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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Transferring type 2 diabetes patients with uncontrolled glycaemia from biphasic human insulin to biphasic insulin aspart 30: Experiences from the PRESENT study
Current Medical Research and Opinion, Volume 23, No. 12, Year 2007
Notification
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Description
Aim: The Physician's Routine Evaluation of Safety and Efficacy of NovoMix* 30 Therapy (PRESENT) aims to assess the safety and efficacy of biphasic insulin aspart (BIAsp30) used in routine clinical practice. Methods: This was a large, multi-national, multi-centre, prospective, 6-month study in type 2 diabetes mellitus patients who were prescribed BIAsp30. Efficacy endpoints included changes in HbA1c, fasting plasma glucose (FPG), postprandial plasma glucose (PPPG), and proportion who achieved target HbA 1c <7%. Changes from baseline were analysed using paired t-test. Safety endpoints were incidence and rate of hypoglycaemic episodes. A subgroup of patients previously uncontrolled (HbA1c ≥7.0%) on biphasic human insulin (BHI) were analysed. Results: Glycaemia improved significantly (mean ± SD): HbA1c by 1.58 ± 1.69% points (from 9.32 ± 1.64% to 7.70 ± 1.29%), FPG by 2.92 ± 3.71 mmol/L and PPPG by 4.75 ± 4.87 mmol/L. The incidence of hypoglycaemic episodes decreased over time, from 38.7% (baseline) to 20.8% (6 months). Episodes were mostly minor (reduced from 37.7 to 20.6% at 6 months), occurring during the day (reduced from 31.5 to 17.1% at 6 months). Major episodes were less frequently reported (reduced from 5.0 to 0.4% at 6 months). The rate of hypoglycaemia (episodes/patient year) from baseline to end of study decreased over time for overall (8.9-2.2), major (0.7-0.1), minor (8.2-2.2) and nocturnal (2.9-0.5) episodes. Conclusions: In this observational study, in the type 2 diabetes mellitus patients who were poorly controlled on BHI, glycaemia improved when transferred to BIAsp30, and a lower incidence or rate of hypoglycaemia was observed in these patients. © 2007 Librapharm Limited.
Authors & Co-Authors
Shestakova, Marina V.
Russian Federation, Moscow
Institute of Diabetes
Russian Federation, Moscow
Endocrinology Research Centre
Sharma, Surendra Kumar
India, Jaipur
Mg Medical College, Jaipur
Almustafa, M.
Iraq, Baghdad
University of Baghdad
Min, K. W.
South Korea, Seoul
Eulji General Hospital
Ayad, N. M.A.
Kuwait, Salem
Taiba Hospital
Azar, Sami T.
Lebanon, Beirut
American University of Beirut
Danciulescu, R.
Romania, Bucharest
Nutrition and Metabolic Diseases 'n. Paulescu'
Khutsoane, Duma T.
South Africa, Bloemfontein
Bloemfontein Medi-clinic
Güler, Serdar E.
Turkey, Ankara
Ankara Numune Education and Research Hospital
Statistics
Citations: 48
Authors: 9
Affiliations: 10
Identifiers
Doi:
10.1185/030079907X253636
ISSN:
03007995
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study