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Tanaka, Mari; Ito, Hiroyuki; Kawakubo, Sachiko; Kusano, Eiji; Kondo, Jiro; Izutsu, Takuma; Matsumoto, Suzuko; Inoue, Hideyuki; Antoku, Shinichi; Yamasaki, Tomoko; Mori, Toshiko; Togane, Michiko; Tanaka, Mahika; Ito, Kiyoko
Journal of the Japan Diabetes Society, 2022/08/30, Volume: 65, Issue: 8Journal Article
Patients with type 2 diabetes (history of treatment discontinuation, n=78; no history of treatment discontinuation, n=516) were prospectively observed for 5 years, and the incidence of treatment discontinuation was investigated. Age and a history of treatment discontinuation were associated with treatment discontinuation in the overall population (hazard ratio: 2.17). HbA1c (hazard ratio: 2.12) was significantly associated with treatment discontinuation in patients with a history of discontinuation, while age and BMI were significantly associated with treatment discontinuation in patients without a history of treatment discontinuation. The treatment discontinuation rate after 5 years was 23 % in patients with a history of treatment discontinuation, which was significantly higher in comparison to that in patients without a history of treatment discontinuation (11 %). At the start of the observation period, the HbA1c value was higher in patients with a history of treatment discontinuation; however, after the first year it remained similar to that in the group without a history of treatment discontinuation. The prevalence of retinopathy and nephropathy remained higher in the group with a history of treatment discontinuation. A history of treatment discontinuation is a risk factor for re-discontinuation, and even if treatment is continued, vascular complications cannot be sufficiently reduced. Therefore, it is important to prevent discontinuation from the start of treatment.
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