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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Swinnen, S. G. Dain, M-P Mauricio, D. DeVries, J. H. Hoekstra, J. B. Holleman, F. |
| Description | Country affiliation: Netherlands Author Affiliation: Swinnen SG ( Department of Internal Medicine, Academic Medical Centre, Amsterdam, The Netherlands.) |
| Abstract | We compared the combined use of basal insulin, metformin and insulin secretagogues with a combination of basal insulin and metformin in patients with type 2 diabetes starting basal insulin analogue therapy. This analysis was part of a 24-week trial, in which 964 insulin-naive patients with type 2 diabetes inadequately controlled on oral agents (including metformin) were randomized to insulin glargine or detemir. Secretagogues were stopped or maintained at the site-investigators' discretion. During the study, 57.6% of patients continued their secretagogue treatment. Compared with patients stopping secretagogues, those who continued experienced significantly more hypoglycaemia and weight gain. Insulin doses, however, were significantly lower: 0.6 ± 0.4 versus 0.8 ± 0.4 U/kg/day (p < 0.001). The difference between groups in mean HbA1c reduction was not statistically significant. In conclusion, in type 2 diabetic patients starting basal insulin analogue therapy, continuing both metformin and secretagogues results in more hypoglycaemia and weight gain and lower insulin doses than only maintaining metformin. |
| File Format | HTM / HTML |
| ISSN | 14628902 |
| Issue Number | 10 |
| Volume Number | 12 |
| e-ISSN | 14631326 |
| Journal | Diabetes, Obesity and Metabolism |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2010-10-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Metabolism Discipline Endocrinology Discipline Pharmacology Discipline Diabetology Diabetes Mellitus, Type 2 Drug Therapy Hemoglobin A, Glycosylated Drug Effects Hypoglycemic Agents Administration & Dosage Insulin Metformin Adult Aged Female Humans Analogs & Derivatives Male Middle Aged Sulfonylurea Compounds Treatment Outcome Weight Gain Journal Article Randomized Controlled Trial Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Endocrinology, Diabetes and Metabolism Internal Medicine Endocrinology |
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