PMID- 21440523 OWN - NLM STAT- MEDLINE DCOM- 20111014 LR - 20221207 IS - 1878-0210 (Electronic) IS - 1878-0210 (Linking) VI - 5 IP - 2 DP - 2011 Jul TI - Initiation of biphasic insulin aspart 30/70 in subjects with type 2 diabetes mellitus in a largely primary care-based setting in Sweden. PG - 89-94 LID - 10.1016/j.pcd.2011.02.003 [doi] AB - AIMS: Despite a wealth of clinical trial data supporting use of the premixed insulin analogue, biphasic insulin aspart 30 (BIAsp 30) in the treatment of type 2 diabetes mellitus (T2DM), there is limited documentation of its use in primary care-based clinical practice. METHODS: An observational study investigating the safety and efficacy of BIAsp 30 in routine clinical practice was conducted. Patients were followed up 3 and 6 months after initiating insulin treatment. Safety and efficacy measures were documented. RESULTS: During the course of the study, 1154 patients were included (age range 20-95 years), of whom 89% completed the 6-month follow-up period. Mean HbA(1c) at baseline was 8.8% (73mmol/mol), and had improved to 7.2% (55mmol/mol) after 6 months of treatment. The rate of total hypoglycaemia at completion of the study was 4.1 events per patient year. Major hypoglycaemic events were rare (two in total). CONCLUSIONS: BIAsp 30 was initiated safely and effectively in insulin-naive patients with T2DM. The safety and efficacy profile observed in clinical trials was confirmed in this largely primary care-based setting in Sweden. CI - Copyright (c) 2011 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved. FAU - Berntorp, Kerstin AU - Berntorp K AD - Department of Clinical Sciences, Lund University, Malmo, Sweden. FAU - Haglund, Mattias AU - Haglund M FAU - Larsen, Sara AU - Larsen S FAU - Petruckevitch, Ann AU - Petruckevitch A FAU - Landin-Olsson, Mona AU - Landin-Olsson M CN - Swedish BIAsp Study Group LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20110326 PL - England TA - Prim Care Diabetes JT - Primary care diabetes JID - 101463825 RN - 0 (Biomarkers) RN - 0 (Biphasic Insulins) RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (hemoglobin A1c protein, human) RN - 0 (insulin aspart, insulin aspart protamine drug combination 30:70) RN - 53027-39-7 (Insulin, Isophane) RN - D933668QVX (Insulin Aspart) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - Biphasic Insulins MH - Blood Glucose/drug effects MH - Body Weight/drug effects MH - Diabetes Mellitus, Type 2/blood/*drug therapy/epidemiology MH - Female MH - Glycated Hemoglobin/metabolism MH - Health Services Research MH - Humans MH - Hypoglycemia/chemically induced MH - Hypoglycemic Agents/adverse effects/*therapeutic use MH - Insulin/adverse effects/*analogs & derivatives/therapeutic use MH - Insulin Aspart MH - Insulin, Isophane MH - Male MH - Middle Aged MH - *Primary Health Care MH - Prospective Studies MH - Sweden/epidemiology MH - Time Factors MH - Treatment Outcome MH - Young Adult EDAT- 2011/03/29 06:00 MHDA- 2011/10/15 06:00 CRDT- 2011/03/29 06:00 PHST- 2010/10/01 00:00 [received] PHST- 2011/01/24 00:00 [revised] PHST- 2011/02/16 00:00 [accepted] PHST- 2011/03/29 06:00 [entrez] PHST- 2011/03/29 06:00 [pubmed] PHST- 2011/10/15 06:00 [medline] AID - S1751-9918(11)00020-9 [pii] AID - 10.1016/j.pcd.2011.02.003 [doi] PST - ppublish SO - Prim Care Diabetes. 2011 Jul;5(2):89-94. doi: 10.1016/j.pcd.2011.02.003. Epub 2011 Mar 26.