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Tag: Diabetes: Type II

Sulfonylureas as second-line drugs for type 2 diabetes are associated with an increased risk of cardiovascular and hypoglycemic events compared with remaining on metformin monotherapy or adding to metformin therapy

Sulfonylureas As 2nd-Line T2DM Therapy Tied to Higher Event Risk

Associated with increased risk of myocardial infarction, all-cause mortality, severe hypoglycemia
For patients with type 2 diabetes

Intermittent Energy Restriction Effectively Cuts HbA1c in T2DM

Intermittent energy restriction equivalent to continuous energy restriction for reducing HbA1c
Empagliflozin does not increase the risk of bone fracture in patients with type 2 diabetes

Empagliflozin Doesn’t Up Risk of Bone Fractures

Per pooled data from placebo-controlled trials and data from a head-to-head study with glimepiride
For patients with type 2 diabetes

Characteristics of Severe Hypoglycemia Identified in T2DM

Increased odds of severe hypoglycemia with history of non-severe hypoglycemia, HbA1c <6 percent
Basal insulin analogues for type 2 diabetes mellitus do not substantially differ in their glucose-lowering effect

Basal Insulin Analogues Similar for Glucose Lowering

Slight differences in risk for nocturnal hypoglycemia or weight gain exist
Many patients with type 2 diabetes who have a hemoglobin A1c level expected to trigger treatment intensification often have treatment inappropriately delayed

Evidence of Clinical Inertia in Management of T2DM

No treatment intensification for many patients with HbA1c threshold expected to trigger intensification
Neither glargine followed by metformin nor metformin alone halts the progressive deterioration of β-cell function in youth with impaired glucose tolerance or recently-diagnosed type 2 diabetes

Two Regimens Fail to Stop Declines in β-Cell Function

Metformin alone or after insulin no help in youth with new diabetes, impaired glucose tolerance
Initiation of a basal insulin analog versus human neutral protamine Hagedorn insulin is not associated with reduction in the risk of hypoglycemia-related emergency department visits or hospital admissions

Basal Insulin Analogs Don’t Cut Hypoglycemia-Linked ER Visits

No reduced risk of hypoglycemia-linked ER visits, admissions for basal insulin analog vs. NPH insulin
Smoking status heavily modifies the obesity paradox observed in people with type 2 diabetes

Obesity Paradox Seen in T2DM Modified by Smoking Status

Obesity paradox was pronounced in current smokers, and absent in never smokers
For patients with type 2 diabetes mellitus

Travel Costs Are Considerable Part of T2DM Follow-Up Costs

Implementing self-monitoring for half of follow-up would reduce average annual HbA1c screening costs