Type 2 & other diabetes

Association of Unmet Social Needs With Metformin Use Among Patients With Type 2 Diabetes

Diabetes CarePublished Prospective cohort study

Authors' conclusion

We found that overall social need burden and specific needs, particularly housing and health care access, were associated with clinically significant reductions in metformin adherence among patients with T2D.

Study context

Population
Adults with T2D
Participants
722 adults
Exposure
Patients with vs without unmet social needs
Outcome
Metformin adherence (proportion of days covered based on expected refill frequency)
Methodological detailsElectronic health record (EHR) and Surescripts prescription network data linkage
  • EHR and Surescripts prescription network data linkage

Main finding

As reported in the abstract

Metformin use (adherence), adjusted for demographics and clinical complexity

Two or more social needs, associated with lower use

−0.046

95% CI −0.089, 0.003

Being uninsured, associated with lower use

−0.052

95% CI −0.095, −0.009

Being without housing, associated with lower use, adjusted for other needs

−0.069

95% CI −0.121, −0.018

Lack of access to medicine/health care, associated with lower use, adjusted for other needs

−0.058

95% CI −0.115, −0.000

Observational data: associations, not effects.

Original publication

Association of Unmet Social Needs With Metformin Use Among Patients With Type 2 Diabetes. Diabetes Care. Published 26 September 2023. doi:10.2337/dc23-0448

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