IDegLira fixed-ratio combination in the real world: a retrospective observational single-center Italian experience
C. Di Loreto, R. Celleno, L. Piastrella, P. Del Sindaco Servizio di Diabetologia – Distretto del Perugino – USL Umbria 1, “Poliambulatorio Europa”, Perugia, Italy. chiara.diloreto@uslumbria1.it
OBJECTIVE: An improvement of type 2 diabetes treatment is represented by the recent availability of a fixed-ratio combination of slow insulin degludec and GLP-1 RA liraglutide (IDegLira), which shows encouraging clinical trial results. This work represents a real-world evidence study to evaluate if the obtained clinical results are also confirmed in the clinical practice, in an Italian type 2 diabetes patients’ population.
PATIENTS AND METHODS: This retrospective observational study was conducted in the Diabetology Service of the Umbria local sanitary agency (USL Umbria 1) in Perugia. The study investigated all diabetic patients >18 years, who underwent anti-diabetic treatment with basal insulin with or without the concomitant consumption of one or more oral anti-diabetic agent (BOT group) or GLP-1 RA or rapid-acting insulin bolus (BB group), with unsatisfactory glycemic control for either hypoglycemic episodes or weight gain. The observation period was February 2018 to April 2019.
RESULTS: IDegLira results to be effective in reducing HbA1c and fasting plasma glucose, especially among GLP-1 RA and BOT subgroup. In BOT group, a statistical difference was noted from the first month of treatment, also for post-prandial glycemia. Obtained results were achieved at a moderate dose of IDegLira reported during the study, which also represents a significant reduction of the amount of basal insulin in BB patients.
CONCLUSIONS: Obtained results suggest that in a real-world setting, the switch to IDegLira treatment is a valid option for patients with unsatisfactory glycemic control, or who experienced side effects such as weight gain and hypoglycemia of other insulin therapies.
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To cite this article
C. Di Loreto, R. Celleno, L. Piastrella, P. Del Sindaco
IDegLira fixed-ratio combination in the real world: a retrospective observational single-center Italian experience
Eur Rev Med Pharmacol Sci
Year: 2020
Vol. 24 - N. 20
Pages: 10671-10679
DOI: 10.26355/eurrev_202010_23425