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Sitagliptin Add-On To Metformin Plus Sulphonylurea Combination Therapy: The Efficacy Of Triple Therapy On Metabolic and Glycemic Control İn Type 2 Diabetes

S. Kişioğlu

2021

2 citations

Abstract

©Copyright 2021 by Anatolian Journal of Family Medicine Available online at www.anatoljfm.org INTRODUCTION Diabetes is a complex, chronic entity that requires strategies to reduce multiple risk factors and continuous medical care well beyond glycemic control.[1] Oral antidiabetic drugs (OAD) are continuously being approved for the treatment of type 2 diabetes, leading to more diverse combination possibilities before treatment intensification and forefront combination therapies. The American Diabetes Association (ADA) Standards of Medical Care in Diabetes 2019 guideline advises a combination therapy of two drugs if hemoglobin A1c (HbA1c) levels are >1.5% of the aimed rate. Meanwhile, The American Association of Clinical Endocrinologists and The American College of Endocrinology (AACE/ACE) 2019 guidelines advise for double drug treatment as a first-line approach in patients with ≥7.5% HbA1c.[1,2] Data on the outcomes of adding a third OAD into the double treatment, including metformin, Objectives: This study aimed to evaluate the efficacy of sitagliptin add-on metformin and sulphonylurea combination therapy in type 2 diabetic patients with insufficient glycemic control.

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