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Comparison of the efficacy of glimepiride, metformin, and rosiglitazone monotherapy in korean drug-naïve type 2 diabetic patients: the practical evidence of antidiabetic monotherapy study
Although many anti-diabetic drugs have been used to control hyperglycemia for decades, the efficacy of commonly-used oral glucose-lowering agents in Korean type 2 diabetic patients has yet to be clearly demonstrated. We evaluated the efficacy of glimepiride, metformin, and rosiglitazone as initial t...
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Published in: | Diabetes & metabolism journal 2011, 35(1), 123, pp.26-33 |
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container_title | Diabetes & metabolism journal |
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creator | Yoon, Kun Ho Shin, Jeong Ah Kwon, Hyuk Sang Lee, Seung Hwan Min, Kyung Wan Ahn, Yu Bae Yoo, Soon Jib Ahn, Kyu Jeung Park, Sung Woo Lee, Kwan Woo Sung, Yeon Ah Park, Tae Sun Kim, Min Seon Kim, Yong Ki Nam, Moon Suk Kim, Hye Soon Park, Ie Byung Park, Jong Suk Woo, Jeong Taek Son, Ho Young |
description | Although many anti-diabetic drugs have been used to control hyperglycemia for decades, the efficacy of commonly-used oral glucose-lowering agents in Korean type 2 diabetic patients has yet to be clearly demonstrated.
We evaluated the efficacy of glimepiride, metformin, and rosiglitazone as initial treatment for drug-naïve type 2 diabetes mellitus patients in a 48-week, double-blind, randomized controlled study that included 349 Korean patients. Our primary goal was to determine the change in HbA1c levels from baseline to end point. Our secondary goal was to evaluate changes in fasting plasma glucose (FPG) levels, body weight, frequency of adverse events, and the proportion of participants achieving target HbA1c levels.
HbA1c levels decreased from 7.8% to 6.9% in the glimepiride group (P |
doi_str_mv | 10.4093/dmj.2011.35.1.26 |
format | article |
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We evaluated the efficacy of glimepiride, metformin, and rosiglitazone as initial treatment for drug-naïve type 2 diabetes mellitus patients in a 48-week, double-blind, randomized controlled study that included 349 Korean patients. Our primary goal was to determine the change in HbA1c levels from baseline to end point. Our secondary goal was to evaluate changes in fasting plasma glucose (FPG) levels, body weight, frequency of adverse events, and the proportion of participants achieving target HbA1c levels.
HbA1c levels decreased from 7.8% to 6.9% in the glimepiride group (P<0.001), from 7.9% to 7.0% in the metformin group (P<0.001), and from 7.8% to 7.0% (P<0.001) in the rosiglitazone group. Glimepiride and rosiglitazone significantly increased body weight and metformin reduced body weight during the study period. Symptomatic hypoglycemia was more frequent in the glimepiride group and diarrhea was more frequent in the metformin group.
