PMID- 28360528 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220316 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 10 DP - 2017 TI - The association of weight loss with patient experience and outcomes in a population of patients with type 2 diabetes mellitus prescribed canagliflozin. PG - 89-99 LID - 10.2147/DMSO.S129824 [doi] AB - OBJECTIVE: Type 2 diabetes mellitus (T2DM) is a chronic condition complicated by being overweight or obese. This study used a patient survey to assess health, satisfaction, and diabetes self-management in relation to weight management. METHODS: A survey including the Current Health Satisfaction Questionnaire, Diabetes Distress Scale, and Diabetes Treatment Satisfaction Questionnaire was administered using an online platform to a sample of 205 patients with T2DM prescribed canagliflozin. Patients were placed into 5 groups based on their self-reported weight change since initiation of canagliflozin: Lost >10 lbs, Lost 5-10 lbs, Lost <5 lbs, No Change, and Gained Weight. One-way ANOVAs, Kruskall-Wallis tests, and multivariable regression were used to explore differences between weight loss groups. RESULTS: The majority of patients (66.8%) reported losing weight. Compared to other groups, patients who lost >10 lbs were more likely to be engaged in a weight loss program for at least 6 months. Patients in the Lost >10 lbs and Lost 5-10 lbs groups reported the greatest satisfaction with canagliflozin (p<0.05 for both). Multivariable analyses controlling for patient demographic and treatment characteristics revealed that losing >10 lbs was associated with reduced diabetes distress, improved A1c and blood glucose levels, and decreased perceived frequency of hyperglycemia (p<0.05). CONCLUSION: Increased positive patient outcomes, engagement in diabetes self-management, and medication satisfaction were observed among patients who reported weight loss. These findings suggest that a T2DM regimen that includes canagliflozin as part of a weight loss regimen can help improve patient outcomes and experiences with T2DM. FAU - Gerlanc, Nicole M AU - Gerlanc NM AD - Health Analytics, LLC Columbia, MD, USA. FAU - Cai, Jennifer AU - Cai J AD - Janssen Scientific Affairs, LLC Titusville, NJ, USA. FAU - Tkacz, Joseph AU - Tkacz J AD - Health Analytics, LLC Columbia, MD, USA. FAU - Bolge, Susan C AU - Bolge SC AD - Janssen Scientific Affairs, LLC Titusville, NJ, USA. FAU - Brady, Brenna L AU - Brady BL AD - Health Analytics, LLC Columbia, MD, USA. LA - eng PT - Journal Article DEP - 20170320 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC5365331 OTO - NOTNLM OT - SGLT2 inhibitor OT - T2DM OT - diabetes self-management OT - patient outcomes OT - weight management COIS- Disclosure SCB and JC are the employees of Janssen Scientific Affairs, LLC, and are stockholders in Johnson and Johnson. Study sponsors contributed to study design, interpretation of results, and manuscript development. The other authors report no conflicts of interest in this work. EDAT- 2017/04/01 06:00 MHDA- 2017/04/01 06:01 PMCR- 2017/03/20 CRDT- 2017/04/01 06:00 PHST- 2017/04/01 06:00 [entrez] PHST- 2017/04/01 06:00 [pubmed] PHST- 2017/04/01 06:01 [medline] PHST- 2017/03/20 00:00 [pmc-release] AID - dmso-10-089 [pii] AID - 10.2147/DMSO.S129824 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2017 Mar 20;10:89-99. doi: 10.2147/DMSO.S129824. eCollection 2017.