Latest & greatest articles for metformin

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Top results for metformin

1. Efficacy and safety of once-weekly dulaglutide versus insulin glargine in mainly Asian patients with type 2 diabetes mellitus on metformin and/or a sulphonylurea: A 52-week open-label, randomized phase III trial

Efficacy and safety of once-weekly dulaglutide versus insulin glargine in mainly Asian patients with type 2 diabetes mellitus on metformin and/or a sulphonylurea: A 52-week open-label, randomized phase III trial 30129089 2018 10 08 1463-1326 2018 Aug 21 Diabetes, obesity & metabolism Diabetes Obes Metab Efficacy and safety of once-weekly dulaglutide versus insulin glargine in mainly Asian patients with type 2 diabetes mellitus on metformin and/or a sulphonylurea: A 52-week open-label (...) , randomized phase III trial. 10.1111/dom.13506 To compare the efficacy and safety of once-weekly dulaglutide with that of insulin glargine in combination with metformin and/or a sulphonylurea in mainly Asian patients with type 2 diabetes mellitus (T2DM). In this 52-week, randomized, parallel-arm open-label study, we enrolled patients aged ≥18 years with T2DM for at least 6 months and a glycated haemoglobin (HbA1c) concentration ≥53.0 mmol/mol (7.0%) and ≤96.7 mmol/mol (11.0%). The primary outcome

EvidenceUpdates2018

2. Metformin shows early promise for controlling clozapine-related weight gain

Metformin shows early promise for controlling clozapine-related weight gain Signal - Metformin shows early promise for controlling clozapine-related weight gain Dissemination Centre Discover Portal NIHR DC Discover Metformin shows early promise for controlling clozapine-related weight gain Published on 30 August 2016 People with schizophrenia who were taking clozapine had greater weight loss, reductions in waist circumference, and lower glucose and triglycerides, when given metformin compared (...) if these treatments are unsuccessful. SIGN guidelines recommend considering the use of metformin, and this review suggests it is likely to be beneficial, though this is early stage research. Share your views on the research. Why was this study needed? Schizophrenia is a serious and chronic mental health condition. It affects around 1 in 100 people in their lifetime. Many respond to initial drug treatment but around 20% of people do not respond sufficiently well. After two attempts with different antipsychotic

NIHR Dissemination Centre2018

3. A randomized, open-label, multicentre, parallel-controlled study comparing the efficacy and safety of biphasic insulin aspart 30 plus metformin with biphasic insulin aspart 30 monotherapy for type 2 diabetes patients inadequately controlled with oral anti

A randomized, open-label, multicentre, parallel-controlled study comparing the efficacy and safety of biphasic insulin aspart 30 plus metformin with biphasic insulin aspart 30 monotherapy for type 2 diabetes patients inadequately controlled with oral anti 29961975 2018 08 03 1463-1326 2018 Jul 02 Diabetes, obesity & metabolism Diabetes Obes Metab A randomized, open-label, multicentre, parallel-controlled study comparing the efficacy and safety of biphasic insulin aspart 30 plus metformin (...) with biphasic insulin aspart 30 monotherapy for type 2 diabetes patients inadequately controlled with oral antidiabetic drugs: The merit study. 10.1111/dom.13454 To confirm non-inferiority of biphasic insulin aspart 30 (BIAsp 30) plus metformin to BIAsp 30 in lowering glycated haemoglobin (HbA1c) in Chinese patients with inadequately controlled type 2 diabetes using oral antidiabetic drugs. In this 16-week, prospective, randomized, open-label, multicentre, parallel-controlled study, patients aged 18-79

EvidenceUpdates2018

4. Safety and Efficacy of Exenatide Once Weekly Plus Dapagliflozin Once Daily Versus Exenatide or Dapagliflozin Alone in Patients With Type 2 Diabetes Inadequately Controlled With Metformin Monotherapy: 52-Week Results of the DURATION-8 Randomized Controlled