The efficacy of glimepiride, metformin, and rosiglitazone as antidiabetic monotherapies in drug-naïve Korean type 2 diabetic patients was similar in the three groups, with no statistical difference. This study is the first randomized controlled trial to evaluate the efficacy of commonly-used oral hypoglycemic agents in Korean type 2 diabetic patients. An additional subgroup analysis is recommended to obtain more detailed information.</description><identifier>ISSN: 2233-6079</identifier><identifier>EISSN: 2233-6087</identifier><identifier>DOI: 10.4093/dmj.2011.35.1.26</identifier><identifier>PMID: 21537410</identifier><language>eng</language><publisher>Korea (South): Korean Diabetes Association</publisher><subject>Diabetes mellitus, type 2 ; Glimepiride ; Metformin ; Original ; Rosiglitazone ; 내과학</subject><ispartof>Diabetes and Metabolism Journal, 2011, 35(1), 123, pp.26-33</ispartof><rights>Copyright © 2011 Korean Diabetes Association 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c560t-a453e75546952c1b241190e9a87f91b3df2475d4bb1f29ef1e7320c3f4a90f433</citedby><cites>FETCH-LOGICAL-c560t-a453e75546952c1b241190e9a87f91b3df2475d4bb1f29ef1e7320c3f4a90f433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3080564/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3080564/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21537410$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001534509$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoon, Kun Ho</creatorcontrib><creatorcontrib>Shin, Jeong Ah</creatorcontrib><creatorcontrib>Kwon, Hyuk Sang</creatorcontrib><creatorcontrib>Lee, Seung Hwan</creatorcontrib><creatorcontrib>Min, Kyung Wan</creatorcontrib><creatorcontrib>Ahn, Yu Bae</creatorcontrib><creatorcontrib>Yoo, Soon Jib</creatorcontrib><creatorcontrib>Ahn, Kyu Jeung</creatorcontrib><creatorcontrib>Park, Sung Woo</creatorcontrib><creatorcontrib>Lee, Kwan Woo</creatorcontrib><creatorcontrib>Sung, Yeon Ah</creatorcontrib><creatorcontrib>Park, Tae Sun</creatorcontrib><creatorcontrib>Kim, Min Seon</creatorcontrib><creatorcontrib>Kim, Yong Ki</creatorcontrib><creatorcontrib>Nam, Moon Suk</creatorcontrib><creatorcontrib>Kim, Hye Soon</creatorcontrib><creatorcontrib>Park, Ie Byung</creatorcontrib><creatorcontrib>Park, Jong Suk</creatorcontrib><creatorcontrib>Woo, Jeong Taek</creatorcontrib><creatorcontrib>Son, Ho Young</creatorcontrib><title>Comparison of the efficacy of glimepiride, metformin, and rosiglitazone monotherapy in korean drug-naïve type 2 diabetic patients: the practical evidence of antidiabetic monotherapy study</title><title>Diabetes & metabolism journal</title><addtitle>Diabetes Metab J</addtitle><description>Although many anti-diabetic drugs have been used to control hyperglycemia for decades, the efficacy of commonly-used oral glucose-lowering agents in Korean type 2 diabetic patients has yet to be clearly demonstrated.
We evaluated the efficacy of glimepiride, metformin, and rosiglitazone as initial treatment for drug-naïve type 2 diabetes mellitus patients in a 48-week, double-blind, randomized controlled study that included 349 Korean patients. Our primary goal was to determine the change in HbA1c levels from baseline to end point. Our secondary goal was to evaluate changes in fasting plasma glucose (FPG) levels, body weight, frequency of adverse events, and the proportion of participants achieving target HbA1c levels.
HbA1c levels decreased from 7.8% to 6.9% in the glimepiride group (P<0.001), from 7.9% to 7.0% in the metformin group (P<0.001), and from 7.8% to 7.0% (P<0.001) in the rosiglitazone group. Glimepiride and rosiglitazone significantly increased body weight and metformin reduced body weight during the study period. Symptomatic hypoglycemia was more frequent in the glimepiride group and diarrhea was more frequent in the metformin group.
