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一项多中心、回顾性观察研究,旨在评估德谷胰岛素/利拉鲁肽固定比例复方制剂(IDegLira)在巴基斯坦2型糖尿病(T2D)患者中的实际应用情况及有效性。

Multicenter, Retrospective, observational study to evaluate the real-world use and effectiveness of a fixed-ratio combination of insulin degludec/liraglutide (IDegLira) in the Pakistani population with Type-2 diabetes (T2D).

作者信息

Raja Umar Yousaf, Wahab Muhammad Umar, Randhawa Fawad Ahmed, Hussain Arshad, Raza Abbas, Mahar Saeed Ahmed, Ishtiaq Osama, Rehman Tejhmal, Qureshi Faisal Masood, Ahmed Ibrar

机构信息

Umar Yousaf Raja Shifa International Hospitals Ltd., Islamabad, Pakistan.

Muhammad Umar Wahab Umar Diabetes and Foot Care Centre Office 1, Islamabad, Pakistan.

出版信息

Pak J Med Sci. 2025 May;41(5):1494-1498. doi: 10.12669/pjms.41.5.11002.

Abstract

OBJECTIVE

To evaluate the real-world use and effectiveness of a fixed-ratio combination of insulin degludec/liraglutide (IDegLira) in the Pakistani population with type II diabetes (T2D).

METHODS

This multicenter, retrospective study collected real-world data from various public & private hospitals, and primary care clinics in Pakistan. The total duration of clinical data collection was six months (April and September 2022) from 183 diabetic patients across different centers in Pakistan. Patients who had received IDegLira in combination with basal/premixed insulin, OHAs, or both regimes (basal/premixed insulin and OHAs) for the treatment of Type-II diabetes (T2D) in the Pakistani population were analyzed.

RESULTS

After receiving IDegLira therapy for six months, mean HbA1c was reduced by -1.1%, mean body weight reduced by 1.2 kg, fasting blood glucose levels (mg/dl): 164.7 (±36.2) to 134.4 (±32.9)] and random blood sugar (mg/dl): 240.1 (±71.4) to 207.6 (±77.8)]. The mean IDegLira dose steps were 19.9 (±6.7) at initiation and 23.5 (±7.9) at follow-up. Overall, adverse events reported were generally related to gastrointestinal, and few were related to headache, fatigue, and hypoglycemia events.

CONCLUSION

The values of HbA1c and body weight decreased for the patients after using iDeglira for six months. Therefore, the medicine had a positive impact on the outcome of the study.

摘要

目的

评估德谷胰岛素/利拉鲁肽固定比例复方制剂(IDegLira)在巴基斯坦2型糖尿病(T2D)人群中的实际使用情况和有效性。

方法

这项多中心回顾性研究收集了巴基斯坦各公立和私立医院以及基层医疗诊所的真实世界数据。临床数据收集的总时长为6个月(2022年4月至9月),来自巴基斯坦不同中心的183名糖尿病患者。分析了在巴基斯坦人群中接受IDegLira联合基础胰岛素/预混胰岛素、口服降糖药(OHAs)或两种方案(基础胰岛素/预混胰岛素和OHAs)治疗2型糖尿病(T2D)的患者。

结果

接受IDegLira治疗6个月后,平均糖化血红蛋白(HbA1c)降低了1.1%,平均体重减轻了1.2千克,空腹血糖水平(mg/dl)从164.7(±36.2)降至134.4(±32.9),随机血糖(mg/dl)从240.1(±71.4)降至207.6(±77.8)。IDegLira的平均剂量起始时为19.9(±6.7),随访时为23.5(±7.9)。总体而言,报告的不良事件一般与胃肠道有关,少数与头痛、疲劳和低血糖事件有关。

结论

患者使用iDeglira 6个月后,糖化血红蛋白和体重值下降。因此该药物对研究结果有积极影响。

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