Safety and Efficacy of Exenatide Once Weekly Plus Dapagliflozin Once Daily Versus Exenatide or Dapagliflozin Alone in Patients With Type 2 Diabetes Inadequately Controlled With Metformin Monotherapy: 52-Week Results of the DURATION-8 Randomized Controlled 30082326 2018 08 07 1935-5548 2018 Aug 06 Diabetes care Diabetes Care Safety and Efficacy of Exenatide Once Weekly Plus Dapagliflozin Once Daily Versus Exenatide or Dapagliflozin Alone in Patients With Type 2 Diabetes Inadequately Controlled (...) With Metformin Monotherapy: 52-Week Results of the DURATION-8 Randomized Controlled Trial. dc180680 10.2337/dc18-0680 Among patients with type 2 diabetes uncontrolled with metformin, exenatide once weekly (QW) plus dapagliflozin combination produced greater reductions in glycemia, weight, and systolic blood pressure (SBP) at 28 weeks than exenatide QW or dapagliflozin alone (DURATION-8). Here, we investigated the safety and maintenance of efficacy at 52 weeks, after a 24-week extension. This phase 3

EvidenceUpdates2018

5. Giving obese pregnant women metformin had no effect on baby’s weight at birth

Giving obese pregnant women metformin had no effect on baby’s weight at birth Signal - Giving obese pregnant women metformin had no effect on baby’s weight at birth Dissemination Centre Discover Portal NIHR DC Discover Giving obese pregnant women metformin had no effect on baby’s weight at birth Published on 15 September 2015 A large trial found that giving obese pregnant women the diabetes drug, metformin, to prevent heavier babies, had no effect compared with an inactive dummy tablet (...) . The trial was funded by the NIHR and Medical Research Council, and was the first to give metformin, a diabetes drug that is safe in pregnancy, to pregnant women without type 2 diabetes for this purpose. There are theoretical reasons why the medication may help in reducing a baby’s birthweight and previous studies had shown links between higher glucose levels in mother’s blood and larger babies. Participants received either standard doses of metformin or the inactive tablet from about 12 weeks

NIHR Dissemination Centre2018

6. A 26-Week Randomized Controlled Trial of Semaglutide Once Daily Versus Liraglutide and Placebo in Patients With Type 2 Diabetes Suboptimally Controlled on Diet and Exercise With or Without Metformin

A 26-Week Randomized Controlled Trial of Semaglutide Once Daily Versus Liraglutide and Placebo in Patients With Type 2 Diabetes Suboptimally Controlled on Diet and Exercise With or Without Metformin 30026333 2018 07 20 1935-5548 2018 Jul 19 Diabetes care Diabetes Care A 26-Week Randomized Controlled Trial of Semaglutide Once Daily Versus Liraglutide and Placebo in Patients With Type 2 Diabetes Suboptimally Controlled on Diet and Exercise With or Without Metformin. dc172381 10.2337/dc17-2381 (...) To investigate the efficacy and safety of once-daily semaglutide in comparison with once-daily liraglutide and placebo in patients with type 2 diabetes. This 26-week, multicenter, double-blind trial involved patients diagnosed with type 2 diabetes with HbA 1c 7.0-10.0% (53-86 mmol/mol) and treated with diet and exercise with or without metformin. Patients were randomized 2:2:1 to once-daily semaglutide, liraglutide, or placebo in one of four volume-matched doses (semaglutide 0.05, 0.1, 0.2, or 0.3 mg

EvidenceUpdates2018

7. Efficacy and safety of dapagliflozin or dapagliflozin plus saxagliptin versus glimepiride as add-on to metformin in patients with type 2 diabetes

