Type 2 & other diabetes

Real‐world effectiveness and safety of insulin glargine 300 U/ml in insulin‐naïve people with type 2 diabetes in the Latin America region: A subgroup analysis of the A Toujeo Observational Study (ATOS)

Diabetes Obes MetabPublished Subgroup analysis of the ATOS prospective observational study

Authors' conclusion

In a real-world setting in the Latin America region, the initiation of Gla-300 in people with T2D uncontrolled on OADs resulted in improved glycaemic control with a low incidence of hypoglycaemia and no change in body weight.

Study context

Population
Insulin-naïve adults (≥18 years) with T2D uncontrolled (HbA1c >7% and ≤11%) on ≥1 oral antidiabetic drug (OAD), Mexico, Colombia and Peru (Latin America region); mean age 56.0 ± 11.6 years, diabetes duration 9.7 ± 6.6 years, 65.9% on ≥2 OADsLatin America subgroup
Participants
314 adults
Primary endpoint
Percentage of participants achieving their predefined individualized HbA1c goal
Follow-up
Month 6
Methodological detailsmulticentre, 12-month, real-world
  • Multicentre
  • 12-month
  • Real-world

Primary result

As reported in the abstract

Individualized HbA1c target achieved

Participants achieving individualized HbA1c target

25.8%

95% CI 20.3–31.9

Secondary outcomes

Individualized HbA1c target achieved · month 12

Participants achieving individualized HbA1c target
35.3% (95% CI 28.5-42.5)

HbA1c, fasting plasma glucose (FPG) and fasting self-monitored blood glucose (SMBG)

Gla-300 treatment improved glycaemic control with meaningful reductions in mean HbA1c, FPG and fasting SMBG

Body weight

Body weight remained stable

Safety

Incidence of hypoglycaemia was low
Body weight remained stable

Original publication

Real‐world effectiveness and safety of insulin glargine 300 U/ml in insulin‐naïve people with type 2 diabetes in the Latin America region: A subgroup analysis of the ATOS. Diabetes Obes Metab. Published 9 October 2022. doi:10.1111/dom.14868

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