KMID : 0191120130280060881
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Journal of Korean Medical Science 2013 Volume.28 No. 6 p.881 ~ p.887
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Clinical Characteristics of the Responders to Dipeptidyl Peptidase-4 Inhibitors in Korean Subjects with Type 2 Diabetes
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Oh Tae-Jung
Jung Hye-Seung Bae Jae-Hyun Kim Yeong-Gi Park Kyeong-Seon Cho Young-Min Park Kyong-Soo Kim Seong-Yeon
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Abstract
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We investigated characteristics associated with the efficacy of dipeptidyl peptidase-4 inhibitors (DPP4i) in Korean patients with type 2 diabetes. We reviewed medical records of 477 patients who had taken sitagliptin or vildagliptin longer than 40 weeks. Response to DPP4i was evaluated with HbA1c change after therapy (¥ÄHbA1c). The Student's t-test between good responders (GR: ¥ÄHbA1c > 1.0%) and poor responders (PR: ¥ÄHbA1c < 0.5%), a correlation analysis among clinical parameters, and a linear multivariate regression analysis were performed. The mean age was 60 yr, duration of diabetes 11 yr and HbA1c was 8.1%. Baseline fasting plasma glucose (FPG), HbA1c, C-peptide, and creatinine were significantly higher in the GR compared to the PR. Duration of diabetes, FPG, HbA1c, C-peptide and creatinine were significantly correlated with ¥ÄHbA1c. In the multivariate analysis, age (r2 = 0.006), duration of diabetes (r2 = 0.019), HbA1c (r2 = 0.296), and creatinine levels (r2 = 0.024) were independent predictors for the response to DPP4i. Body mass index and insulin resistance were not associated with the response to DPP4i. In conclusion, better response to DPP4i would be expected in Korean patients with type 2 diabetes who have higher baseline HbA1c and creatinine levels with shorter duration of diabetes.
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KEYWORD
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Dipeptidyl Peptidase IV Inhibitors, Diabetes Mellitus, Type 2, Hemoglobin A, Glycosylated, Clinical Efficacy
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