Comparison between the Therapeutic Effect of Metformin, Glimepiride and Their Combination as an Add-On Treatment to Insulin Glargine in Uncontrolled Patients with Type 2 Diabetesopen access
- Authors
- Park, Cheol-Young; Kang, Jun Goo; Chon, Suk; Noh, Junghyun; Oh, Seung Joon; Lee, Chang Beom; Park, Sung Woo
- Issue Date
- Mar-2014
- Publisher
- PUBLIC LIBRARY SCIENCE
- Citation
- PLOS ONE, v.9, no.3, pp.1 - 7
- Indexed
- SCIE
SCOPUS
- Journal Title
- PLOS ONE
- Volume
- 9
- Number
- 3
- Start Page
- 1
- End Page
- 7
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/160562
- DOI
- 10.1371/journal.pone.0087799
- ISSN
- 1932-6203
- Abstract
- Aims:To compare the commonly prescribed oral anti-diabetic drug (OAD) combinations to use as an add-on therapy with insulin glargine in patients with uncontrolled type 2 diabetes despite submaximal doses of OADs. Methods:People with inadequately controlled type 2 diabetes (n = 99) were randomly assigned on a 1:1:1 basis to receive insulin glargin, with fixed doses of glimepiride, metformin, and glimepiride plus metformin. Outcomes assessed included HbA1c, the changes in fasting glucose levels, body weight, serum lipids values, insulin dose and symptomatic hypoglycemia. Results:After 24 weeks, HbA1C levels improved from (mean +/- SD) 8.5 +/- 0.9% to 7.7 +/- 0.8% (69.0 +/- 10.0 mmol/mol to 60.8 +/- 8.6 mmol/mol) with insulin glargine plus metformin, from 8.4 +/- 1.0% to 7.7 +/- 1.3% (68.8 +/- 10.6 mmol/mol to 61.1 +/- 14.4 mmol/mol) with insulin glargine plus glimepiride and from 8.7 +/- 0.9% to 7.3 +/- 0.6% (71.7 +/- 9.8 mmol/mol to 56.2 +/- 6.7 mmol/mol) with insulin glargine plus glimepirde plus metformin. The decrease in HbA1c was more pronounced with insulin glargine plus glimepiride plus metformin than with insulin glargine plus metformin (0.49% [CI, 0.16% to 0.82%]; P = 0.005) (5.10 mmol/mol [CI, 1.64 to 8.61]; P = 0.005) and insulin glargine plus glimepiride (0.59% [CI, 0.13% to 1.05%]; P = 0.012) (5.87 mmol/mol [CI, 1.10 to 10.64]; P = 0.012) (overall P = 0.02). Weight gain and the risk of hypoglycemia of any type did not significantly differ among the treatment groups. Conclusion:The combination therapy of metformin and glimepiride plus glargine insulin resulted in a significant improvement in overall glycemic control as compared with the other combinations.
- Files in This Item
-
- Appears in
Collections - 서울 의과대학 > 서울 내과학교실 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/160562)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.