PMID- 37789213 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240422 IS - 1869-6953 (Print) IS - 1869-6961 (Electronic) IS - 1869-6961 (Linking) VI - 14 IP - 12 DP - 2023 Dec TI - LIVE INDIA: Effectiveness of Gla-100 in a Post hoc Pooled Analysis of FINE ASIA and GOAL Registries. PG - 2075-2088 LID - 10.1007/s13300-023-01469-3 [doi] AB - INTRODUCTION: Real-world evidence on insulin glargine 100 U/ml (Gla-100) initiation in Indian type 2 diabetes mellitus (T2DM) individuals is limited. The present study aimed to evaluate the effectiveness of Gla-100 in insulin-naive T2DM participants from India. METHODS: This post hoc analysis includes real-world data of insulin-naive Indian participants with T2DM who started Gla-100 treatment in two Asian registries: FINE ASIA and GOAL. Changes in glycated hemoglobin (HbA1c), fasting plasma glucose (FPG), body weight, insulin dose, and incidence of hypoglycemia from baseline to 6 months were assessed. RESULTS: A total of 955 participants with T2DM were identified and analyzed. The mean [standard deviation (SD)] age and duration of diabetes were 54.7 (9.8) years and 9.8 (6.3) years, respectively. Mean HbA1c and FPG were significantly reduced after 6 months of Gla-100 treatment [- 2.07 (1.4) %; - 94.4 (65.2) mg/dl, respectively]. HbA1c targets of < 7.0% and < 7.5% were achieved by 292 (30.6%) and 589 (61.7%) study participants, respectively. The overall incidence of hypoglycemia was low (n = 52; 5.4%); only two participants (0.2%) reported severe hypoglycemia. Insulin was titrated with a mean (SD) increment of 2.5 (5.6) U/day after 6 months, leading to a mean Gla-100 dose of 18.2 (8.9) U/day. Mean body weight remained unchanged from baseline to 6 months (- 0.1 kg). CONCLUSION: In routine clinical practice, Gla-100 significantly improved glycemic parameters after 6 months of treatment with a low risk of hypoglycemia and no weight change in participants with T2DM. CI - (c) 2023. The Author(s). FAU - Deshmukh, Vaishali AU - Deshmukh V AD - Deshmukh Clinic and Research Centre, Second Floor, Pinnacle Prestige, Landmark: Next to Durvankur Hotel, Near Cosmos Bank, Tilak Road, Pantancha Gate, Sadashiv Peth, Pune, Maharashtra, 411030, India. dcrcpune@gmail.com. FAU - Chaudhury, Tirthankar AU - Chaudhury T AD - Apollo Gleneagles Hospitals, Kolkata, India. FAU - Chadha, Manoj AU - Chadha M AD - P.D. Hinduja Hospital and Research Centre, Mumbai, India. FAU - Chawla, Manoj AU - Chawla M AD - Lina Diabetes Care Centre, Mumbai, India. FAU - Mukherjee, Sagarika AU - Mukherjee S AD - Dr. Sagarika Mukherjee's Clinic, Kolkata, India. FAU - Pitale, Shailesh AU - Pitale S AD - DEW Medicare and Trinity Hospital, Nagpur, India. FAU - Basu, Debasis AU - Basu D AD - METTA Clinic, Kolkata, India. FAU - Gadekar, Arvind AU - Gadekar A AD - Sanofi, Mumbai, India. FAU - Menon, Shalini AU - Menon S AD - Sanofi, Mumbai, India. FAU - Trivedi, Chirag AU - Trivedi C AD - Sanofi, Mumbai, India. FAU - Salvi, Vaibhav AU - Salvi V AD - Sanofi, Mumbai, India. FAU - Ramakrishnan, Santosh AU - Ramakrishnan S AD - Magna Clinics for Obesity Diabetes and Endocrinology, Hyderabad, India. FAU - Goyal, Ghanshyam AU - Goyal G AD - S K Diabetes Research and Education Centre, S V S Marwari Hospital Campus, Kolkata, India. LA - eng PT - Journal Article DEP - 20231004 PL - United States TA - Diabetes Ther JT - Diabetes therapy : research, treatment and education of diabetes and related disorders JID - 101539025 PMC - PMC10597908 OTO - NOTNLM OT - Basal insulin OT - Glargine OT - Pooled analysis OT - Post hoc analysis OT - Type 2 diabetes COIS- Manoj Chadha has received speaker fees from Eli Lilly and Company, Novo Nordisk and Sanofi. Manoj Chawla is on the advisory board for/has a speaker contract with/has a consultancy agreement with Sanofi India, Novo Nordisk India Pvt. Ltd., Eli Lilly India, Boehringer Ingelheim, MSD, AstraZeneca Pharma India Ltd., Novartis, Eris Lifesciences, and USV. Vaishali Deshmukh, Tirthankar Chaudhury, Sagarika Mukherjee, Shailesh Pitale, Debasis Basu, Santosh Ramakrishnan, Ghanshyam Goyal have nothing to disclose. Arvind Gadekar, Shalini Menon, Chirag Trivedi, and Vaibhav Salvi are employees of Sanofi and may hold stock options. The authors individually and collectively are responsible for all content and editorial decisions and did not receive any payment from Sanofi directly or indirectly (through a third party) related to the development or presentation of this study. EDAT- 2023/10/04 00:42 MHDA- 2023/10/04 00:43 PMCR- 2023/10/04 CRDT- 2023/10/03 23:39 PHST- 2023/04/28 00:00 [received] PHST- 2023/08/31 00:00 [accepted] PHST- 2023/10/04 00:43 [medline] PHST- 2023/10/04 00:42 [pubmed] PHST- 2023/10/03 23:39 [entrez] PHST- 2023/10/04 00:00 [pmc-release] AID - 10.1007/s13300-023-01469-3 [pii] AID - 1469 [pii] AID - 10.1007/s13300-023-01469-3 [doi] PST - ppublish SO - Diabetes Ther. 2023 Dec;14(12):2075-2088. doi: 10.1007/s13300-023-01469-3. Epub 2023 Oct 4.