نبرد انسولین‌ها: نوبمیکس سه‌بار در روز در مقابل انسولین گلارگین یک‌بار در روز در مدیریت کنترل قند خون در دیابت نوع ۲

نوع مقاله : Original Article(s)

نویسندگان

1 میدان آزادی خیابان فرخی کوچه دادگستری خوابگاه حضرت علی اکبر

2 2- Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

10.48305/jims.2025.45272.2491

چکیده

Introduction: Type 2 diabetes mellitus (T2DM) is a major public health issue in Iran, affecting 1.3% to 14.5% of the population. Management includes lifestyle modifications, oral antihyperglycemic agents, and insulin therapy. This study compares the efficacy and safety of Novomix insulin with a regimen of insulin glargine and aspart for improving glycemic control in Iranian T2DM patients.
Materials & Methods: A cross-sectional study at Yazd Medical Research Center included participants aged 30 and older with T2DM for over a year. Patients used either Novomix insulin or insulin glargine plus aspart, with specific kidney function criteria (GFR <30). Glycemic control data (HbA1c, fasting blood glucose, and 2hPP glucose) were collected at baseline, 24, and 48 weeks. Ethical approval was granted by Shahid Sadougi University. (IR.SSU. MEDICINE.REC.1399.198).
Results: A total of 243 patients participated, with 130 assigned to the glargine plus aspart group and 113 to the Novomix group. Baseline glycemic measurements were comparable (P>0.05). Both regimens achieved significant reductions in FBG, 2hPP, and HbA1c levels from baseline to 24 and 48 weeks (P<0.05). However, the differences in the changes between the two groups were not statistically significant (P>0.05).
Conclusion: Both insulin regimens effectively lowered glycemic levels without significant differences. Future studies with larger samples and longer durations are needed for further evaluation.

تازه های تحقیق

ریحانه عزیزی: Google Scholar 

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Battle of the Insulins: Thrice-Daily Novomix vs. Once-Daily Insulin Glargine in Managing Glycemic Control for Type 2 Diabetes

نویسندگان [English]

  • mohammad javad mohammadifard 1
  • Abolfazl Taghinejad 1
  • Reyhaneh Azizi 2
1 1. Faculty of Medicine - Shahid Sadoughi University of Medical Sciences, Yazd. Iran
2 2- Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
چکیده [English]

Introduction: Type 2 diabetes mellitus (T2DM) is a major public health issue in Iran, affecting 1.3% to 14.5% of the population. Management includes lifestyle modifications, oral antihyperglycemic agents, and insulin therapy. This study compares the efficacy and safety of Novomix insulin with a regimen of insulin glargine and aspart for improving glycemic control in Iranian T2DM patients.
Materials & Methods: A cross-sectional study at Yazd Medical Research Center included participants aged 30 and older with T2DM for over a year. Patients used either Novomix insulin or insulin glargine plus aspart, with specific kidney function criteria (GFR <30). Glycemic control data (HbA1c, fasting blood glucose, and 2hPP glucose) were collected at baseline, 24, and 48 weeks. Ethical approval was granted by Shahid Sadougi University. (IR.SSU. MEDICINE.REC.1399.198).
Results: A total of 243 patients participated, with 130 assigned to the glargine plus aspart group and 113 to the Novomix group. Baseline glycemic measurements were comparable (P>0.05). Both regimens achieved significant reductions in FBG, 2hPP, and HbA1c levels from baseline to 24 and 48 weeks (P<0.05). However, the differences in the changes between the two groups were not statistically significant (P>0.05).
Conclusion: Both insulin regimens effectively lowered glycemic levels without significant differences. Future studies with larger samples and longer durations are needed for further evaluation.

کلیدواژه‌ها [English]

  • Insulin Aspart
  • Insulin Glargine
  • Glycemic control
  • Diabetes mellitus type 2

مقالات آماده انتشار، پذیرفته شده
انتشار آنلاین از تاریخ 11 شهریور 1404
  • تاریخ دریافت: 12 خرداد 1404
  • تاریخ پذیرش: 20 خرداد 1404