Vnitr Lek 2004, 50(11):818-824

[Rosiglitazon in treatment of Type II diabetes mellitus--experience of diabetologists in the Czech Republic. Part I: compensation of diabetes, sugar metabolism].

J Perusicová, T Haas

Diabetologické centrum, III. interni klinika 1. lékarské fakulty UK a VFN, Praha.

UNLABELLED: Thiazolidindione derivates (glitazones) make a very promising group of peroral antidiabetic drugs. They are represented by rosiglitazon which is available on our market to type II diabetics. As far as sugar metabolism is concerned, rosiglitazon can reduce glycaemia and insulin level both when fasting and postprandially.
GOAL: The goal of the authors' work was to gain their own experience with rosiglitazon treatment in type II diabetics in the Czech Republic.
SAMPLE: The monitored sample consisted of 388 patients with insufficiently compensated type II diabetes when treated by sulphonylurea compounds or metformine.

METHODS: 95 diabetologists from diabetology medical offices started a 6-month-long treatment with rosiglitazon (Avandia) dose of 4 mg a day as stated in European recommendations. In order to assess changes in sugar metabolism (compensation of diabetes) glycaemia and C peptide were monitored when fasting and postpradially and HbA1c was monitored in 2-month-long intervals.

RESULTS: Weight, waist-hip ratio (WHR) and C-peptide levels remained unchanged. Statistically significant (p < 0.0001) was a HbA1c decrease over 6 month from 9.61% to 8.48%. Fasting glycaemia decreased by 2.49 and postprandial glycaemia by 2.71 mmol/l. No significant side effects were identified.

CONCLUSION: Rosiglitazon administration combined with administration of sulphonylurea compounds or metformine significantly improved compensation of diabetes compared to initial therapy.

Keywords: Adult; Aged; Aged, 80 and over; Blood Glucose /analysis/; C-Peptide /blood/; Diabetes Mellitus, Type 2 /blood/; Drug Therapy, Combination; Glycated Hemoglobin A /analysis/; Humans; Hypoglycemic Agents /adverse effects/; Middle Aged; Rosiglitazone; Thiazolidinediones /adverse effects/

Published: November 1, 2004  Show citation