International noninterventional study of acarbose treatment in patients with type 2 diabetes mellitus.
OBJECTIVE
To obtain data on efficacy, safety and tolerability of acarbose monotherapy or combination therapy during daily-life treatment.


METHODS
This prospective, non-controlled, observational study enrolled patients with type 2 diabetes, whose physician decided that acarbose treatment was appropriate, from China, Middle East, Indonesia, Morocco, Pakistan, Philippines, Poland and Taiwan. The observation period included an initial visit and up to three follow-up visits; an extension of 2 years was realized in Pakistan and Poland.


RESULTS
Of 14,574 patients enrolled, 14,418 comprised the intent-to-treat population. At the initial visit, 74.1% of patients had been treated with a glucose-lowering agent. Fasting blood glucose was reduced from 175.2mg/dL at the initial visit to 133.7 mg/dL at the last visit (mean of 11.3 weeks after initial visit; P<0.0001). Mean 2-h postprandial blood glucose decreased from 244.7 mg/dL to 172.4 mg/dL (P<0.0001). HbA1c reduced from 8.4% to 7.4% (P<0.0001). Glycemic efficacy was maintained over the 2-year extension period. There were 432 adverse events in 293 patients (2.03%), mainly gastrointestinal. Physicians assessed efficacy as "very good"/"good" in 85.1% of patients, and were "very satisfied"/"satisfied" with acarbose therapy in 94.3% of cases.


CONCLUSIONS
Acarbose therapy was efficacious and well tolerated in daily life in patients with type 2 diabetes.
Chinese PLA General Hospital, Beijing, China. LCL301@yahoo.com.cn
Chunlin
C
Li
Yi-Jen
YJ
Hung
Karim
K
Qamruddin
Mohamed Fahmy Abdel
MF
Aziz
Herbert
H
Stein
Birgit
B
Schmidt
D020909:Acarbose / Q000627:therapeutic use*; D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000187:drug effects; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome
D001786:Blood Glucose; D007004:Hypoglycemic Agents; D020909:Acarbose