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首页> 外文期刊>Journal of Clinical Medicine Research >The Efficacy of Vildagliptin Concomitant With Insulin Therapy in Type 2 Diabetic Subjects
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The Efficacy of Vildagliptin Concomitant With Insulin Therapy in Type 2 Diabetic Subjects

机译:维格列汀联合胰岛素治疗2型糖尿病患者的疗效

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Background: In Japan, dipeptidyl peptidase 4 (DPP4) inhibitors have become standard therapeutic agents for type 2 diabetes, and numbers of patients receiving insulin therapy combined with DPP4 inhibitors, which is a highly effective regimen, are increasing.Methods: In this study, we evaluated the efficacy of vildagliptin administered at the dose of 100 mg twice daily in 57 patients with type 2 diabetes already receiving insulin treatment.Results: The 36 patients who simply received add-on vildagliptin showed a 0.6% decrease in HbA1c levels, despite a marked insulin dose reduction, mainly bolus insulin, of approximately 8.3 units. In addition, body mass index exhibited a significant negative correlation with the efficacy of vildagliptin, i.e., ΔHbA1c. On the other hand, the 21 patients switched from 50 mg of sitagliptin to vildagliptin showed HbA1c decreases approaching 0.7%.Conclusion: Taking into consideration that twice-daily oral vildagliptin has already been reported to be advantageous in reducing postprandial hyperglycemia, this drug was suggested to be more effective in reducing HbA1c than sitagliptin under conditions in which it is used as a supplement to basal insulin, as in this study.J Clin Med Res. 2015;7(5):303-307doi: http://dx.doi.org/10.14740/jocmr2057w
机译:背景:在日本,二肽基肽酶4(DPP4)抑制剂已成为2型糖尿病的标准治疗药物,接受胰岛素疗法与DPP4抑制剂联合治疗的患者数量正在增加。我们评估了57例已经接受胰岛素治疗的2型糖尿病患者每天两次以100 mg的剂量服用维达列汀的疗效。结果:尽管服用了维达列汀的36例患者单纯接受了维达列汀的治疗,但其HbA1c水平却降低了0.6%胰岛素剂量明显减少,主要是推注胰岛素,减少约8.3个单位。另外,体重指数与维格列汀的功效显示出显着的负相关,即ΔHbA1c。另一方面,这21例患者从50 mg西他列汀转为维达列汀后,HbA1c降低了0.7%。结论:考虑到每天两次口服维达列汀已被证明可降低餐后高血糖,因此建议使用该药物如本研究中所述,在将其用作基础胰岛素的补充剂的条件下,与西格列汀相比,在降低HbA1c方面更有效。 2015; 7(5):303-307doi:http://dx.doi.org/10.14740/jocmr2057w

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