二甲双胍失效后血糖控制的持久性:DISCOVER计划的预测模型(https://doi.org/10.1111/dom.13966)

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摘要

DISCOVER是一项为期3年的跨国前瞻性观察研究,研究二线降糖疗法。在这项研究中,DISCOVER的作者开发并验证了两个预后模型,以评估二甲双胍失败患者开始二线治疗后血糖控制的持久性。持久控制被定义为在二线治疗开始后6、12和24个月“达到目标”的连续HbA1c水平。这些预测模型将可用于临床医生&;使用各种临床输入来提供实现&;在开始使用不同的二线药物作为二甲双胍的补充后,在2年内保持血糖控制。
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Durability of Glycemic Control After Metformin Failure: Predictive Modelling From The DISCOVER programme (https://doi.org/10.1111/dom.13966)

DISCOVER is a multinational 3-yr prospective observational study of second-line glucose lowering therapies. In this study, the DISCOVER authors have developed and validated two prognostic models to evaluate the durability of glycemic control after initiating second-line therapy in patients failing on metformin. Durable control was defined as consecutive HbA1c levels ‘on target’ at 6, 12 and 24 months following second-line therapy initiation. These predictive models, which will be available to clinicians & use various clinical inputs, provide an estimation of the probability of achieving & maintaining glycemic control over 2-years following initiation of different second-line agents as add-on to metformin.

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