Efficacy and safety of dapagliflozin or dapagliflozin plus saxagliptin versus glimepiride as add-on to metformin in patients with type 2 diabetes 29947099 2018 07 17 1463-1326 2018 Jun 27 Diabetes, obesity & metabolism Diabetes Obes Metab Efficacy and safety of dapagliflozin or dapagliflozin plus saxagliptin versus glimepiride as add-on to metformin in patients with type 2 diabetes. 10.1111/dom.13437 To compare the efficacy and safety of dapagliflozin and dapagliflozin plus saxagliptin vs (...) glimepiride as add-on to metformin in patients with type 2 diabetes. This 52-week, multicentre, double-blind, active-controlled study (NCT02471404) randomized (1:1:1) patients (n = 939; HbA1c 7.5%-10.5%) on metformin monotherapy (≥1500 mg/day) to add-on dapagliflozin 10 mg, dapagliflozin 10 mg plus saxagliptin 5 mg, or glimepiride 1 to 6 mg (titrated). The primary efficacy end point was change in HbA1c from baseline to Week 52. Baseline mean age, diabetes duration and HbA1c were 58.4 years, 7.0 years

EvidenceUpdates2018

8. Metformin

Metformin Top results for metformin - Trip Database or use your Google+ account Turning Research Into Practice My query is: English Français Deutsch Čeština Español Magyar Svenska ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing (...) the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for metformin The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines

Trip Latest and Greatest2018

9. Metformin for women who are overweight or obese during pregnancy for improving maternal and infant outcomes.

Metformin for women who are overweight or obese during pregnancy for improving maternal and infant outcomes. BACKGROUND: There has been considerable interest in providing antenatal dietary and lifestyle advice for women with obesity or who are overweight during pregnancy, as a strategy to limit gestational weight gain and improve maternal and infant health. However, such antenatal interventions appear to have a modest effect on gestational weight gain and other clinical pregnancy and birth (...) outcomes and additional strategies are required.Metformin is an oral insulin-sensitising medication that acts to decrease blood glucose concentrations. Metformin is commonly used in the treatment of type 2 diabetes mellitus and polycystic ovarian syndrome, and is being used increasingly in the treatment of gestational diabetes, having been shown to result in decreased rates of caesarean birth and neonatal hypoglycaemia. Metformin may be an adjuvant therapy to current antenatal strategies in pregnant

Cochrane2018

10. Association of Metformin Use With Risk of Lactic Acidosis Across the Range of Kidney Function: A Community-Based Cohort Study

Association of Metformin Use With Risk of Lactic Acidosis Across the Range of Kidney Function: A Community-Based Cohort Study 29868840 2018 07 05 2168-6114 178 7 2018 Jul 01 JAMA internal medicine JAMA Intern Med Association of Metformin Use With Risk of Lactic Acidosis Across the Range of Kidney Function: A Community-Based Cohort Study. 903-910 10.1001/jamainternmed.2018.0292 Approximately 1 million patients in the United States with type 2 diabetes mellitus and mild-to-moderate kidney disease (...) do not receive guideline-directed therapy with metformin. This may reflect uncertainty regarding the risk of acidosis in patients with chronic kidney disease. To quantify the association between metformin use and hospitalization with acidosis across the range of estimated glomerular filtration rate (eGFR), accounting for change in eGFR stage over time. Community-based cohort of 75 413 patients with diabetes in Geisinger Health System, with time-dependent assessment of eGFR stage from January 2004

EvidenceUpdates2018

11. Metformin exposure in first trimester of pregnancy and risk of all or specific congenital anomalies: exploratory case-control study.

Metformin exposure in first trimester of pregnancy and risk of all or specific congenital anomalies: exploratory case-control study. OBJECTIVE: To investigate whether exposure to metformin during the first trimester of pregnancy, for diabetes or other indications, increases the risk of all or specific congenital anomalies. DESIGN: Population based exploratory case-control study using malformed controls. Cases of 29 specific subgroups of non-genetic anomalies, and all non-genetic anomalies (...) birth, and maternal diabetes status. RESULTS: 168 babies affected by congenital anomaly (141 non-genetic and 27 genetic) were exposed to metformin, 3.3 per 1000 births. No evidence was found for a higher proportion of exposure to metformin during the first trimester among babies with all non-genetic anomalies combined compared with genetic controls (adjusted odds ratio 0.84, 95% confidence interval 0.55 to 1.30). The only significant result was for pulmonary valve atresia (adjusted odds ratio 3.54

