PMID- 26359024 OWN - NLM STAT- MEDLINE DCOM- 20151114 LR - 20221207 IS - 0578-1426 (Print) IS - 0578-1426 (Linking) VI - 54 IP - 7 DP - 2015 Jul TI - [Effectiveness and safety of initiation of once-daily insulin detemir in Chinese patients with type 2 diabetes previously treated with different quantities of oral anti-diabetic drugs: subgroup analysis of the Chinese SOLVE Study]. PG - 612-7 AB - OBJECTIVE: To evaluate the effectiveness and safety on once-daily (OD) insulin detemir (IDet) in Chinese patients with type 2 diabetes mellitus (T2DM) who were treated with different types or combinations of oral anti-diabetic drugs (OADs). METHODS: The SOLVE study was a 24-week observational study on the initiation of IDet OD in T2DM patients with uncontrolled hyperglycemia on diet, exercise, and one or more OADs. Subjects were grouped based on the numbers of OADs taken before (>2-OAD, 2-OAD, and 1-OAD groups). Efficacy and safety endpoints were evaluated and compared in different groups. RESULTS: This study includes 3 272 patients, among them 464 (14.2%) were treated with more than 2 OADs, 1511 (46.2%) with 2 OADs, and 1 218 (37.2%) with 1 OAD before the study. The mean glycosylated hemoglobin A1c (HbA1c) was 8.4%, 8.3%, 8.4% at baseline, and 7.3%, 7.2%, 7.1% at the end of 24-week in each 3 groups (all P<0.001 vs. baseline values). The HbA1c reductions were not statistically significant different among groups. Body weight tended to decrease in patients from all groups, however, only that in the 2-OAD group reached statistically significance. No major hypoglycaemia events were reported. However, the overall minor hypoglycaemia rate in the 2-OAD group was higher at the end of the study than that at baseline (P<0.05). No differences in the rate of nocturnal minor hypoglycaemia were observed in all groups after IDet treatment. CONCLUSION: Initiation of IDet OD was effective and well-tolerated in Chinese patients with T2DM whose glycemia was poorly controlled on OADs irrespective of the number of OADs taken before. (registration number NCT00825643). FAU - Pan, Changyu AU - Pan C AD - Department of Endocrinology, Chinese PLA General Hospital, Beijing 100853, China; Email: panchy301@126.com. FAU - Ji, Linong AU - Ji L FAU - Lu, Juming AU - Lu J FAU - Yang, Wenying AU - Yang W FAU - Zhou, Zhiguang AU - Zhou Z CN - Chinese SOLVE Study LA - chi SI - ClinicalTrials.gov/NCT00825643 PT - Journal Article PT - Observational Study PL - China TA - Zhonghua Nei Ke Za Zhi JT - Zhonghua nei ke za zhi JID - 16210490R RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin, Long-Acting) RN - 4FT78T86XV (Insulin Detemir) SB - IM MH - Blood Glucose/*drug effects MH - China/epidemiology MH - Diabetes Mellitus, Type 2/blood/*drug therapy/ethnology MH - Dose-Response Relationship, Drug MH - Female MH - Glycated Hemoglobin/analysis MH - Humans MH - Hyperglycemia/drug therapy MH - Hypoglycemia MH - Hypoglycemic Agents/*administration & dosage/adverse effects MH - Insulin Detemir MH - Insulin, Long-Acting/*administration & dosage/adverse effects MH - Male MH - Middle Aged MH - Treatment Outcome EDAT- 2015/09/12 06:00 MHDA- 2015/11/15 06:00 CRDT- 2015/09/12 06:00 PHST- 2015/09/12 06:00 [entrez] PHST- 2015/09/12 06:00 [pubmed] PHST- 2015/11/15 06:00 [medline] PST - ppublish SO - Zhonghua Nei Ke Za Zhi. 2015 Jul;54(7):612-7.