The International Journal of Romanian Society of Endocrinology / Registered in 1938

in ISI Thomson Master Journal List

October - December 2016, Volume 12, Issue 4
Clinical review/Extensive clinical experience

Serafinceanu C, Timar R, Catrinoiu D, Zaharia A

Choice of the Add-on Therapy to Metformin in Type 2 Diabetes Patients in Clinical Practice. Initial Results from a Non-Interventional Multicenter Study in Romania (REALITY)

Acta Endo (Buc) 2016, 12 (4): 455-460
doi: 10.4183/aeb.2016.455

Metformin, a biguanide, remains the most widely used first-line type 2 diabetes drug. It is generally considered weight-neutral with chronic use and does not increase the risk of hypoglycaemia. Most patients eventually require more than one antihyperglycemic agent to achieve target blood glucose levels. The primary objective of this non-interventional study was to describe and compare the main criteria used by physicians from regular outpatient setting in selecting the add-on therapy in patients with inadequately metformincontrolled type 2 diabetes in 2 time points at 1-year distance by assessment of patient, and/or agent characteristics and/or physician decision. At the end of phase one of the study, the mean duration of type 2 diabetes was 6.8 years. The majority of patients included in the study were overweight (32%) and obese (62%), and presented diabetes complications (59.6%). In 50% of the cases, the major reason for selecting the second-line therapy was related to patient characteristics, while agent characteristics and physician decision were the main categories in 38% and 12%, respectively. Importance to achieve glycemic control and estimated treatment efficacy were selected in 73.9% and 82.4% of patients, calculated as percentage in the respective categories.

Keywords: type 2 diabetes, add-on therapy, metformin, Romania, control, Haemoglobin A1c, HbA1c

Correspondence: Adrian Zaharia MD, AstraZeneca Romania, Medical Department, Bucharest Business Park, 12 Menuetului Street, building D, 1st floor, District 1, 013713, Bucharest, Romania, E-mail: