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Comparative effectiveness of DPP-4 inhibitors vs sulfonylurea for the treatment of type 2 diabetes in routine clinical practice: A retrospective multicenter real-world study

Diabetes Therapy Jun 07, 2018

Fadini GP, et al. - In this multicenter retrospective study on diabetes outpatient clinics, the researchers compared the effectiveness of DPP-4 inhibitors (DPP4i) vs gliclazide extended release. Change from baseline in HbA1c was the primary endpoint. Changes in fasting plasma glucose, body weight, and systolic blood pressure were the secondary endpoints. They used propensity score matching (PSM) to generate comparable cohorts to perform outcome analysis. It was observed in the findings that starting a DPP4i allows better glycemic control than starting low-dose gliclazide in routine clinical practice, particularly for patients who failed other glucose-lowering medications or were on basal insulin.

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