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57, 95% CI 0.34-0.94), but statistically similar rates of severe hyperglycemic events (HR=0.94, 95% CI 0.52-1.72), AMI (HR=0.76, 95% CI 0.44-1.3, HF (HR=1.01, 95% CI 0.79-1.3, MACE+HF (HR=0.90, 95% CI 0.72-1.12), and death (HR=0.97, 95% CI 0.86-1.1. DPP4Is should be a preferred treatment option over SUs for NH residents and other frail older adults given the importance of avoiding hypoglycemia. DPP4Is should be a preferred treatment option over SUs for NH residents and other frail older adults given the importance of avoiding hypogl