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Influence of Fasting Plasma Glucose Targets on Glycemic Variability in Chinese Participants With Type 2 Diabetes: A Post Hoc Analysis of the FPG GOAL Trial (BEYOND III)

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单位: [1]Shengjing Hospital of China Medical University, Shenyang, China [2]Jiangsu Province Hospital, Nanjing, China [3]Nanfang Hospital, Guangzhou, China [4]Sanofi Investment Co., Ltd., Shanghai, China [5]China-Japan Friendship Hospital, East Yinghuayuan Street, Hepingli, Beijing 100029, People’s Republic of China
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关键词: Chinese Fasting blood glucose Glycated hemoglobin Glycemic variability Insulin glargine 100 U mL Type 2 diabetes

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Introduction This post hoc analysis examines the relationship between glycemic variability (GV) and fasting plasma glucose (FPG) targets used to achieve glycated hemoglobin (HbA1c) < 7%, and HbA1c levels after 24 weeks of treatment with insulin glargine and oral antidiabetic drugs (OADs) in Chinese participants with type 2 diabetes mellitus (T2DM) from the BEYOND III FPG GOAL trial (NCT02545842). Methods Participants were randomized for three FBG targets (<= 5.6 mmol/L, <= 6.1 mmol/L, and <= 7.0 mmol/L) receiving insulin glargine 100 U/mL were analyzed for mean change from baseline to 24 weeks in postprandial glucose (PPG) excursion and FPG coefficient of variation (FPG-CV). The study analyzed change from baseline in HbA1c and the proportion of participants who achieved HbA1c < 7% at 24 weeks, according to their baseline FPG-CV and change from baseline in PPG excursion. Results The change in PPG excursion and FPG-CV from baseline to 24 weeks was not significantly different between the three groups stratified by randomization or by 24-week FPG levels. While the change in HbA1c from baseline to 24 weeks was slightly higher among participants with baseline FPG-CV < 33.3% (vs. > 66.7%; P = 0.023), a higher proportion of participants with baseline FPG-CV < 33.3% achieved HbA1c < 7% (P = 0.021). Conclusions GV was not associated with either target FPG levels or HbA1c < 7.0% after 24 weeks of treatment with insulin glargine and OADs.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 药学 4 区 医学:研究与实验
最新[2025]版:
大类 | 3 区 医学
小类 | 2 区 药学 3 区 医学:研究与实验
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出版当年[2020]版:
Q2 PHARMACOLOGY & PHARMACY Q3 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2024]版:
Q1 PHARMACOLOGY & PHARMACY Q2 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2024版] 最新五年平均[2021-2025] 出版当年[2020版] 出版当年五年平均[2016-2020] 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Shengjing Hospital of China Medical University, Shenyang, China
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通讯机构: [5]China-Japan Friendship Hospital, East Yinghuayuan Street, Hepingli, Beijing 100029, People’s Republic of China [*1]China-Japan Friendship Hospital, East Yinghuayuan Street, Hepingli, Beijing 100029, People’s Republic of China
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