: Among the most pressing clini- December 15, 2015. Studies with at least 1 year cal decisions in type 2 diabetes treatments are of follow-up, which explicitly examined major which drugs should be used after metformin is cardiovascular events or death in patients who no longer sufficient, and whether sulfonylureas showed no evidence of serious conditions at (SUs) should remain as a suitable second-line baseline, were selected for inclusion in meta- treatment. In this article we summarize current analyses. evidence on the long-term safety risks associ- Results: SU treatment was associated with an ated with SU therapy relative to other oral glu- elevated risk relative to treatment with met- cose-lowering therapies. formin (METF), thiazolidinedione (TZD), Methods: The MEDLINE database and Clini- dipeptidyl peptidase-4 inhibitor (DPP-4), and caltrials.gov were
Diabetes Therapy – Springer Journals
Published: May 28, 2018
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