Search for clinical predictors of good glycemic control in patients starting or intensifying oral hypoglycemic pharmacological therapy: A multicenter prospective cohort study.
J Diabetes Complications
; 34(2): 107464, 2020 02.
Article
in En
| MEDLINE
| ID: mdl-31771933
ABSTRACT
AIMS:
Our aim was to search for clinical predictors of good glycemic control in patients starting or intensifying oral hypoglycemic pharmacological therapy.METHODS:
A multicenter, prospective cohort of 499 diabetic subjects was enrolled in this study patients with newly diagnosed diabetes (NDM group) or poor glycemic control with oral antidiabetic drugs (OADs) (PDM group). All subjects then started or intensified OADs therapy and followed up for 91â¯days. Glycemic control was determined according to HbA1c at day 91 with HbA1c <7% considered good.RESULTS:
The proportions of patients with good glycemic control after follow up for 91â¯days were 66.9% and 34.8% in NDM group and PDM group respectively. Logistic regression analysis showed that the change in GA at 28â¯days was the only predictor of good glycemic control in NDM patients (ORâ¯=â¯1.630, 95% CI 1.300-2.044, Pâ¯<â¯0.001). In PDM patients, changes in GA at 28â¯days, CPI, baseline HbA1c, diabetic duration, and BMI were all independent predictors of good glycemic control (All Pâ¯<â¯0.05).CONCLUSIONS:
GA decline is a good predictor of future success in newly diagnosed patients. In patients intensifying therapy, beside GA decline, other individualized clinical characteristics should also be considered.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Serum Albumin
/
Diabetes Mellitus, Type 2
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Glycemic Control
/
Hypoglycemic Agents
Type of study:
Clinical_trials
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Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
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Female
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Humans
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Male
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Middle aged
Language:
En
Journal:
J Diabetes Complications
Journal subject:
ENDOCRINOLOGIA
Year:
2020
Document type:
Article
Affiliation country:
China