scholarly journals Improved glycaemic control and treatment satisfaction with a simple wearable 3-day insulin delivery device among people with Type 2 diabetes

2018 ◽  
Vol 35 (10) ◽  
pp. 1448-1456 ◽  
Author(s):  
J. K. Mader ◽  
L. C. Lilly ◽  
F. Aberer ◽  
T. Poettler ◽  
D. Johns ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Glycaemic Control ◽  
Treatment Satisfaction ◽  
Insulin Delivery ◽  
Delivery Device ◽  
Improved Glycaemic Control

PaQ®, a simple 3-day basal/bolus insulin delivery device, in people with type 2 diabetes

2013 ◽  
Author(s):  
J. K. Mader ◽  
L. C. Lilly ◽  
F. Aberer ◽  
J. Pachatz ◽  
S. Korsatko ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Insulin Delivery ◽  
Delivery Device ◽  
Bolus Insulin ◽  
Basal Bolus

Sitting Less and Moving More: Improved Glycaemic Control for Type 2 Diabetes Prevention and Management

2016 ◽  
Vol 16 (11) ◽  
Author(s):  
Paddy C. Dempsey ◽  
Neville Owen ◽  
Thomas E. Yates ◽  
Bronwyn A. Kingwell ◽  
David W. Dunstan
Keyword(s):  
Type 2 Diabetes ◽  
Glycaemic Control ◽  
Diabetes Prevention ◽  
Type 2 Diabetes Prevention ◽  
Improved Glycaemic Control

Development of a New Measure for Assessing Insulin Delivery Device Satisfaction in Patients with Type 1 and Type 2 Diabetes

2015 ◽  
Vol 17 (11) ◽  
pp. 773-779 ◽  
Author(s):  
William H. Polonsky ◽  
Lawrence Fisher ◽  
Danielle Hessler ◽  
Steven V. Edelman
Keyword(s):  
Type 2 Diabetes ◽  
Insulin Delivery ◽  
Delivery Device

scholarly journals OR30-02 Efficacy and Safety Comparison Between U100 Regular Human Insulin and U100 Rapid Acting Insulin When Delivered by a 24 Hour Wearable Insulin Delivery Device in Type 2 Diabetes

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Pablo Mora ◽  
David R Sutton ◽  
Ashwini Gore ◽  
Bantwal S Baliga ◽  
Rebecca Goldfaden, PharmD ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Model ◽  
Insulin Delivery ◽  
Target Range ◽  
Total Daily Dose ◽  
Efficacy And Safety ◽  
Delivery Device ◽  
Acting Insulin ◽  
The Mean

Abstract Introduction: Increasing insulin prices have led to a renewed debate to determine if Rapid Acting Insulin (RAI) analogs offer an advantage over less expensive Regular Human Insulins (RHI). The steep increase in the cost of RAI has led to rationing of insulin or the total discontinuance of therapy by many patients due to cost. For many, RHI provides a more affordable option for insulin therapy when compared to RAI, especially if the limitations of the insulin profile can be overcome by delivering RHI through continuous subcutaneous insulin infusion (CSII) using a wearable insulin delivery device. To our knowledge, no data exists in a type 2 diabetes (T2D) population comparing RAI to RHI when delivered via CSII. Methods: This 14 week multi-center prospective, randomized parallel, non-inferiority study in a T2D population compared the efficacy and safety of RAI versus RHI when delivered by V-Go®, a 24-hr wearable patch-like insulin delivery device that provides a preset continuous basal rate of insulin and on-demand bolus dosing. This study was conducted in a real-world practice setting under usual standard of care. Glucose lowering agents were to remain stable unless removal warranted due to documented clinically significant hypoglycemia and the only specific guidance for insulin titration was to down-titrate if blood glucose levels were consistently lower than target range. Patients administering RAI with V-Go were randomized 1:1 to continue RAI or to switch to RHI. Primary endpoint assessed non-inferiority for the between group net difference in HbA1c derived from a mixed model analysis. Between group differences from baseline for insulin total daily dose (TDD) and hypoglycemia (based on 7 point glucose profiles) were evaluated as secondary endpoints. Results: One hundred thirteen patients (59 RHI and 54 RAI) were evaluated. Baseline characteristics were similar between cohorts. The mean change in HbA1c with RHI was -0.60% from a baseline of 8.41% vs -0.38% from a baseline of 8.33% with RAI (estimated treatment difference [ETD]: -0.22%; 95% confidence interval [CI] -0.67% to 0.22%; non-inferiority margin<0.4% and p=0.007). The mean change in TDD with RHI was 0.8 U/day from a baseline of 61.0 U/day vs 1.8 U/day from a baseline of 61.3 U/day with RAI (ETD: -1.04 U/day; 95% CI: -3.18 U/day to 1.11 U/day; p=0.92). The absolute change in percent of patients reporting hypoglycemia (≤ 70 mg/dL) from pre-randomization to post-randomization was +5.08% with RHI vs + 5.56% with RAI (ETD: -0.48%; 95% CI: -10.6% to 9.1%; p=0.91). Severe hypoglycemia was not reported in either cohort. Conclusion: Patients with T2D administering RAI with V-Go can safely switch to RHI maintaining similar glycemic control.

scholarly journals Type 2 diabetes mellitus complicated with idiopathic hypoparathyroidism where poor glycaemic control was associated with low adherence to exercise and medication due to hypocalcaemia

2019 ◽  
Vol 12 (12) ◽  
pp. e232553 ◽  
Author(s):  
Tomomi Ueda ◽  
Yuya Tsurutani ◽  
Sho Katsuragawa ◽  
Jun Saito
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycaemic Control ◽  
Serum Calcium ◽  
Oral Hypoglycaemic Agents ◽  
Poor Glycaemic Control ◽  
Old Japanese ◽  
Improved Glycaemic Control

We report a rare case of type 2 diabetes mellitus (T2DM) complicated with idiopathic hypoparathyroidism. A 36-year-old Japanese man was admitted to our hospital owing to poor glycaemic control and hypocalcaemia. The patient had myalgia resulting from hypocalcaemia, which prevented adequate exercise. He considered the onset of myalgia to be an adverse event of oral hypoglycaemic agents and reduced compliance to medication; however, his serum calcium level was never measured. Treatment for hypocalcaemia immediately improved the myalgia, facilitating regular exercise therapy and ensuring compliance with prescribed medications, as the now-resolved myalgia was no longer perceived to be an adverse effect of glucose-lowering agents; this improved glycaemic control. Although hypoparathyroidism is a rare disease, it is necessary to assess serum calcium levels in patients with T2DM, particularly in cases presenting with unidentified complaints such as myalgia.

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