Impact of insulin therapy on outcomes of diabetic patients with heart failure: A systematic review and meta-analysis.

ABSTRACT:

Objective

To compare clinical outcomes in diabetic patients with heart failure managed by insulin with those managed by non-insulin (oral hypoglycemic agents and/or lifestyle modification) based therapy.

Methods

PubMed and Scopus databases were searched for studies conducted on diabetic patients with heart failure. Studies were to compare outcomes of patients managed by insulin versus non-insulin therapies.

Results

15 studies were included. Compared to those who were managed using non-insulin therapy, insulin-treated patients had increased risk of all-cause mortality (RR 1.46, 95% CI: 1.14, 1.88) and cardiovascular specific mortality (RR 1.62, 95% CI: 1.33, 1.96). Those managed using insulin also had increased risk of hospitalization (RR 1.45, 95% CI: 1.09, 1.93) and

SUBMITTER: Liu J 

PROVIDER: S-EPMC9102182 | biostudies-literature | 2022 May-Jun

REPOSITORIES: biostudies-literature