Open AccessSatisfaction of switching to combination therapy with lixisenatide and basal insulin in patients with type 2 diabetes receiving multiple daily insulin injection therapy: A randomized controlled trial
Author(s) -
Miya Aika,
Nakamura Akinobu,
Miyoshi Hideaki,
Cho Kyu Yong,
Nagai So,
Kurihara Yoshio,
Aoki Shin,
Taguri Masataka,
Terauchi Yasuo,
Atsumi Tatsuya
Publication year - 2018
Publication title -
journal of diabetes investigation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.089
H-Index - 50
eISSN - 2040-1124
pISSN - 2040-1116
DOI - 10.1111/jdi.12654
Subject(s) - medicine , glycated hemoglobin , glycemic , type 2 diabetes , lixisenatide , diabetes mellitus , insulin , randomized controlled trial , basal (medicine) , patient satisfaction , endocrinology , surgery , basal insulin
Aims/Introduction We compared the satisfaction levels of patients with type 2 diabetes undergoing combination therapy with lixisenatide ( LIX ) and basal insulin with that of patients undergoing multiple daily insulin injection ( MDI ) therapy. Materials and Methods The study was a 12‐week open‐label, randomized, multicenter, controlled trial. Participants were Japanese patients with type 2 diabetes receiving MDI for >3 months. Patients were randomly assigned to each treatment cohort: (i) a group that continued MDI ( MDI group); and (ii) a group that switched from MDI to combination therapy with LIX and basal insulin ( LIX group). The primary outcome was change in Diabetes Treatment Satisfaction Questionnaire scores from baseline to 12 weeks between these two groups. Key secondary outcomes were glycated hemoglobin and body weight changes. Results A total of 31 patients were initially enrolled in the study, and 26 of them completed the study. The change in Diabetes Treatment Satisfaction Questionnaire scores in the LIX group was significantly greater compared with that in the MDI group. Mean changes in glycated hemoglobin levels were −0.05 ± 0.37% in the MDI group and 0.04 ± 0.38% in the LIX group ( P = 0.36). Mean changes in body weight were +0.6 ± 1.8 kg in the MDI group and −2.5 ± 1.8 kg in the LIX group ( P < 0.01). Conclusions Switching from MDI to combination therapy with LIX and basal insulin improved satisfaction levels while maintaining glycemic control in Japanese patients with type 2 diabetes.