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Clinical Approach to Medical Management of Type 2 Diabetes

Clinical Approach to Medical Management of Type 2 Diabetes

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Effect <strong>of</strong> Antihyperglycemic Agents Added <strong>to</strong> Metformin<br />

and a Sulfonylurea on Glycemic Control and Weight<br />

Gain in <strong>Type</strong> 2<strong>Diabetes</strong>: A Network Meta-analysis<br />

• To evaluate the effect <strong>of</strong> the THIRD antihyperglycemic<br />

agents in the reduction <strong>of</strong> HbA1c level, change in body<br />

weight, and the frequency <strong>of</strong> severe hypoglycemic events<br />

• Meta-analysis <strong>of</strong> 18 trials, 4535 participants<br />

• Mean duration <strong>of</strong> follow-up 31 weeks (26 -52 weeks)<br />

• Duration <strong>of</strong> diabetes 7.5 – 13.1 years<br />

• Baseline A1c 7.5 – 10.6%<br />

Gross et al, Ann Intern Med, 2011

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