Artículo
Diabetes management and treatment approaches outside of North America and West Europe in 2006 and 2015
Tabesh, Maryam; Magliano, Dianna J.; Tanamas, Stephanie K.; Surmont, Filip; Bahendeka, Silver; Chiang, Chern En; Elgart, Jorge Federico
; Gagliardino, Juan Jose
; Kalra, Sanjay; Krishnamoorthy, Satheesh; Luk, Andrea; Maegawa, Hiroshi; Motala, Ayesha A.; Pirie, Fraser; Ramachandran, Ambady; Tayeb, Khaled; Vikulova, Olga; Wong, Jencia; Shaw, Jonathan E.
![Icon](/themes/CONICETDigital/images/conicet.png)
![Icon](/themes/CONICETDigital/images/conicet.png)
Fecha de publicación:
08/04/2019
Editorial:
Springer
Revista:
Acta Diabetológica
ISSN:
0940-5429
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
Resumen
Aims The impact of introducing new classes of glucose-lowering medication (GLM) on diabetes management remains unclear, especially outside North America and Western Europe. Therefore, we aimed to analyse trends in glycaemic control and the usage of new and old GLMs in people with type 2 diabetes from 2006 to 2015. Methods Summary data from clinical services from nine countries outside North America and Western Europe were collected and pooled for statistical analysis. Each site summarized individual-level data from out-patient medical records for 2006 and 2015. Data included: demographics; HbA1c and fasting plasma glucose levels; and the proportions of patients taking GLM as monotherapy, combination therapy and/or insulin. Results Between 2006 and 2015, glycaemic control remained stable, although body mass index and duration of diabetes increased in most sites. The proportion of people on GLM increased, and the therapeutic regimens became more complex. There were increases in the use of insulin and triple therapy in most sites, while monotherapy, particularly in relation to sulphonylureas, decreased. Despite the introduction of new GLMs, such as DPP-4 inhibitors, insulin use increased over time. Conclusions There was no clear evidence that the use of new classes of GLMs was associated with improvements in glycaemic control or reduced the reliance on insulin. These findings were consistent across a range of economic and geographic settings.
Archivos asociados
Licencia
Identificadores
Colecciones
Articulos(CENEXA)
Articulos de CENTRO DE ENDOCRINOLOGIA EXP.Y APLICADA (I)
Articulos de CENTRO DE ENDOCRINOLOGIA EXP.Y APLICADA (I)
Citación
Tabesh, Maryam; Magliano, Dianna J.; Tanamas, Stephanie K.; Surmont, Filip; Bahendeka, Silver; et al.; Diabetes management and treatment approaches outside of North America and West Europe in 2006 and 2015; Springer; Acta Diabetológica; 56; 8; 8-4-2019; 889-897
Compartir
Altmétricas