PMID- 34490702 OWN - NLM STAT- MEDLINE DCOM- 20211022 LR - 20211022 IS - 1742-1241 (Electronic) IS - 1368-5031 (Linking) VI - 75 IP - 11 DP - 2021 Nov TI - Association between alpha-glucosidase inhibitor use and psoriatic disease risk in patients with type 2 diabetes mellitus: A population-based cohort study. PG - e14819 LID - 10.1111/ijcp.14819 [doi] AB - AIMS: To investigate the association between the use of alpha-glucosidase inhibitors (AGIs) and the risk of psoriatic disease (ie, psoriasis and psoriatic arthritis) in patients with type 2 diabetes mellitus (T2DM) treated with metformin. METHODS: Using the 1999-2013 Taiwanese Longitudinal Cohort of Diabetes Patients Database, we identified patients with T2DM who initiated hypoglycaemic treatment between 2003 and 2012. After excluding patients with a history of psoriatic disease (International Classification of Disease, Ninth Revision, Clinical Modification codes 696.0-1) before T2DM diagnosis, patients who received antidiabetic treatment for <90 days, and patients aged <20 or >100 years, we identified 1390 patients who received metformin+AGIs (AGI exposure group) and 47 514 patients who received metformin only (comparison group). We matched the two groups at a 1:10 ratio by age, sex, and index date of T2DM drug use. The association between AGI use and psoriatic disease risk was analysed using a Cox proportional hazard mode; time-dependent covariates for factors were reported in terms of hazard ratios (HRs) with 95% confidence intervals (CIs) after age, sex, T2DM duration, and comorbidities were controlled for. RESULTS: After adjusting the AGI exposure and comparison groups for potential confounders, we found that psoriatic disease risk was associated with metformin+AGI use when AGI was discontinued for 30 days (HR, 8.77; 95% CI, 1.58-48.5) and when a high AGI dose was administered; furthermore, the risk declined during AGI discontinuation. CONCLUSIONS: This population-based study reports that AGI use and interruption of AGI use may be associated with increased psoriatic disease risk in treated patients with T2DM. CI - (c) 2021 John Wiley & Sons Ltd. FAU - Huang, Pei-Ju AU - Huang PJ AD - Institute of Medicine, College of Medicine, Chung Shan Medical University, Taichung, Taiwan. AD - Department of Family Medicine, Changhua Christian Hospital, Changhua, Taiwan. FAU - Wei, James Cheng-Chung AU - Wei JC AD - Institute of Medicine, College of Medicine, Chung Shan Medical University, Taichung, Taiwan. AD - Department of Allergy, Immunology and Rheumatology, Chung Shan Medical University Hospital, Taichung, Taiwan. AD - Graduate Institute of Integrated Medicine, China Medical University, Taichung, Taiwan. FAU - Liu, Yen-Tze AU - Liu YT AD - Institute of Medicine, College of Medicine, Chung Shan Medical University, Taichung, Taiwan. AD - Department of Family Medicine, Changhua Christian Hospital, Changhua, Taiwan. AD - Department of Holistic Wellness, Mingdao University, Changhua, Taiwan. FAU - Lin, Ching-Heng AU - Lin CH AD - Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan. AD - Department of Healthcare Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan. AD - Department of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, Taiwan. FAU - Lin, Chi-Chien AU - Lin CC AD - Institute of Biomedical Science and Rong Hsing Research Centre for Translational Medicine, Chung Hsing University, Taichung, Taiwan. AD - Department of Medical Research, China Medical University Hospital, Taichung, Taiwan. FAU - Chen, Hsin-Hua AU - Chen HH AD - Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan. AD - Department of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, Taiwan. AD - Institute of Biomedical Science and Rong Hsing Research Centre for Translational Medicine, Chung Hsing University, Taichung, Taiwan. AD - Department of Medical Research, China Medical University Hospital, Taichung, Taiwan. AD - Division of Allergy, Immunology and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan. AD - Institute of Public Health and Community Medicine Research Centre, National Yang-Ming University, Taipei, Taiwan. LA - eng PT - Journal Article DEP - 20210916 PL - India TA - Int J Clin Pract JT - International journal of clinical practice JID - 9712381 RN - 0 (Glycoside Hydrolase Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 9100L32L2N (Metformin) SB - IM MH - Cohort Studies MH - *Diabetes Mellitus, Type 2/complications/drug therapy/epidemiology MH - Glycoside Hydrolase Inhibitors/adverse effects MH - Humans MH - Hypoglycemic Agents/adverse effects MH - *Metformin/adverse effects EDAT- 2021/09/08 06:00 MHDA- 2023/02/25 06:00 CRDT- 2021/09/07 08:02 PHST- 2021/04/23 00:00 [received] PHST- 2021/09/03 00:00 [accepted] PHST- 2021/09/08 06:00 [pubmed] PHST- 2023/02/25 06:00 [medline] PHST- 2021/09/07 08:02 [entrez] AID - 10.1111/ijcp.14819 [doi] PST - ppublish SO - Int J Clin Pract. 2021 Nov;75(11):e14819. doi: 10.1111/ijcp.14819. Epub 2021 Sep 16.