Associations of metformin and sulfonylurea on vascular complications in early‐ and late‐onset type 2 diabetes: A cohort study

Sulfonylurea therapy was linked to increased cardiovascular risk, particularly in younger patients, while microvascular outcomes were comparable. These findings support metformin as the preferred first-line therapy for early-onset type 2 diabetes.

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Publication Details

Journal
Diabetes Obesity and Metabolism
Published
2026-02-18
DOI
https://doi.org/10.1111/dom.70564
Primary Topic
Diabetes Treatment and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Associations of metformin and sulfonylurea on vascular complications in early‐ and late‐onset type 2 diabetes: A cohort study

Mingjuan Jin, Jiayun Zhang, L Shur Yu, Yonghao Wu et al.
Diabetes Obesity and Metabolism
Diabetes Treatment and Management
article

Associations of metformin and sulfonylurea on vascular complications in early‐ and late‐onset type 2 diabetes: A cohort study

Mingjuan Jin, Jiayun Zhang, L Shur Yu, Yonghao Wu, Lisha Xu, Kun Chen, Zongming Yang, Jianbing Wang, Yexiang Sun, L M Shui, Zhiqin Jiang, P Shen, H Lin, Mengling Tang, Ye Jiao
article en

Abstract

Sulfonylurea therapy was linked to increased cardiovascular risk, particularly in younger patients, while microvascular outcomes were comparable. These findings support metformin as the preferred first-line therapy for early-onset type 2 diabetes.

Diabetes Obesity and Metabolism
Anhui Medical University (CN), Ningbo Science and Technology Bureau (CN), Ningbo Center for Disease Control and Prevention (CN), Children's Hospital of Zhejiang University (CN), Wuhan Children's Hospital (CN), Second Affiliated Hospital of Zhejiang University (CN), Yiwu Science and Technology Research Institute (CN), Fourth Affiliated Hospital of Anhui Medical University (CN), Zhejiang University (CN)
Good health and well-being
Openalex Percentile: Top 53%
Diabetes Treatment and Management
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Associations of metformin and sulfonylurea on vascular complications in early‐ and late‐onset type 2 diabetes: A cohort study — Mingjuan Jin, Jiayun Zhang, et al. · Diabetes Obesity and Metabolism (2026) | TGRS Research Map | TGRS