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      Short-Term Effectiveness and Reduction in Insulin Requirements in Patients With Type 2 Diabetes Treated With IdegLira in a Real-World Setting

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          Abstract

          Background

          Type 2 diabetes mellitus (T2DM) is a chronic, highly prevalent disease with a significant impact on health. Appropriate treatment requires effective and timely escalation to achieve metabolic control. To evaluate the effectiveness and safety of IDegLira on adults with T2DM previously treated with oral antidiabetics and/or insulin in a real-life setting.

          Methods

          An observational study in a real-world setting was conducted. Patients were selected from the outpatient clinic of two centers dedicated to specialized diabetes care. Main outcomes were HbA1c, body weight, insulin dose changes, hypoglycemia, and other adverse events.

          Results

          67 T2DM patients treated with IDegLira were monitored between 3 and 7 months. At the end of foll ow-up, the median change in HbA1c was -1.05% (CI95% -1.45, -0.65), and a decrease in insulin requirement was also observed (mean difference -10 TDD units (CI95% - 17 to -2.5). No treatment discontinuation was reported, hypoglycemia events were reported in 3 patients at the end of follow-up versus 8 patients at baseline.

          Conclusions

          This real-life study shows the effectiveness in glycemic control of IDegLira use in T2DM patients who do not achieve goals with other therapies, with an adequate safety profile. The findings need to be confirmed with evaluation of therapeutic results in larger cohorts.

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          Most cited references23

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          Efficacy and safety of a fixed-ratio combination of insulin degludec and liraglutide (IDegLira) compared with its components given alone: results of a phase 3, open-label, randomised, 26-week, treat-to-target trial in insulin-naive patients with type 2 diabetes.

          A fixed-ratio combination of the basal insulin analogue insulin degludec and the glucagon-like peptide-1 (GLP-1) analogue liraglutide has been developed as a once-daily injection for the treatment of type 2 diabetes. We aimed to compare combined insulin degludec-liraglutide (IDegLira) with its components given alone in insulin-naive patients.
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            Clinical inertia to insulin initiation and intensification in the UK: A focused literature review.

            Achieving tight glycaemic control early following the diagnosis of type 2 diabetes is key to optimising clinical outcomes, yet many patients and clinicians are reluctant to initiate and intensify insulin therapy. Reasons for this arise primarily from a lack of time, clinical expertise and patient understanding. However, meaningful progress can be achieved with self-management educational programmes soon after diagnosis. Clinician education and training, along with easy-to-use and well-tolerated therapies (for example, those carrying a low risk of hypoglycaemia and/or avoiding weight gain), may also increase the likelihood of patient adherence.
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              Effect of Insulin Glargine Up-titration vs Insulin Degludec/Liraglutide on Glycated Hemoglobin Levels in Patients With Uncontrolled Type 2 Diabetes: The DUAL V Randomized Clinical Trial.

              Achieving glycemic control remains a challenge for patients with type 2 diabetes, even with insulin therapy.
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/1584594
                URI : https://loop.frontiersin.org/people/1450075
                URI : https://loop.frontiersin.org/people/1562551
                Journal
                Front Endocrinol (Lausanne)
                Front Endocrinol (Lausanne)
                Front. Endocrinol.
                Frontiers in Endocrinology
                Frontiers Media S.A.
                1664-2392
                28 April 2022
                2022
                : 13
                : 828607
                Affiliations
                [1] 1 School of Medicine, Universidad Pontificia Bolivariana , Medellín, Colombia
                [2] 2 Endocrinology Department, Clínica Integral de Diabetes , Medellín, Colombia
                [3] 3 School of Medicine, Universidad de Antioquia , Medellín, Colombia
                [4] 4 Endocrinology Department, Hospital Pablo Tobón Uribe , Medellín, Colombia
                [5] 5 Clinical Pharmacology, Pharmaceutical Promotion and Prevention Group, Faculty of Pharmaceutical and Food Sciences, Universidad de Antioquia , Medellín, Colombia
                [6] 6 School Medicine, Pontificia Universidad Bolivariana , Medellín, Colombia
                Author notes

                Edited by: Jeff M. P. Holly, University of Bristol, United Kingdom

                Reviewed by: Nigusie Shifera, Mizan Tepi University, Ethiopia; Lingyan Zhu, The First Affiliated Hospital of Nanchang University, China

                *Correspondence: Alex Ramírez-Rincón, Alexramirezrincon@ 123456gmail.com

                This article was submitted to Clinical Diabetes, a section of the journal Frontiers in Endocrinology

                Article
                10.3389/fendo.2022.828607
                9097264
                35573995
                b6b9e212-d85e-4dcb-b1f3-1d4f5a6e2c81
                Copyright © 2022 Ramírez-Rincón, Builes-Montaño, Hincapié-García, Blanco and Botero-Arango

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 03 December 2021
                : 29 March 2022
                Page count
                Figures: 3, Tables: 2, Equations: 0, References: 24, Pages: 6, Words: 2763
                Funding
                Funded by: Novo Nordisk , doi 10.13039/501100004191;
                Categories
                Endocrinology
                Original Research

                Endocrinology & Diabetes
                type 2 diabetes,insulin degludec,liraglutide,ideglira,real-world evidence (rwe)

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