“STUDY OF EFFICACY AND SAFETY OF SITAGLIPTIN IN PATIENTS WITH TYPE 2 DIABETES TREATED WITH COMBINATION OF INSULIN AND METFORMIN”
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Keywords
Type 2 DM, sitagliptin, Metformin, Insulin, Safety and Efficacy
Abstract
Background: Diabetes mellitus is a public health concern that affects the global population. There are several treatment plans which manage the symptoms and complications of type 2 DM. In this research, a combination of insulin and metformin is analyzed along with the addition of sitagliptin for type 2 DM patients.
Objectives: The study aims to evaluate the safety, efficiency and efficacy of sitagliptin in patients with type 2 DM who are on a combination of insulin and metformin.
Methodology: The study is an observational retrospective study based on previously occurred follow-up. Over the course of 10-years treatment, around 20,000 patients with type 2 DM were screened, out of which 100 patients were randomly selected and assigned into two treatment groups with defined conditions and scenarios. Blood sugar, kidney and lipid profile of the patients were monitored.
Results: FBS, RBS, HbA1C among the participants who were taking sitagliptin as a therapy along with insulin and metformin were found to be lowered (p<0.001) than the participants not taking sitagliptin. CBC, serum electrolytes, Coagulation, lipid and kidney profile were also found to be supportive for enhanced safety and efficacy status among the patients along with lower number of reported ADRs. However, elevation in AST (p <0.001), ALT (P<0.01), serum creatinine (p <0.01) after the addition of sitagliptin need further investigation to rule out its hepatoprotective and nephroprotective status.
Conclusions: The study has evaluated the safety and efficacy of single or combination antidiabetic therapies needs to be considered while managing the diabetic condition.
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Wajeeha Ishrat
Lecturer, Department of Pharmacology, Federal Urdu University, Karachi, Pakistan
Farah Owais
Assistant Professor, Department of Pharmacology, Federal Urdu University, Karachi, Pakistan
Shahana Wahid
Assistant Professor, Department of Pharmacology, Benazir Bhutto Shaheed University Lyari, Karachi, Pakistan
Sana Waqar
Lecturer, Institute of Pharmaceutical Sciences, Jinnah Sindh Medical University, Karachi, Pakistan
Toqeer Abbas
MBBS Student, Dow International Medical College (DUHS), Karachi, Pakistan
Humera Khatoon
Professor, Department of Pharmacology, Jinnah University for Women, Karachi, Pakistan
Mehjabeen
Professor, Department of Pharmacology, Federal Urdu University, Karachi, Pakistan
Maham Siddiqui
MPhil Fellow, Department of Pharmacology, Jinnah University for Women, Karachi, Pakistan
Javeria Khan
MPhil Fellow, Department of Pharmacology, Jinnah University for Women, Karachi, Pakistan
Syed Fozail Sarmad
MBBS, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
Javeria Javed
PhD fellow, Department of Pharmacology, Jinnah University for Women, Karachi, Pakistan