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Colegio de Medicina Interna de México.
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2013, Number 2

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Med Int Mex 2013; 29 (2)

Clinical essay to evaluate the effectiveness of a fixed combination of glimepirida and metformina in the treatment of the diabetes mellitus type 2

Olmedo-Canchola VH, Enters-Altés J, del Angel-Cruz RE, Rosas-Heredia ML
Full text How to cite this article

Language: Spanish
References: 3
Page: 159-163
PDF size: 332.31 Kb.


Key words:

Sulfonylurea, Glycosylate hemoglobin, Glucose.

ABSTRACT

In Mexico are four Sul/Big mixtures: Glib/Met, Clor/Met,Glib/Fen and Glim/Met. This last one was used for evaluate the effectiveness of this combination in comparison to Sul/Big. Our study included 108 patients who received an equal doses of glimepirida-metformina instead of Sul/Big. We excluded patients that had been used Glim/Met for the last two months, but we included those whose HbA1c levels were between 8% and 10% for the last six months, and finally, patients who developed ketoacidosis or with glycemic over 250 mg/dL were eliminated. The age average was 61.47 years in women and 58.55 in men; the fasting glucose average was 166-mg/dL for both groups. All the patients presented cholesterol seric levels and triglycerides seric levels over 200 mg/dL. We proceeded to evaluate four bimestrial periods (0,1,2 & 3), in which we founded that, in the beginning of the study, the plasmatic HbA1c levels showed an average of 8.9% and during the fourth period (17th- 24th week) the result was a 7.5%, it means a diminished of 1.4%.


REFERENCES

  1. Stratton IM, Adler AL, Neil HA, et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (8UKPDS 35): prospective observational study. BMJ 1997;314:151-1515.

  2. Mooradian A. Cardiovascular disease in Diabetes Mellitus type 2. Arch Intern Med 2003; 163:33-40.

  3. Villaseñor A, Lozano O, Escalante A, y col. Uso de combinaciones fijas en el tratamiento de la diabetes mellitus tipo 2. Revista de Endocrinología y Nutrición 2002;10(Supl. 1).




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C?MO CITAR (Vancouver)

Med Int Mex. 2013;29