The efficacy of glimepiride, metformin, and rosiglitazone as antidiabetic monotherapies in drug-naïve Korean type 2 diabetic patients was similar in the three groups, with no statistical difference. This study is the first randomized controlled trial to evaluate the efficacy of commonly-used oral hypoglycemic agents in Korean type 2 diabetic patients. An additional subgroup analysis is recommended to obtain more detailed information.</description><subject>Diabetes mellitus, type 2</subject><subject>Glimepiride</subject><subject>Metformin</subject><subject>Original</subject><subject>Rosiglitazone</subject><subject>내과학</subject><issn>2233-6079</issn><issn>2233-6087</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVUktvEzEQXiEQrULvnJBvcGiCn-tdDkhVxCNSJSRUztbEO06d7NqLdxMp_Cn-ADf-GE5SotaXsWe-x9ieonjN6EzSWrxvuvWMU8ZmQs3YjJfPikvOhZiWtNLPz3tdXxRXw7CmecmKal2_LC44U0JLRi-LP_PY9ZD8EAOJjoz3SNA5b8HuD-dV6zvsffINXpMORxdT58M1gdCQFAef6yP8igFJF0PM7AT9nvhANjEhBNKk7Woa4O_vHZJx3yPhpPGwxNFb0sPoMYzDh6Nrn8DmLLQEd9ktWDz4Qxj9mfDYYhi3zf5V8cJBO-DVQ5wUPz5_upt_nd5--7KY39xOrSrpOAWpBGqlZFkrbtmSS8ZqijVU2tVsKRrHpVaNXC6Z4zU6hlpwaoWTUFMnhZgU7066ITmzsd5E8Me4imaTzM33u4XhnFGlM3RxgjYR1qZPvoO0P-KPiZhWBlK-TIuGgbLIOcdalVLosmYakDWucrkX6WjW-njS6rfLDhubHytB-0T0aSX4-9zSzgha0YPmpHj7IJDizy0Oo-n8YLFtIWDcDqYqpa5UqauMpCekzb86JHRnF0bNYdpMnjZzmDYjlGGGl5ny5nF3Z8L_2RL_AOnL1bg</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Yoon, Kun Ho</creator><creator>Shin, Jeong Ah</creator><creator>Kwon, Hyuk Sang</creator><creator>Lee, Seung Hwan</creator><creator>Min, Kyung Wan</creator><creator>Ahn, Yu Bae</creator><creator>Yoo, Soon Jib</creator><creator>Ahn, Kyu Jeung</creator><creator>Park, Sung Woo</creator><creator>Lee, Kwan Woo</creator><creator>Sung, Yeon Ah</creator><creator>Park, Tae Sun</creator><creator>Kim, Min Seon</creator><creator>Kim, Yong Ki</creator><creator>Nam, Moon Suk</creator><creator>Kim, Hye Soon</creator><creator>Park, Ie Byung</creator><creator>Park, Jong Suk</creator><creator>Woo, Jeong Taek</creator><creator>Son, Ho Young</creator><general>Korean Diabetes Association</general><general>대한당뇨병학회</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><scope>ACYCR</scope></search><sort><creationdate>20110201</creationdate><title>Comparison of the efficacy of glimepiride, metformin, and rosiglitazone monotherapy in korean drug-naïve type 2 diabetic patients: the practical evidence of antidiabetic monotherapy study</title><author>Yoon, Kun Ho ; Shin, Jeong Ah ; Kwon, Hyuk Sang ; Lee, Seung Hwan ; Min, Kyung Wan ; Ahn, Yu Bae ; Yoo, Soon Jib ; Ahn, Kyu Jeung ; Park, Sung Woo ; Lee, Kwan Woo ; Sung, Yeon Ah ; Park, Tae Sun ; Kim, Min Seon ; Kim, Yong Ki ; Nam, Moon Suk ; Kim, Hye Soon ; Park, Ie Byung ; Park, Jong Suk ; Woo, Jeong Taek ; Son, Ho Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c560t-a453e75546952c1b241190e9a87f91b3df2475d4bb1f29ef1e7320c3f4a90f433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Diabetes mellitus, type 2</topic><topic>Glimepiride</topic><topic>Metformin</topic><topic>Original</topic><topic>Rosiglitazone</topic><topic>내과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoon, Kun Ho</creatorcontrib><creatorcontrib>Shin, Jeong Ah</creatorcontrib><creatorcontrib>Kwon, Hyuk Sang</creatorcontrib><creatorcontrib>Lee, Seung Hwan</creatorcontrib><creatorcontrib>Min, Kyung Wan</creatorcontrib><creatorcontrib>Ahn, Yu Bae</creatorcontrib><creatorcontrib>Yoo, Soon Jib</creatorcontrib><creatorcontrib>Ahn, Kyu Jeung</creatorcontrib><creatorcontrib>Park, Sung Woo</creatorcontrib><creatorcontrib>Lee, Kwan Woo</creatorcontrib><creatorcontrib>Sung, Yeon