Glycemic variability in patients with type 2 diabetes mellitus treated with dulaglutide, with and without concomitant insulin: Post hoc analyses of randomized, clinical trials
Diabetes, Obesity and Metabolism Dec 09, 2021
Jódar E, Romera I, Wang Q, et al. - Dulaglutide use as a monotherapy or added to oral glucose-lowering medication, without concomitant insulin treatment, was found to be potentially related to a reduction in glycemic variability (GV) in type 2 diabetes mellitus (T2D) patients.
By conducting post hoc analyses of six randomized, Phase 3 studies, the link between treatment with dulaglutide 1.5 mg once weekly and GV was examined in adult patients with T2D.
Data were pooled from five studies with dulaglutide as a monotherapy or added to oral glucose-lowering medication, without concomitant insulin treatment.
Results revealed that the dulaglutide group exhibited clinically meaningful decreases in within- and between-day self-monitored plasma glucose (SMPG), and between-day fasting glucose from SMPG variability from baseline.
A greater degree of GV reduction was evident with dulaglutide vs insulin glargine.
When added to insulin glargine, dulaglutide use was found to be linked with greater reductions in GV than insulin glargine alone.
Decreased GV may be related to better outcomes.
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