Impact of delaying treatment intensification with a glucagon‐like peptide‐1 receptor agonist in patients with type 2 diabetes uncontrolled on basal insulin: A longitudinal study of a US administrative claims database

Nov 10, 2017Diabetes, obesity & metabolism

Delaying stronger treatment with a hormone-based drug in type 2 diabetes patients not controlled by basic insulin

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Abstract

A total of 139 patients initiated early intensification with a GLP-1 receptor agonist () for type 2 diabetes (T2D).

  • Delayed intensification with a GLP-1 RA resulted in a smaller reduction in levels (-0.68%) compared to early intensification (-1.01%).
  • The rate of overall hypoglycaemia was numerically higher in the delayed intensification group (0.26 events/patient-years) than in the early group (0.06 events/patient-years).
  • Total healthcare costs increased by $5266 in the no intensification group, reduced by $560 in the early intensification group, and increased by $1943 in the delayed group.

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Key numbers

-0.68%
Reduction
Change in from baseline in the delayed group.
0.26 events/patient-years
Overall Hypoglycaemia Rate
Rate of hypoglycaemic events in the delayed intensification group.
+5266 USD
Healthcare Cost Change
Increase in semi-annual healthcare costs in the no intensification group.

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