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Comparison of clinical efficacy of Liraglutide and Insulin pump in newly diagnosed obese patients with type 2 diabetes mellitus |
ZHAO Sa SHI Yi-shan▲ |
Department of Endocrinology,the Second Affiliated Hospital of Shenyang Medical College in Liaoning Province,Shenyang 110002,China |
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Abstract ObjectiveTo compare the efficacy of Liraglutide and continuous subcutaneous Insulin infusion (CSII)via pump in newly diagnosed obese patients with type 2 diabetes mellitus.MethodsFrom October 2015 to October 2016,a total of 64 patients with newly-diagnosed type 2 diabetes mellitus(DM)without application of antidiabetic drugs treated in our department were randomly divided into Liraglutide hypodermic injection group and continuous Insulin pump group.The treatment was lasted for 4 weeks.The fasting and 2-hour postprandial blood glucose,Insulin level in fasting,glycosylated hemoglobin(HbA1c),body mass index(BMI),and waist circumference were compared before and after treatment between the two groups.ResultsThe fasting plasma glucose(FPG),2-hour postprandial blood glucose(2 h PG),fasting Insulin (FINS),and HbA1c were significantly improved in the two groups compared with those before treatment,but there was no significant difference in inter-group comparisons.The BMI and waist circumference in Liraglutide group were obviously improved compared with those before treatment,and also displayed statistical differences in comparison of Insulin pump group.ConclusionFor the newly diagnosed obese patients with type 2 diabetes,the application of Liraglutide for blood glucose reduction can effectively reduce the blood glucose level,improve the function of islet β cells,and the effect is tantamount to that by Insulin pump.The former has the advantages of reducing body weight and waist circumference.
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