Type2 Diabetes Clinical Trial
Official title:
Dapaglifozin in Type 2 Diabetes Mellitus Patients: A Single-centre Retrospective Cohort Study
Type 2 diabetes mellitus (T2DM) is creating a health pandemic globally. Management of type 2 diabetes involves combination of lifestyle intervention and drug intervention, which includes sodium-glucose transporter 2 (SGLT-2) inhibitors, such as dapagliflozin. Dapagliflozin (Forxiga®) was approved by the Malaysian Drug Authority for the treatment of type 2 diabetes in 2014. This study will describe the characteristics of patients who are prescribed dapagliflozin by diabetologists/endocrinologists in a tertiary referral center and describe their glycaemic control, weight, and renal function at baseline and during use of dapagliflozin.
The prevalence of type 2 diabetes among adults >18 years old is 17.5% in Malaysia, where half
of them are undiagnosed. Diabetes also accounts for 14.5% of all-cause mortality worldwide,
with close to half of the deaths are in subjects <60 years old. These highlight the
importance of early diagnosis of disease, timely intervention with appropriate therapy, and
treating type 2 diabetes patients to goal to prevent the development of complications.
Asian type 2 diabetes phenotypes are different than Caucasians, i.e. significant pancreatic
beta-cell dysfunction, higher visceral adiposity, more vulnerable to cardio-renal
complications. Although clinical trials of SGLT-2 inhibitors have been published, real-world
data on the use of this new class of antidiabetic medication is still lacking, in
particularly among Asians.
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