Title
Remission Rate of Newly Diagnosed Type 2 Diabetes Outpatients Treated With Short-term Intensive Insulin Therapy
Phase
Phase 4Lead Sponsor
Shandong Province Qianfoshan HospitalStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Type2 DiabetesIntervention/Treatment
insulin human sitagliptin pioglitazone ...Study Participants
170To evaluate the long-term remission rate of short-term intensive insulin (STII) therapy in newly diagnosed type 2 diabetes outpatients and investigate the predictors contributing to the remission rate.
Insulin (Novolin 30R) was titrated according to the level of blood glucose until reached euglycemia (FPG≤6.1mmol/L and/or P2hBG≤8.0mmol/L and/or HbA1c ≤6.5%). After glucose was well controlled within these targets for 4 weeks, insulin dosage was gradually decreased until discontinued; Pioglitazone hydrochloride was discontinued if the glucose was well controlled at the 6th week after the cessation of insulin; Metformin was the last drug that to be discontinued if the glucose was still well controlled at the 4th week after the cessation of pioglitazone.
Drugs: Insulin (Novolin 30R) monotherapy or combined with one or two oral drugs (metformin 0.5 mg tid and pioglitazone hydrochloride 15 mg qd).
Inclusion Criteria: Newly diagnosed, insulin-naive type 2 diabetes outpatients Diabetes duration less than 1 year Exclusion Criteria: Various acute complications Hepatic transaminase >2.5x normal reference value (glutamic-pyruvic transminase>100U/L, glutamic-oxalacetic transaminase > 100U/L) Abnormal renal functions (serum cretinine>the normal reference value) Cardiac insufficiency (America NYHA caediac function >3) Type 1 diabetes mellitus Ongoing hormone therapy Women in gestation and lactation Patients with other endocrine disorders