Table 4

HRs for cancer among women who used antidiabetic medications (using time-dependent variables), stratified by HbA1c

OverallHbA1c <7.0% (<53 mmol/mol)HbA1c 7.0–9.4% (53–80 mmol/mol)HbA1c ≥9.5% (≥80 mmol/mol)
Adjusted HR*95% CIAdjusted HR*95% CIAdjusted HR*95% CIAdjusted HR*95% CI
Breast cancer
 Combination† vs metformin only0.850.69 to 1.040.960.51 to 1.820.830.62 to 1.111.060.73 to 1.55
 Non-metformin drugs vs metformin only0.890.74 to 1.090.870.55 to 1.370.980.75 to 1.300.840.57 to 1.25
All cancers combined
 Combination† vs metformin only0.920.77 to 1.101.070.61 to 1.880.850.66 to 1.101.150.83 to 1.60
 Non-metformin drugs vs metformin only0.930.79 to 1.110.980.65 to 1.481.000.78 to 1.280.850.60 to 1.20
  • *Adjusted for: age of index diabetes diagnosis, race/ethnicity, ERT status, statin use, Charlson comorbidity index, and outpatient utilization.

  • †Combination includes metformin use.

  • ERT, estrogen replacement therapy; HbA1c, glycated hemoglobin.