Effects of Glargine u300 on Low-Density Lipoprotein (LDL), Triglyceride(TG) and Blood Glucose Levels: Real-Life Outcomes

Öz

Aim: In real life, we aimed to evaluate the effect of new generation insulin glargine u-300 on fasting blood glucose, HbA1c, LDL and triglyceride levels. Material and Methods: This is a retrocspective cohort study. We retrospectively reviewed patients who applied to the Endocrinology and metabolism outpatient clinic of Eskişehir Osmangazi University in 2019, whose old generation basal insulin was replaced with glargine u-300 and whose antilipidemic treatment was not changed. We compared fasting blood glucose(mg/dl), HbA1c(%), LDL(mg/ dl) and triglyceride(mg/dl) values at baseline and after 3 months. We also evaluated these data by separating them into genders. Shapiro– Wilk normality test was performed for continuous variables. Wilcoxon Signed Ranks test was performed for non-normally distributed variables. Results: Data concerning 109 patients were analysed. The fasting blood glucose average and median value decreased in control after starting glarjin u-300. However, it was not statistically different (p=0.06). The HbA1c control value (8.8%) decreased statistically significantly compared to the baseline value (9.61%) (p<0.001). The LDL control value(116.6mg/dl) also decreased statistically significantly compared to the baseline value (124mg/dl) (p<0.001). Although Hba1c and LDL were significant, there was no significant difference in terms of triglycerides. When we evaluate the sexes separately, we see that fasting blood glucose, HbA1c, LDL and triglyceride values decrease more in men. Fasting blood glucose, which does not show statistically significant difference in women, has been shown to decrease significantly in men. Conclusion: We think that showing statistically significant HbA1c and LDL decline with the Glarjin u-300 in real-life data is promising for further studies. At the same time, despite the significant decrease in fasting blood glucose in men, the inability to show it in women should be considered as data that need further evaluation.

Anahtar Kelimeler

• Glargine u-300
• LDL
• HbA1c
• triglyceride

Glargine u300'ün Düşük Yoğunluklu Lipoprotein (LDL), Trigliserid (TG) ve Kan Şekeri Düzeyleri Üzerindeki Etkileri: Gerçek Yaşam Sonuçları

Öz

Amaç: Gerçek hayatta yeni nesil insülin glarjin u-300'ün açlık kan şekeri, HbA1c, LDL ve trigliserit düzeylerine etkisini değerlendirmeyi amaçladık. Gereç ve Yöntemler: Eskişehir Osmangazi Üniversitesi Endokrinoloji ve Metabolizma polikliniğine 2019 yılında başvuran, eski nesil bazal insülin yerine glargine u-300 kullanılan ve antilipidemik tedavisi değişmeyen hastaları geriye dönük olarak inceledik. Başlangıçta ve 3 ay sonra açlık kan şekeri(mg/dl), HbA1c(%), LDL(mg/dl) ve trigliserit(mg/dl) değerlerini karşılaştırdık. Biz de bu verileri cinsiyetlere continayırarak değerlendirdik. Sürekli değişkenler için Shapiro-Wilk normallik testi yapıldı. Normal dağılım gösteren değişkenler için paired sample t testi, normal dağılım göstermeyen değişkenler için Wilcoxon Signed Ranks testi uygulandı. Bulgular: 109 hasta ile ilgili veriler analiz edildi. Açlık kan şekeri ortalaması ve medyan değeri kontrolde glarjin u-300'e başladıktan sonra azaldı. Ancak istatistiksel olarak farklı değildi(p=0,06). HbA1c kontrol değeri (%8,8) başlangıç değerine (%9,61) göre istatistiksel olarak anlamlı derecede azaldı (p<0,001). LDL kontrol değeri (116,6mg/dl) ayrıca başlangıç değerine (124mg/dl) kıyasla istatistiksel olarak önemli ölçüde azaldı (p<0,001). Hba1c ve LDL anlamlı olmasına rağmen trigliseridler açısından anlamlı fark yoktu. Cinsiyetleri ayrı ayrı değerlendirdiğimizde erkeklerde açlık kan şekeri, HbA1c, LDL ve trigliserit değerlerinin daha fazla düştüğünü görüyoruz. Kadınlarda istatistiksel olarak anlamlı farklılık göstermeyen açlık kan şekerinin erkeklerde önemli ölçüde düştüğü gösterilmiştir. Sonuç: Gerçek hayat verilerinde Glarjin u-300 ile istatistiksel olarak anlamlı HbA1c ve LDL düşüşü göstermenin daha sonraki çalışmalar için umut verici olduğunu düşünüyoruz. Aynı zamanda erkeklerde açlık kan şekerindeki önemli düşüşe rağmen kadınlarda gösterilememesi daha fazla değerlendirilmesi gereken veriler olarak değerlendirilmelidir.

Anahtar Kelimeler

• Glargine u-300
• LDL
• HbA1c
• triglyceride

Kaynakça

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