Ah</creatorcontrib><creatorcontrib>Park, Tae Sun</creatorcontrib><creatorcontrib>Kim, Min Seon</creatorcontrib><creatorcontrib>Kim, Yong Ki</creatorcontrib><creatorcontrib>Nam, Moon Suk</creatorcontrib><creatorcontrib>Kim, Hye Soon</creatorcontrib><creatorcontrib>Park, Ie Byung</creatorcontrib><creatorcontrib>Park, Jong Suk</creatorcontrib><creatorcontrib>Woo, Jeong Taek</creatorcontrib><creatorcontrib>Son, Ho Young</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><collection>Korean Citation Index</collection><jtitle>Diabetes & metabolism journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoon, Kun Ho</au><au>Shin, Jeong Ah</au><au>Kwon, Hyuk Sang</au><au>Lee, Seung Hwan</au><au>Min, Kyung Wan</au><au>Ahn, Yu Bae</au><au>Yoo, Soon Jib</au><au>Ahn, Kyu Jeung</au><au>Park, Sung Woo</au><au>Lee, Kwan Woo</au><au>Sung, Yeon Ah</au><au>Park, Tae Sun</au><au>Kim, Min Seon</au><au>Kim, Yong Ki</au><au>Nam, Moon Suk</au><au>Kim, Hye Soon</au><au>Park, Ie Byung</au><au>Park, Jong Suk</au><au>Woo, Jeong Taek</au><au>Son, Ho Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the efficacy of glimepiride, metformin, and rosiglitazone monotherapy in korean drug-naïve type 2 diabetic patients: the practical evidence of antidiabetic monotherapy study</atitle><jtitle>Diabetes & metabolism journal</jtitle><addtitle>Diabetes Metab J</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>35</volume><issue>1</issue><spage>26</spage><epage>33</epage><pages>26-33</pages><issn>2233-6079</issn><eissn>2233-6087</eissn><abstract>Although many anti-diabetic drugs have been used to control hyperglycemia for decades, the efficacy of commonly-used oral glucose-lowering agents in Korean type 2 diabetic patients has yet to be clearly demonstrated.
We evaluated the efficacy of glimepiride, metformin, and rosiglitazone as initial treatment for drug-naïve type 2 diabetes mellitus patients in a 48-week, double-blind, randomized controlled study that included 349 Korean patients. Our primary goal was to determine the change in HbA1c levels from baseline to end point. Our secondary goal was to evaluate changes in fasting plasma glucose (FPG) levels, body weight, frequency of adverse events, and the proportion of participants achieving target HbA1c levels.
HbA1c levels decreased from 7.8% to 6.9% in the glimepiride group (P<0.001), from 7.9% to 7.0% in the metformin group (P<0.001), and from 7.8% to 7.0% (P<0.001) in the rosiglitazone group. Glimepiride and rosiglitazone significantly increased body weight and metformin reduced body weight during the study period. Symptomatic hypoglycemia was more frequent in the glimepiride group and diarrhea was more frequent in the metformin group.
The efficacy of glimepiride, metformin, and rosiglitazone as antidiabetic monotherapies in drug-naïve Korean type 2 diabetic patients was similar in the three groups, with no statistical difference. This study is the first randomized controlled trial to evaluate the efficacy of commonly-used oral hypoglycemic agents in Korean type 2 diabetic patients. An additional subgroup analysis is recommended to obtain more detailed information.</abstract><cop>Korea (South)</cop><pub>Korean Diabetes Association</pub><pmid>21537410</pmid><doi>10.4093/dmj.2011.35.1.26</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Diabetes mellitus, type 2 Glimepiride Metformin Original Rosiglitazone 내과학 |
title | Comparison of the efficacy of glimepiride, metformin, and rosiglitazone monotherapy in korean drug-naïve type 2 diabetic patients: the practical evidence of antidiabetic monotherapy study |
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