Does Gender Influence the Effectiveness and Safety of Insulin Glargine 300 U/ml in Patients with Uncontrolled Type 2 Diabetes? Results from the REALI European Pooled Analysis.

Europe Gender differences Glycaemic control Insulin glargine 300 U/ml Pooled analysis Type 2 diabetes

Journal

Diabetes therapy : research, treatment and education of diabetes and related disorders
ISSN: 1869-6953
Titre abrégé: Diabetes Ther
Pays: United States
ID NLM: 101539025

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 01 10 2021
accepted: 27 10 2021
pubmed: 17 11 2021
medline: 17 11 2021
entrez: 16 11 2021
Statut: ppublish

Résumé

Gender differences in risk factors and treatment outcomes for type 2 diabetes mellitus (T2DM) may exist. We used the REALI European database to investigate whether there were gender-specific differences in baseline characteristics and clinical outcomes among patients with inadequately controlled T2DM initiated on insulin glargine 300 U/ml (Gla-300). Data were pooled from 14 multicentre, prospective, interventional and non-interventional studies. Impact of gender on glycaemic control, insulin dose, body weight and hypoglycaemia was evaluated after 12 and 24 weeks of Gla-300 treatment. Women (N = 3857) were older than men (N = 4376) (median age, 65.0 versus 63.0 years), with greater mean body mass index (32.5 versus 31.6 kg/m Despite some gender differences in baseline characteristics, Gla-300 treatment improved glycaemic control, with overall low hypoglycaemia incidences in both men and women. However, women had statistically significantly lower HbA1c reductions than men, although these differences were clinically modest.

Identifiants

pubmed: 34784005
doi: 10.1007/s13300-021-01179-8
pii: 10.1007/s13300-021-01179-8
pmc: PMC8776923
doi:

Types de publication

Journal Article

Langues

eng

Pagination

57-73

Informations de copyright

© 2021. The Author(s).

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Auteurs

Pierre Gourdy (P)

Endocrinology, Diabetology and Nutrition Department, Toulouse University Hospital, Toulouse, France.
Institute of Metabolic and Cardiovascular Diseases, UMR1297 INSERM/UPS, Toulouse University, Toulouse, France.

Riccardo C Bonadonna (RC)

Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Department of Medicine and Surgery, University of Parma, Parma, Italy.

Nick Freemantle (N)

Institute of Clinical Trials and Methodology, University College London, London, UK.

Didac Mauricio (D)

Department of Endocrinology and Nutrition, CIBERDEM, Hospital de la Santa Creu i Sant Pau Institut de Recerca, Barcelona, Spain.

Dirk Müller-Wieland (D)

Department of Medicine I, University Hospital Aachen, Aachen, Germany.

Gregory Bigot (G)

IVIDATA, Paris, France.

Celine Mauquoi (C)

IDDI, Louvain-la-Neuve, Belgium.

Alice Ciocca (A)

General Medicines, Sanofi, Paris, France.

Mireille Bonnemaire (M)

General Medicines, Sanofi, Paris, France. mireille.bonnemaire@sanofi.com.

Classifications MeSH