학술논문

Optimization of Metformin in the GRADE Cohort: Effect on Glycemia and Body Weight
Document Type
article
Author
Sivitz, William IPhillips, Lawrence SWexler, Deborah JFortmann, Stephen PCamp, Anne WTiktin, MargaretPerez, MagalysCraig, JacquelineHollander, Priscilla ACherrington, AndreaAroda, Vanita RTan, Meng HeeKrakoff, JonathanRasouli, NedaButera, Nicole MYounes, NajiCrandall, Jill PDiane McKee, MelissaBrown-Friday, JanetXhori, EntilaBallentine-Cargill, KeishaDuran, SallyLukin, JenniferBeringher, StephanieGonzalez de la torre, SusanaPhillips, LawrenceBurgess, ElizabethOlson, DarinRhee, MaryWilson, PeterStephanie Raines, TashaCostello, JulieGullett, ChonaMaher-Albertelli, MaxineMorehead, FolayanMungara, RadhikaPerson, SaranjitSavoye, LouiseSibymon, MabilTanukonda, SridharAnn White, CarolHolloway, LeahAdams, CynthiaRoss, AprilBalasubramanyam, AshokGonzalez, EricaWright, CharlyneHollander, PriscillaRoe, ErinUy, AnalynBurt, PollyEstrada, LorieChionh, KrisIsmail-Beigi, FaramarzFalck-Ytter, CorinnaSayyed Kassem, LaureSood, AjayCramer, BethanyIacoboni, JacalynKononets, Maria VKulow, TanyaNewman, CynthiaStancil, Katherine ASanders, CristinaTucker, LisaWerner, AmandaKrol, AdrienneMcPhee, GloriaPatel, ChristineColosimo, LindaGoland, RobinPring, JamesKringas, PatriciaTejada, JessicaHausheer, CamilleSchneier, HarveyGumpel, KellyKirpitch, AmandaGreen, Jennifer BAbouAssi, HibaChatterjee, RaneeFeinglos, Mark NEnglish Jones, JenniferKhan, Shubi AKimpel, Jeanne BZimmer, Ronna PFurst, MarySatterwhite, Barbara MThacker, Connie REvans Kreider, KathrynMather, Kieren JLteif, AmaleHamilton, TonyaPatel, NickRiera, GabrielaJackson, MarciaPirics, VivianHoward, DevinAguillar, Danielle
Source
Diabetes Care. 43(5)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Prevention
Clinical Research
Diabetes
Nutrition
6.1 Pharmaceuticals
Evaluation of treatments and therapeutic interventions
Metabolic and endocrine
Adult
Aged
Blood Glucose
Body Weight
Calibration
Comparative Effectiveness Research
Diabetes Mellitus
Type 2
Dose-Response Relationship
Drug
Drug Therapy
Combination
Female
Glycated Hemoglobin
Humans
Hypoglycemic Agents
Insulin
Liraglutide
Male
Maximum Tolerated Dose
Metformin
Middle Aged
Sitagliptin Phosphate
Sulfonylurea Compounds
Weight Loss
GRADE Research Group
Medical and Health Sciences
Endocrinology & Metabolism
Biomedical and clinical sciences
Health sciences
Language
Abstract
ObjectiveWe evaluated the effect of optimizing metformin dosing on glycemia and body weight in type 2 diabetes.Research design and methodsThis was a prespecified analysis of 6,823 participants in the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE) taking metformin as the sole glucose-lowering drug who completed a 4- to 14-week (mean ± SD 7.9 ± 2.4) run-in in which metformin was adjusted to 2,000 mg/day or a maximally tolerated lower dose. Participants had type 2 diabetes for