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Antidepressant medicine use and risk of developing diabetes during the diabetes prevention program and diabetes
Richard R Rubin1, Yong Ma, Mark Peyrot
1Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. dppmail@biostat.bsc.gwu.edu
Objective:
To assess the association between antidepressant medicine use and risk of developing diabetes during the Diabetes Prevention Program (DPP) and Diabetes Prevention Program Outcomes Study (DPPOS).
Research Design And Methods:
DPP/DPPOS participants were assessed for diabetes every 6 months and for antidepressant use every 3 months in DPP and every 6 months in DPPOS for a median 10.0-year follow-up.
Results:
Controlled for factors associated with diabetes risk, continuous antidepressant use compared with no use was associated with diabetes risk in the placebo (adjusted hazard ratio 2.34 [95% CI 1.32-4.15]) and lifestyle (2.48 [1.45-4.22]) arms, but not in the metformin arm (0.55 [0.25-1.19]).
Conclusions:
Continuous antidepressant use was significantly associated with diabetes risk in the placebo and lifestyle arms. Measured confounders and mediators did not account for this association, which could represent a drug effect or reflect differences not assessed in this study between antidepressant users and nonusers.
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