BMJ2018

12. Spotlight: A case of Metformin Associated Lactic Acidosis

Spotlight: A case of Metformin Associated Lactic Acidosis Spotlight: A case of Metformin Associated Lactic Acidosis | Clinical Correlations Spotlight: A case of Metformin Associated Lactic Acidosis May 11, 2018 By Jasmine Nee and Martin Fried, MD Peer Reviewed LEARNING OBJECTIVES 1. What is metformin-associated lactic acidosis? 2. How does severe acidemia lead to acute kidney injury? 3. How do you treat metformin-associated lactic acidosis? CASE SUMMARY The patient is a 40-year-old man (...) with alcohol dependence and type II diabetes who presented to the emergency department for alcohol intoxication. After arriving hemodynamically stable with reassuring labs, he become tachypneic, confused, and lethargic a few hours later. At this point, he admitted that he took “a few” metformin pills in a suicide attempt. Arterial blood gas was significant for a pH < 6.8 and a lactate > 22 mg/dL. Due to this decompensation, he was intubated, admitted to the medical ICU, and started on hemodialysis via

Clinical Correlations2018

13. Metformin shows early promise for controlling clozapine-related weight gain

Metformin shows early promise for controlling clozapine-related weight gain NIHR DC | Signal - Metformin shows early promise for controlling clozapine-related weight gain Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal Metformin shows early promise for controlling clozapine-related weight gain Published on 30 August 2016 People with schizophrenia who were taking clozapine had greater weight loss, reductions in waist circumference, and lower glucose and triglycerides, when (...) given metformin compared to placebo. There was no significant difference in “good” cholesterol (HDL cholesterol) or blood pressure measures. Clozapine is used to treat schizophrenia that has not responded to treatment with at least two other antipsychotics. However, it has the most negative impact on metabolic function and is strongly associated with weight gain. Current UK practice is to treat clozapine-related weight gain with lifestyle, behaviour, physical activity and diet interventions

NIHR Dissemination Centre2018

14. Giving obese pregnant women metformin had no effect on baby’s weight at birth

Giving obese pregnant women metformin had no effect on baby’s weight at birth NIHR DC | Signal - Giving obese pregnant women metformin had no effect on baby’s weight at birth Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal Giving obese pregnant women metformin had no effect on baby’s weight at birth Published on 15 September 2015 A large trial found that giving obese pregnant women the diabetes drug, metformin, to prevent heavier babies, had no effect compared with an inactive (...) dummy tablet. The trial was funded by the NIHR and Medical Research Council, and was the first to give metformin, a diabetes drug that is safe in pregnancy, to pregnant women without type 2 diabetes for this purpose. There are theoretical reasons why the medication may help in reducing a baby’s birthweight and previous studies had shown links between higher glucose levels in mother’s blood and larger babies. Participants received either standard doses of metformin or the inactive tablet from about

NIHR Dissemination Centre2018

16. The role of metformin and statins in the incidence of epithelial ovarian cancer in type 2 diabetes: a cohort and nested case-control study

The role of metformin and statins in the incidence of epithelial ovarian cancer in type 2 diabetes: a cohort and nested case-control study 29412502 2018 03 12 1471-0528 2018 Feb 07 BJOG : an international journal of obstetrics and gynaecology BJOG The role of metformin and statins in the incidence of epithelial ovarian cancer in type 2 diabetes: a cohort and nested case-control study. 10.1111/1471-0528.15151 To obtain evidence of the effects of metformin and statins on the incidence of ovarian (...) cancer in women with type 2 diabetes (T2D). A retrospective cohort study and nested case-control study. The data were obtained from a diabetes database (FinDM) combining information from several nationwide registers. A cohort of 137 643 women over 40 years old and diagnosed with T2D during 1996-2011 in Finland. In full cohort analysis Poisson regression was used to estimate the hazard ratios (HR) in relation to ever use of metformin, insulin other oral anti-diabetic medication or statins. In the

