Type 2 & other diabetes

Time trends and regional variation in utilization of antidiabetic medicines in China, 2015–2022

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

The procurement of non-insulin antidiabetic medicines in China has increased a lot from 2015 to 2022. In terms of DDDs per patient, sulphonylurea ranked first, followed by metformin. The procurement of new drugs increased greatly. A large regional disparity existed in medicine usage and patterns.

Study context

Population
Non-insulin antidiabetic medicines (29 medicines, nine subgroups) procured in seven regions of China, 2015–202229 medicines
Outcome
DDDs of non-insulin antidiabetic medicines procured per patient with diabetes
Follow-up
2015 to 2022
Methodological detailsnational procurement data, trend analysis
  • National procurement data
  • Trend analysis

Main finding

As reported in the abstract

DDDs per patient, nationwide

Defined daily doses (DDDs) per patient, 2015

14.45

DDDs per patient, 2022

47.37

Observational data: associations, not effects.

Further findings

DDDs per patient by subgroup · 2015 to 2022

SU, 2015 to 2022 (relative change)
7.04 to 15.39 (119%)
Biguanides, 2015 to 2022 (relative change)
3.28 to 11.11 (239%)
New drugs (DPP-4i, SGLT2i, GLP-1 RA): relative change
>5000%
SGLT2i, 2015 to 2022 (relative change)
0.08 to 5.03 DDDs (6662%)

Regional relative change

Southwest region (highest)
319%
Southern region (lowest)
118%

Regional disparity · 2022

Biguanide (lowest)
1.19
TZD (highest)
2.21

Original publication

Time trends and regional variation in utilization of antidiabetic medicines in China, 2015–2022. Diabetes Obes Metab. Published 15 April 2024. doi:10.1111/dom.15594

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