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KMID : 1200020110350010026
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Diabetes & Metabolism Journal
2011 Volume.35 No. 1 p.26 ~ p.33
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Comparison of the Efficacy of Glimepiride, Metformin, and Rosiglitazone Monotherapy in Korean Drug-Naive Type 2 Diabetic Patients: The Practical Evidence of Antidiabetic Monotherapy Study
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Yoon Kun-Ho
Shin Jeong-Ah
Kwon Hyuk-Sang
Lee Seung-Hwan
Min Kyung-Wan
Ahn Yu-Bae
Yoo Soon-Jib
Ahn Kyu-Jeung
Park Sung-Woo
Lee Kwan-Woo
Sung Yeon-Ah
Park Tae-Sun
Kim Min-Seon
Kim Yong-Ki
Nam Moon-Suk
Kim Hye-Soon
Park Ie-Byung
Park Jong-Suk
Woo Jeong-Taek
Son Ho-Young
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Abstract
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Background: Although many anti-diabetic drugs have been used to control hyperglycemia for decades, the efficacy of commonly-used oral glucose-lowering agents in Korean type 2 diabetic patients has yet to be clearly demonstrated.
Methods: We evaluated the efficacy of glimepiride, metformin, and rosiglitazone as initial treatment for drug-naive type 2 diabetes mellitus patients in a 48-week, double-blind, randomized controlled study that included 349 Korean patients. Our primary goal was to determine the change in HbA1c levels from baseline to end point. Our secondary goal was to evaluate changes in fasting plasma glucose (FPG) levels, body weight, frequency of adverse events, and the proportion of participants achieving target HbA1c levels.
Results: HbA1c levels decreased from 7.8% to 6.9% in the glimepiride group (P<0.001), from 7.9% to 7.0% in the metformin group (P<0.001), and from 7.8% to 7.0% (P<0.001) in the rosiglitazone group. Glimepiride and rosiglitazone significantly increased body weight and metformin reduced body weight during the study period. Symptomatic hypoglycemia was more frequent in the glimepiride group and diarrhea was more frequent in the metformin group.
Conclusion: The efficacy of glimepiride, metformin, and rosiglitazone as antidiabetic monotherapies in drug-naive Korean type 2 diabetic patients was similar in the three groups, with no statistical difference. This study is the first randomized controlled trial to evaluate the efficacy of commonly-used oral hypoglycemic agents in Korean type 2 diabetic patients. An additional subgroup analysis is recommended to obtain more detailed information.
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KEYWORD
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Diabetes mellitus, type 2, Glimepiride, Metformin, Rosiglitazone
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