Rural Residence is Associated With a Delayed Trend Away From Sulfonylurea Use for Treatment Intensification of Type 2 Diabetes

Abstract

Where a person resides may impact the health care they receive. Using a process-based approach, we examined the interplay between location of residence along the rural-urban continuum (metropolitan/urban/rural) and sulfonylurea (SU) dispensation records for the management of type 2 diabetes. This retrospective cohort study used administrative health records of adult new metformin users between April 2008–March 2019 in Alberta. Multivariate logistic regression was performed to examine the association between SU-based treatment intensification and location of residence.