Diabetes Mellitus, Type 2
Conditions
Keywords
glimepiride, metformin, basal insulin, Hemoglobin A, Glycosylated, glucose fluctuation, hypoglycemia
Brief summary
All the guidelines suggest that metformin as the basis of type 2 diabetes medication, and evidence is sufficient.At the same time the basal insulin injection once a day are more and more widely used in diabetes patients in China. This study aims to evaluate the efficacy and safety of adding glimepiride to type 2 diabetes patients with inadequate glycemic control with combined therapy of metformin and basal insulin.
Interventions
on the basis of metformin and glargine, glimepiride is added; with the maximun dose of glimepiride, if the targeted FPG is not reached, glargine dose will be increased.
Sponsors
Study design
Eligibility
Inclusion criteria
* Understand the whole test process, voluntary and signed informed consent form * Men and women aged 35 to 70 years old * 20≤BMI\<35 Kg/m2 * Diagnosed with type 2 diabetes * Undergoing metformin(Dose not less than 1000 mg/day)in combination with basal insulin injection once a day * HbA1c7.0-11% * Patients should be able to self blood glucose monitoring
Exclusion criteria
* sulfonylureas,glinides,TZDs use within 3 months before the study * Pregnant or lactating women * A history of ketoacidosis * Allergy to sulfonylureas or sulfa drug patients * Apparent dysfunction of liver and kidney patients(ALT\>2 times upper normal limit,serum creatinine\>1.2 times upper normal limit) * Poor blood pressure control(systolic pressure\>180mmHg or diastolic blood pressure\>110mmHg) * heart disease,cardiac insufficiency,unstable angina pectoris,ECG indicates left ventricle hypertrophy,severe anemia(Hb\<9.0g/d1) * Severe diabetic nerve complications(ulcer of lower limb,neurogenic bladder) * BMI\<20 orBMI≥35kg/m2 * Alcohol or drug abuse ,or can't collaborate due to mental disorder * Digestion and absorption function obstacle or Other endocrine disorders * Other chronic diseases required long-term glucocorticoid treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 24 weeks after treatment, HbA1c values' change compared with baseline | 24 weeks after treatment |
Secondary
| Measure | Time frame |
|---|---|
| hypoglycemia events | 24 weeks |
Countries
China