title: Use of chromium picolinate and biotin in the management of type 2 diabetes: an economic analysis.
abstract: This paper addresses the potential economic benefits of chromium picolinate plus biotin (Diachrome) use in people with Type 2 diabetes (T2DM). The economic model was developed to estimate the impact on health care systems' costs by improved HbA1C levels with chromium picolinate plus biotin (Diachrome). Lifetimes cost savings were estimated by adjusting a benchmark from the literature, using a price index to adjust for inflation. The cost of diabetes is highly dependent on the HbA1C level with higher initial levels and higher annual increments increasing the cost. Improvement in glycemic control has proven to be cost-effective in delaying the onset and progression of T2DM, reducing the risk for diabetes-associated complications and lowering utilization and cost of care. Chromium picolinate plus biotin (Diachrome) showed greater improvement of glycemic control in poorly controlled T2DM patients (HbA(1C) > or = 10%) compared to their better controlled counterparts (HbA(1C) < 10%). This improvement was additive to that achieved by oral hypoglycemic medications and correlates to calculated levels of cost savings. Average 3-year cost savings for chromium picolinate plus biotin (Diachrome) use could range from 1,636 dollars for a poorly controlled patient with diabetes without heart diseases or hypertension, to 5,435 dollars for a poorly controlled patient with diabetes, heart disease, and hypertension. Average 3-year cost savings was estimated to be between 3.9 billion dollars and 52.9 billion dollars for the 16.3 million existing patients with diabetes. Chromium picolinate plus biotin (Diachrome) use among the 1.17 million newly diagnosed patients with T2DM each year could deliver lifetime cost savings of 42 billion dollars, or 36,000 dollars per T2DM patient. Affordable, safe, and convenient, chromium picolinate plus biotin (Diachrome) could prove to be a cost-effective complement to existing pharmacological therapies for controlling T2DM.
authors.affiliation: Department of Economics, Widener University, Chester, Pennsylvania, USA.
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Fuhr
authors.forename: Hope
authors.initials: H
authors.lastname: He
authors.forename: Neil
authors.initials: N
authors.lastname: Goldfarb
authors.forename: David B
authors.initials: DB
authors.lastname: Nash
mesh_terms: D001710:Biotin / Q000008:administration & dosage / Q000191:economics* / Q000627:therapeutic use; D017046:Cost Savings; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy* / Q000191:economics; D004338:Drug Combinations; D006442:Glycated Hemoglobin / Q000378:metabolism; D017048:Health Care Costs; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000191:economics / Q000627:therapeutic use; D007502:Iron Chelating Agents / Q000008:administration & dosage / Q000191:economics* / Q000627:therapeutic use; D018803:Models, Economic; D010848:Picolinic Acids / Q000008:administration & dosage / Q000191:economics* / Q000627:therapeutic use; D014803:Vitamin B Complex / Q000008:administration & dosage / Q000191:economics* / Q000627:therapeutic use
chemical_list: D001710:Biotin; D004338:Drug Combinations; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007502:Iron Chelating Agents; D010848:Picolinic Acids; D014803:Vitamin B Complex; C030614:picolinic acid