PMID- 22974412 OWN - NLM STAT- MEDLINE DCOM- 20130619 LR - 20240317 IS - 1557-8593 (Electronic) IS - 1520-9156 (Print) IS - 1520-9156 (Linking) VI - 14 IP - 12 DP - 2012 Dec TI - Effect of metformin glycinate on glycated hemoglobin A1C concentration and insulin sensitivity in drug-naive adult patients with type 2 diabetes mellitus. PG - 1140-4 LID - 10.1089/dia.2012.0097 [doi] AB - AIM: This study evaluated the effect of metformin glycinate on glycated hemoglobin A1c (A1C) concentration and insulin sensitivity in drug-naive adult patients with type 2 diabetes mellitus (T2DM). SUBJECTS AND METHODS: A randomized, double-blind, placebo-controlled clinical trial was carried out in 20 patients with drug-naive T2DM. Ten subjects received metformin glycinate (1,050.6 mg) once daily during the first month and force-titrated twice daily during the second month. Ten additional patients received placebo as the control group. Before and after the intervention, metabolic profile including A1C and insulin sensitivity (euglycemic-hyperinsulinemic clamp technique) was estimated. RESULTS: A1C concentrations decreased significantly with metformin glycinate administration (8.0 +/- 0.7% vs. 7.1 +/- 0.9%, P = 0.008) before and after the intervention, respectively. There were significant differences in changes from baseline of A1C between groups (0.0 +/- 0.7% vs. -1.0 +/- 0.5% for placebo and metformin glycinate groups, respectively; P = 0.004). A reduction of >/=1% in A1C levels was reached in 60.0% of patients with metformin glycinate administration (P = 0.02). Insulin sensitivity was not modified by the intervention. CONCLUSIONS: Administration of metformin glycinate during a 2-month period showed a greater decrease in A1C concentrations than placebo in a selected group of drug-naive adult patients with T2DM. FAU - Gonzalez-Ortiz, Manuel AU - Gonzalez-Ortiz M AD - Cardiovascular Research Unit, Physiology Department, Health Science University Center, University of Guadalajara, Guadalajara, Mexico. FAU - Martinez-Abundis, Esperanza AU - Martinez-Abundis E FAU - Robles-Cervantes, Jose A AU - Robles-Cervantes JA FAU - Ramos-Zavala, Maria G AU - Ramos-Zavala MG FAU - Barrera-Duran, Carmelita AU - Barrera-Duran C FAU - Gonzalez-Canudas, Jorge AU - Gonzalez-Canudas J LA - eng SI - ClinicalTrials.gov/NCT00940797 PT - Clinical Trial, Phase II PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20120913 PL - United States TA - Diabetes Technol Ther JT - Diabetes technology & therapeutics JID - 100889084 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (hemoglobin A1c protein, human) RN - 9100L32L2N (Metformin) SB - IM MH - Adult MH - Algorithms MH - Blood Glucose/*drug effects/metabolism MH - Diabetes Mellitus, Type 2/blood/*drug therapy/epidemiology MH - Double-Blind Method MH - Female MH - Glucose Clamp Technique MH - Glycated Hemoglobin/*drug effects/metabolism MH - Humans MH - Hypoglycemic Agents/*pharmacology/therapeutic use MH - *Insulin Resistance MH - Male MH - Metformin/*pharmacology/therapeutic use MH - Mexico/epidemiology MH - Middle Aged MH - Treatment Outcome PMC - PMC3521136 EDAT- 2012/09/15 06:00 MHDA- 2013/06/20 06:00 PMCR- 2012/12/01 CRDT- 2012/09/15 06:00 PHST- 2012/09/15 06:00 [entrez] PHST- 2012/09/15 06:00 [pubmed] PHST- 2013/06/20 06:00 [medline] PHST- 2012/12/01 00:00 [pmc-release] AID - 10.1089/dia.2012.0097 [pii] AID - 10.1089/dia.2012.0097 [doi] PST - ppublish SO - Diabetes Technol Ther. 2012 Dec;14(12):1140-4. doi: 10.1089/dia.2012.0097. Epub 2012 Sep 13.