PMID- 38078453 OWN - NLM STAT- MEDLINE DCOM- 20240103 LR - 20240124 IS - 1744-8417 (Electronic) IS - 1744-6651 (Linking) VI - 19 IP - 1 DP - 2024 Jan-May TI - Comparison of teneligliptin and other gliptin-based regimens in addressing insulin resistance and glycemic control in type 2 diabetic patients: a cross-sectional study. PG - 81-87 LID - 10.1080/17446651.2023.2290486 [doi] AB - INTRODUCTION: The objective of this study was to compare the effects of teneligliptin-based regimens and other gliptin-based regimens with respect to insulin resistance and glycemic control in patients with type 2 diabetes mellitus (T2DM). METHODS: We enrolled T2DM subjects, inadequately controlled with metformin and glimepiride and taking one of the gliptins, and divided them into two groups, i.e. group 1 (teneligliptin-based regimens) and group 2 (other gliptin-based regimens). Fasting plasma insulin, adiponectin levels, homeostatic model assessment for insulin resistance (HOMA-IR), glycated hemoglobin (HbA1c), and fasting blood glucose (FBG) were measured and compared. Costs of different gliptins were noted, and mean cost of per day therapy was compared. RESULTS: Eighty-six subjects participated in this study (43 each in group 1 and group 2). No significant differences were observed in FBG, HbA1c, insulin levels, and HOMA-IR, but the trend was in favor of teneligliptin-based regimens. A significantly higher number of subjects achieved HbA1c target in group 1 (P < 0.001). Teneligliptin had significantly lower cost of per day therapy as compared to other dipeptidyl peptidase-4 inhibitors. CONCLUSION: Teneligliptin seems to be cost-effective and safer option in T2DM subjects who were not adequately controlled with metformin and sulfonylureas. However, further prospective studies are needed. FAU - Singh, Harmanjit AU - Singh H AD - Department of Pharmacology, Government Medical College & Hospital, Chandigarh, India. FAU - Rohilla, Ravi AU - Rohilla R AD - Department of Community Medicine, Government Medical College & Hospital, Chandigarh, India. FAU - Jaswal, Shivani AU - Jaswal S AD - Department of Biochemistry, Government Medical College & Hospital, Chandigarh, India. FAU - Singla, Mandeep AU - Singla M AD - Department of General Medicine, Government Medical College & Hospital, Chandigarh, India. LA - eng PT - Journal Article DEP - 20240101 PL - England TA - Expert Rev Endocrinol Metab JT - Expert review of endocrinology & metabolism JID - 101278293 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 0 (3-(4-(4-(3-methyl-1-phenyl-1H-pyrazol-5-yl)piperazin-1-yl)pyrrolidin-2-ylcarbonyl)thiazolidine) RN - 0 (Glycated Hemoglobin) RN - 0 (Blood Glucose) RN - 9100L32L2N (Metformin) RN - 0 (Insulins) SB - IM MH - Humans MH - *Dipeptidyl-Peptidase IV Inhibitors/therapeutic use MH - *Diabetes Mellitus, Type 2 MH - Hypoglycemic Agents/pharmacology/therapeutic use MH - Cross-Sectional Studies MH - Glycated Hemoglobin MH - *Insulin Resistance MH - Glycemic Control MH - Blood Glucose MH - *Metformin/therapeutic use MH - *Insulins OTO - NOTNLM OT - HbA1c OT - T2DM OT - insulin resistance OT - sitagliptin OT - teneligliptin EDAT- 2023/12/11 12:42 MHDA- 2024/01/03 09:44 CRDT- 2023/12/11 07:59 PHST- 2024/01/03 09:44 [medline] PHST- 2023/12/11 12:42 [pubmed] PHST- 2023/12/11 07:59 [entrez] AID - 10.1080/17446651.2023.2290486 [doi] PST - ppublish SO - Expert Rev Endocrinol Metab. 2024 Jan-May;19(1):81-87. doi: 10.1080/17446651.2023.2290486. Epub 2024 Jan 1.