Document Detail


The predictive role of HbA₁(c) and previous medications in initiation of insulin treatment.
MedLine Citation:
PMID:  21055372     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
INTRODUCTION: Subjects (n = 46) with type 2 diabetes who responded inadequately to two and three oral medications (HbA₁(C) > 8.0%) were consecutively recruited for treatment with premixed insulin 30/70 two times a day in order to investigate whether previous oral therapies may predict insulin requirements.
MATERIAL AND METHODS: In this prospective study, men and women were eligible to participate if they were aged between 30 and 65 years, had had a diagnosis of type 2 diabetes mellitus for at least 12 months, were insulin-naive and had been treated unsuccessfully with either two or three oral antidiabetic drugs for a minimum of three months. Clinical and laboratory findings were analyzed at one year follow-up.
RESULTS: The average required insulin doses were significantly higher in patients in whom previous triple oral medication had failed than in patients in whom two oral drugs had failed.
CONCLUSION: Evaluation of the previous number of oral antidiabetic drugs and HbA₁(C) values may help us predict the insulin requirement when oral drugs have failed.
Authors:
Hakan Demirci; Yildirim Cinar
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Danish medical bulletin     Volume:  57     ISSN:  1603-9629     ISO Abbreviation:  Dan Med Bull     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0066040     Medline TA:  Dan Med Bull     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  A4214     Citation Subset:  IM    
Affiliation:
Nilüfer Toplum SağlIğI Merkezi, Department of Family Medicine, Turkey. drhakandemirci@hotmail.com
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