TAILIEUCHUNG - The effects of sitagliptin add on on insulin resistance, beta cell function in patients with type 2 diabetes who were taking oral hypoglycemic agent

Objectives: To evaluate the effects of sitagliptin add-on on insulin resistance and beta cell function in patients with type 2 diabetes who were taking other oral hypoglycemic agent(s). Subjects and method: 101 patients with type 2 diabetes mellitus diagnosed by WHO (1998) criteria, who were taking hypoglycemic agent(s) other than dipeptidyl peptidase-4 inhibitors. | Journal of military pharmaco-medicine n08-2018 THE EFFECTS OF SITAGLIPTIN ADD-ON ON INSULIN RESISTANCE, BETA CELL FUNCTION IN PATIENTS WITH TYPE 2 DIABETES WHO WERE TAKING ORAL HYPOGLYCEMIC AGENT Le Thi Viet Ha1; Doan Van De2 SUMMARY Objectives: To evaluate the effects of sitagliptin add-on on insulin resistance and beta cell function in patients with type 2 diabetes who were taking other oral hypoglycemic agent(s). Subjects and method: 101 patients with type 2 diabetes mellitus diagnosed by WHO (1998) criteria, who were taking hypoglycemic agent(s) other than d ipeptidyl peptidase-4 inhibitors. The study compared insulin resistance and beta-cell function assessed with HOMA2 before and after sitagliptin to other oral hypoglycemic agent(s) in type 2 diabetic patients for those 2 periods: Received 50 mg of sitagliptin for week 1 to 12, and 100 mg for week 13 to 24. Results: The mean age was ± years old, the female and male mad up and , respectively. The mean fasting plasma glucose and HbA1c was ± mmoL/L and ± , respectively. After 24 weeks, fasting plasma glucose, HbA1c and fasting plasma C -peptide level decreased by ± mmoL/L, ± and ± 8 nmoL/L, respectively. The HOMA2-IR assessed by C-peptide (HOMA2-IR-Cp) decreased by ± and HOMA % B assessed by C-peptide (HOMA2- %B-Cp) increased by ± . All the changes were statistically significant. After 24 weeks, the percentage of patients with increased HOMA2-IR-Cp decreased from (baseline) to , and the percentage of patients with decreased HOMA2-%B-Cp decreased from to . The both changes were statistically significant. Conclusion: Sitagliptin addition to other hypoglycemic agent(s) in patients with type 2 diabetes improved beta-cell function and decreased insulin resistance along with improved blood glucose levels. * Keywords: Type 2 diabetes; Sitagliptin; Insulin resistance; Beta cell .

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