Diabetic Med:评估甘精胰岛素300单位/ ml在常规治疗1型糖尿病患者的临床实践中有效性(SPARTA)

2019-04-01 不详 网络

<span style="font-size:9.0pt;font-family:宋体;mso-ascii-theme-font:major-fareast; mso-fareast-theme-font:major-fareast;mso-hansi-theme-font:major-fareast; color:black;mso-bidi-font-weight:bold">近日,国际杂

近日,国际杂志 《Diabetic Med》上在线发表关于一项多中心,英国,回顾性,观察性研究,旨在评估甘精胰岛素300单位/ ml在常规治疗1糖尿病患者的临床实践中有效性(SPARTA)的研究。研究人员开展一此项开放性研究以提供有关在1糖尿病患者中使用甘精胰岛素300单位/ mlU300)的英国现实证据。

研究人员将在收集数据前使用U3006个月并且在U300(基线)使用前3个月内有记录HbA 1c水平的1糖尿病患者纳入研究。主要结果是U300开始后HbA 1c从基线到第6个月的变化。其他结果包括记录的低血糖和糖尿病酮症酸中毒事件的数量,以及每日基础胰岛素剂量的变化。

本研究共纳入2981型糖尿病患者[平均年龄42.1岁,平均HbA1c 79 mmol / mol9.4%)]。在U300开始后,HbA1c从基线到第6个月的平均降低为-4mmol / mol-0.4; P <0.001; n = 188)。6个月时的每日总基础胰岛素剂量比U300开始时高1.3个单位(P <0.001; n = 275),但与之前的基础胰岛素剂量没有显著差异。基线与第6个月之间的体重没有临床显著差异[平均差异+0.7 kg95CI -0.1,1.5; P = 0.084; ñ= 115)。在U300开始之前和之后的6个月期间,记录了6/2984/298参与者的严重低血糖发作。在U300开始之前和之后,分别记录了4/2986/298参与者的需要急诊就诊或住院治疗的糖尿病酮症酸中毒事件。

研究显示,在患有1型糖尿病的人中,基础胰岛素向U300的变化与临床和HbA1c的统计学上显著改善相关,而基础胰岛素剂量和体重没有显著变化。在U300开始之前和之后,记录的严重低血糖事件和需急诊科就诊或住院的糖尿病酮症酸中毒很少且相似。

原始出处:

T. Pang S. C. Bain R. Neil A. Blacket al. A multicentre, UK, retrospective, observational study to assess the effectiveness of insulin glargine 300 units/ml in treating people with Type 1 diabetes mellitus in routine clinical practice (SPARTA)

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    2020-02-07 baoya
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channel=null, level=null, likeNumber=13, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Tue May 14 21:54:00 CST 2019, time=2019-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1989433, encodeId=c8651989433e0, content=<a href='/topic/show?id=7033165e692' target=_blank style='color:#2F92EE;'>#SpA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16576, encryptionId=7033165e692, topicName=SpA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db5b227, createdName=gostraight, createdTime=Tue Jan 28 14:54:00 CST 2020, time=2020-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1324255, encodeId=618513242550f, content=<a 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1393172, encodeId=d43513931e285, content=<a href='/topic/show?id=eb2b6882506' target=_blank style='color:#2F92EE;'>#甘精胰岛素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68825, encryptionId=eb2b6882506, topicName=甘精胰岛素)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIUEDhSibBFt8TicgFCCSBtW10SxVJicDpibTCucns8L1YaiaKpibWOkv8hYpJ0LeTVUH1Ab4sfica9bxiccA/132, createdBy=dd282500126, createdName=ms3830150583600765, createdTime=Wed Apr 03 12:54:00 CST 2019, time=2019-04-03, status=1, ipAttribution=)]
    2020-01-28 gostraight
  8. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1393172, encodeId=d43513931e285, content=<a href='/topic/show?id=eb2b6882506' target=_blank style='color:#2F92EE;'>#甘精胰岛素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68825, encryptionId=eb2b6882506, topicName=甘精胰岛素)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIUEDhSibBFt8TicgFCCSBtW10SxVJicDpibTCucns8L1YaiaKpibWOkv8hYpJ0LeTVUH1Ab4sfica9bxiccA/132, createdBy=dd282500126, createdName=ms3830150583600765, createdTime=Wed Apr 03 12:54:00 CST 2019, time=2019-04-03, status=1, ipAttribution=)]
  9. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1393172, encodeId=d43513931e285, content=<a href='/topic/show?id=eb2b6882506' target=_blank style='color:#2F92EE;'>#甘精胰岛素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68825, encryptionId=eb2b6882506, topicName=甘精胰岛素)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIUEDhSibBFt8TicgFCCSBtW10SxVJicDpibTCucns8L1YaiaKpibWOkv8hYpJ0LeTVUH1Ab4sfica9bxiccA/132, createdBy=dd282500126, createdName=ms3830150583600765, createdTime=Wed Apr 03 12:54:00 CST 2019, time=2019-04-03, status=1, ipAttribution=)]
    2019-04-03 zhaojie88
  10. 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