EvidenceUpdates2018

17. Metformin in non-diabetic hyperglycaemia: the GLINT feasibility RCT

Metformin in non-diabetic hyperglycaemia: the GLINT feasibility RCT Metformin in non-diabetic hyperglycaemia: the GLINT feasibility RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> {{metadata.Title (...) }} {{metadata.Headline}} A large trial comparing the effects of prolonged release metformin and placebo on risk of cardiovascular disease events is potentially feasible. {{author}} {{($index , , , , , , , , , , , , , , , , , , , , & . Simon J Griffin 1, 2, * , M Angelyn Bethel 3 , Rury R Holman 3 , Kamlesh Khunti 4 , Nicholas Wareham 1 , Gwen Brierley 1 , Melanie Davies 4 , Andrew Dymond 1 , Rose Eichenberger 1 , Philip Evans 5 , Alastair Gray 6 , Colin Greaves 5 , Kyla Harrington 4 , Graham Hitman 7 , Greg Irving 2

NIHR HTA programme2018

18. Adequacy of clinical trial evidence of metformin fixed-dose combinations for the treatment of type 2 diabetes mellitus in India

Adequacy of clinical trial evidence of metformin fixed-dose combinations for the treatment of type 2 diabetes mellitus in India 1 Evans V, et al. BMJ Glob Health 2018;3:e000263. doi:10.1136/bmjgh-2016-000263 Adequacy of clinical trial evidence of metformin fixed-dose combinations for the treatment of type 2 diabetes mellitus in India Valerie Evans, 1,2 Peter Roderick, 3 Allyson M Pollock 3 Analysis To cite: Evans V, Roderick P , Pollock AM. Adequacy of clinical trial evidence of metformin fixed (...) pharmaceutical landscape. Although metformin is a first-line treatment, FDCs for diabetes in India account for two-thirds of all diabetes medicine sales, and some have not been approved by the Central Drugs Standard Control Organization (CDSCO). This study examines the basis of efficacy and safety of top-selling metformin FDCs in India against four WHO criteria from clinical trials guidelines for the approval of FDCs. Data from a commercial drug sales database (PharmaTrac) were combined with searches through

BMJ global health2018 Full Text: Link to full Text with Trip Pro

19. Efficacy and Safety of IDegLira Versus Basal-Bolus Insulin Therapy in Patients With Type 2 Diabetes Uncontrolled on Metformin and Basal Insulin; DUAL VII Randomized Clinical Trial

Efficacy and Safety of IDegLira Versus Basal-Bolus Insulin Therapy in Patients With Type 2 Diabetes Uncontrolled on Metformin and Basal Insulin; DUAL VII Randomized Clinical Trial 29483185 2018 02 27 1935-5548 2018 Feb 26 Diabetes care Diabetes Care Efficacy and Safety of IDegLira Versus Basal-Bolus Insulin Therapy in Patients With Type 2 Diabetes Uncontrolled on Metformin and Basal Insulin; DUAL VII Randomized Clinical Trial. dc171114 10.2337/dc17-1114 In patients with uncontrolled (...) type 2 diabetes on basal insulin, prandial insulin may be initiated. We assessed the efficacy and safety of initiating insulin degludec/liraglutide fixed-ratio combination (IDegLira) versus basal-bolus insulin. A phase 3b trial examined patients with uncontrolled type 2 diabetes on insulin glargine (IGlar U100) 20-50 units/day and metformin, randomized to IDegLira or IGlar U100 and insulin aspart four or fewer times per day. Glycated hemoglobin (HbA 1c ) decreased from 8.2% (66 mmol/mol) to 6.7% (50 mmol/mol

EvidenceUpdates2018