J Korean Med Sci. 2013;28(6):881-7.
Clinical characteristics of the responders to dipeptidyl peptidase-4 inhibitors in Korean subjects with type 2 diabetes.
제1저자 오태정 · 교신저자 정혜승
소속 (1)
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Abstract
We investigated characteristics associated with the efficacy of dipeptidyl peptidase-4 inhibitors (DPP4i) in Korean patients with type 2 diabetes. We reviewed medical records of 477 patients who had taken sitagliptin or vildagliptin longer than 40 weeks. Response to DPP4i was evaluated with HbA1c change after therapy (ΔHbA1c). The Student's t-test between good responders (GR: ΔHbA1c > 1.0%) and poor responders (PR: ΔHbA1c < 0.5%), a correlation analysis among clinical parameters, and a linear multivariate regression analysis were performed. The mean age was 60 yr, duration of diabetes 11 yr and HbA1c was 8.1%. Baseline fasting plasma glucose (FPG), HbA1c, C-peptide, and creatinine were significantly higher in the GR compared to the PR. Duration of diabetes, FPG, HbA1c, C-peptide and creatinine were significantly correlated with ΔHbA1c. In the multivariate analysis, age (r(2) = 0.006), duration of diabetes (r(2) = 0.019), HbA1c (r(2) = 0.296), and creatinine levels (r(2) = 0.024) were independent predictors for the response to DPP4i. Body mass index and insulin resistance were not associated with the response to DPP4i. In conclusion, better response to DPP4i would be expected in Korean patients with type 2 diabetes who have higher baseline HbA1c and creatinine levels with shorter duration of diabetes.
Keywords
Clinical EfficacyDiabetes Mellitus, Type 2Dipeptidyl Peptidase IV InhibitorsHemoglobin A, Glycosylated
Conflict of interest statement
The authors have no conflicts of interest to disclose.
그 밖의 정보
- 출판 형태
- Journal Article, Research Support, Non-U.S. Gov't
- 저널
- Journal of Korean medical science · eISSN 1598-6357
- 전자 출판
- 2013-06-03
- MeSH
- Adamantane / analogs & derivatives / therapeutic use · Blood Glucose / analysis · Body Mass Index · C-Peptide / analysis · Creatinine / blood · Diabetes Mellitus, Type 2 / drug therapy / pathology · Dipeptidyl-Peptidase IV Inhibitors / therapeutic use · Glycated Hemoglobin / analysis · Humans · Insulin Resistance · Male · Middle Aged · Multivariate Analysis · Nitriles / therapeutic use · Pyrazines / therapeutic use · Pyrrolidines / therapeutic use · Retrospective Studies · Sitagliptin Phosphate · Triazoles / therapeutic use · Vildagliptin
- Substances
- Adamantane · Blood Glucose · C-Peptide · Creatinine · Dipeptidyl-Peptidase IV Inhibitors · Glycated Hemoglobin · Nitriles · Pyrazines · Pyrrolidines · Sitagliptin Phosphate · Triazoles · Vildagliptin · hemoglobin A1c protein, human
- 참고문헌
- 30편