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Clinical effect of Alogliptin combined with Metformin in the treatment of type 2 diabetes mellitus complicated with non-alcoholic fatty liver |
LIU Ying YU Hong-ying |
Department of Endocrinology,the Second People′s Hospital of Jingdezhen City in Jiangxi Province,Jingdezhen 333000,China |
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Abstract Objective To investigate the clinical effect of Alogliptin combined with Metformin in the treatment of type 2 diabetes mellitus complicated with non-alcoholic fatty liver(NAFLD).Methods A total of 60 patients with type 2 diabetes mellitus complicated with non-alcoholic fatty liver treated in our hospital from May 2017 to May 2018 were selectes as the subjects,and divided into observation group and control group by random number table method,with 30 cases in each group.The control group was treated with metformin.The observation group was treated with Aglutine combined with Metformin.The baric index(BMI),fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(HbA1c),aspartate aminotransferase(AST),alanine aminotransferase(ALT),gamma-glutamyl transpeptidase(GGT),total cholesterol(TC),triacylglycerol(TG)and fatty liver clinical effects,adverse reactions were observed.Results BMI,FRG,2 hPG and HbAlc of the two groups after treatment were lower than those before treatment,and the BMI,FRG,2 hPG and HbAlc of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).AST,ALT,GGT,TC,TG of the two groups after treatment were lower than those before treatment,and the AST,ALT,GGT and TG of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in total incidence of adverse reactions between the two groups (P>0.05).Conclusion Agliptin combined with Metformin has obvious effect on type 2 diabetes mellitus complicated with NAFLD.It can effectively control blood glucose,improve liver function,and is safe.It is worthy of clinical application.
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