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Efficacy of dapagliflozin-based combinations for glycemic control in type 2 diabetes

Type II diabetes mellitus Type II diabetes mellitus
Type II diabetes mellitus Type II diabetes mellitus

This study sought to determine the potency of newer combinations of anti-diabetic medications, specifically those including dapagliflozin (sodium-glucose cotransporter 2 [SGLT2] inhibitors), sitagliptin and vildagliptin (dipeptidyl peptidase-4 [DPP-4] inhibitors), and metformin.

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Key take away

The combination of dapagliflozin with sitagliptin, vildagliptin, and metformin proves equally effective for glycemic control in type II diabetes mellitus.

Background

This study sought to determine the potency of newer combinations of anti-diabetic medications, specifically those including dapagliflozin (sodium-glucose cotransporter 2 [SGLT2] inhibitors), sitagliptin and vildagliptin (dipeptidyl peptidase-4 [DPP-4] inhibitors), and metformin.

Method

Researchers included individuals with diabetes whose blood glucose levels were well-controlled in accordance with standard clinical guidelines, as reflected by their fasting blood sugar (FBS) and postprandial blood sugar (PPBS) readings. Only patients’ medical history, current medications, and glycemic status were considered. Overall, 90 participants were randomly assigned to one of three treatment groups, each comprising 30 individuals.

  • Group 1: Received dapagliflozin 10 mg + sitagliptin 100 mg
  • Group 2: Received dapagliflozin 10 mg + vildagliptin 100 mg
  • Group 3: Received dapagliflozin 10 mg + metformin 500 mg

Further subgroup analysis was conducted based on gender and age brackets of 30–50 and 51–70 years.

Result

All 3 groups exhibited significant improvement over time. Prominent differences were observed across visits, with visit 1 showing greater significance than visits 2 and 3, and visit 2 showing greater significance than visit 3. Group 1 depicted the most significant improvement in FBS and PPBS levels across all three visits when compared to the other regimens.

Conclusion

Dapagliflozin, when combined with sitagliptin, vildagliptin, and metformin, offers comparable efficacy in managing blood glucose levels in type II DM.

Source:

Indian Journal of Pharmaceutical Education and Research

Article:

Effectiveness Assessment of Dapagliflozin as an Add on to Sitagliptin, Vildagliptin and Metformin in Patients with Different Demographic Parameters in Type II DM

Authors:

Prabhudatta Mohapatra et al.

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