PMID- 22742083 OWN - NLM STAT- MEDLINE DCOM- 20130716 LR - 20221207 IS - 1753-0407 (Electronic) IS - 1753-0393 (Print) IS - 1753-0407 (Linking) VI - 4 IP - 4 DP - 2012 Dec TI - Safety, tolerability, and efficacy of metformin extended-release oral antidiabetic therapy in patients with type 2 diabetes: an observational trial in Asia. PG - 395-406 LID - 10.1111/j.1753-0407.2012.00220.x [doi] AB - BACKGROUND: The aim of the present prospective observational study was to assess the tolerability and antihyperglycemic efficacy of metformin extended-release (MXR) in the routine treatment of patients with type 2 diabetes mellitus (T2DM) from six Asian countries. METHODS: Data from 3556 patients treated with once-daily MXR for 12 weeks, or until discontinuation, were analyzed. RESULTS: Treatment with MXR was well tolerated, with 97.4% of patients completing 12 weeks of treatment. Only 3.3% of patients experienced one or more gastrointestinal (GI) side-effects and only 0.7% of patients discontinued for this reason (primary endpoint). The incidence of GI side-effects and related discontinuations appeared to be considerably lower during short-term MXR therapy than during previous treatment (mean 2.71 years' duration), most commonly with immediate-release metformin. A 12-week course of MXR therapy also reduced HbA1c and fasting glucose levels from baseline. CONCLUSIONS: The present study provides new insights into the incidence of GI side-effects with MXR in Asian patients with T2DM and on the tolerability of MXR in non-Caucasian populations. Specifically, these data indicate that once-daily MXR not only improves measures of glycemic control in Asian patients with T2DM, but also has a favorable GI tolerability profile that may help promote enhanced adherence to oral antidiabetic therapy. CI - (c) 2012 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd. FAU - Kim, Chul-Hee AU - Kim CH AD - Soonchunhyang University Bucheon Hospital, Gyeonggi-do, Seoul, Korea. FAU - Han, Kyung-Ah AU - Han KA FAU - Oh, Han-Jin AU - Oh HJ FAU - Tan, Kevin Eng-Kiat AU - Tan KE FAU - Sothiratnam, Radhakrishna AU - Sothiratnam R FAU - Tjokroprawiro, Askandar AU - Tjokroprawiro A FAU - Klein, Marcus AU - Klein M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 9100L32L2N (Metformin) SB - IM MH - Asia MH - Asian People MH - Blood Glucose/metabolism MH - Diabetes Mellitus, Type 2/*drug therapy/ethnology/metabolism MH - Female MH - Humans MH - Hypoglycemic Agents/administration & dosage/pharmacokinetics/therapeutic use MH - Male MH - Metformin/administration & dosage/pharmacokinetics/*therapeutic use MH - Prospective Studies MH - Treatment Outcome PMC - PMC3549486 EDAT- 2012/06/30 06:00 MHDA- 2013/07/17 06:00 CRDT- 2012/06/30 06:00 PHST- 2012/06/30 06:00 [entrez] PHST- 2012/06/30 06:00 [pubmed] PHST- 2013/07/17 06:00 [medline] AID - 10.1111/j.1753-0407.2012.00220.x [doi] PST - ppublish SO - J Diabetes. 2012 Dec;4(4):395-406. doi: 10.1111/j.1753-0407.2012.00220.x.