Efficacy of Teneligliptin as Add-on Therapy in Patients with Type 2 Diabetes Mellitus and Chronic Kidney Disease: A Real-World Experience
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2019, Vol 6, Issue 10
Abstract
Introduction: Type 2 diabetes mellitus (T2DM) with chronic kidney disease (CKD) is dreadful combination necessitating adequate glycemic control to prevent further complications. Teneligliptin is found to be renal friendly antidiabetic agent which can provide effective glycemic control. Objective: The objective of this study was to determine the efficacy of teneligliptin as add-on to existing therapy in patients of T2DM with CKD. Materials and Methods: This was a retrospective study where patients with T2DM and CKD who received teneligliptin were included in the study. Changes in glycemic parameters such as hemoglobin A1c (HbA1c) (%), fasting plasma glucose (FPG), and postprandial plasma glucose (PPG) and change in estimated glomerular filtration rate (eGFR) were analyzed. Results: In total, 66 patients were included in analysis. Mean age was 57.7 ± 14.0 years and 60.6% were males. Baseline HbA1c, FPG, and PPG levels were 7.8 ± 0.7%, 128.0 ± 25.5 mg/dl, and 214.0 ± 55.9 mg/dl, respectively. There was a significant reduction in HbA1c at 3 and 6 months (mean difference from baseline: −0.9 ± 0.5 and −1.2 ± 0.5 respectively, P < 0.001 for both). Similarly, mean change in FPG (−28.4 ± 20.9 and −29.9 ± 24.3 mg/dl, respectively) and PPG (−70.5 ± 49.2 and −97.0 ± 60.7 mg/dl, respectively) was also significant (P < 0.001 for all comparisons). The change in eGFR was significant at 3 months (P = 0.049) and 6 months (P = 0.014). Conclusion: Teneligliptin is effective in reducing glycemic burden in patients with T2DM and CKD and can be considered as be considered among first choices for glycemic control in patients with renal impairment.
Authors and Affiliations
Ram Kumar, Ameet Rathod, Sachin Suryawanshi, Hanmant Barkate, Sujay Patil
Keywords
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