title: Clinical experience with insulin detemir, biphasic insulin aspart and insulin aspart in people with type 2 diabetes: Results from the Qatar cohort of the A1chieve study.
abstract: BACKGROUND
  The A1chieve, a multicentric (28 countries), 24-week, non-interventional study evaluated the safety and effectiveness of insulin detemir, biphasic insulin aspart and insulin aspart in people with T2DM (n = 66,726) in routine clinical care across four continents.
  
  
  METHODS
  Data was collected at baseline, at 12 weeks and at 24 weeks. This short communication presents the results for patients enrolled from Qatar.
  
  
  RESULTS
  A total of 91 patients were enrolled in the study. Two insulin analogue regimens were used in the study. Study patients had started on or were switched to biphasic insulin aspart (n = 88), insulin detemir (n = 2), and other insulin combinations (n = 1). At baseline glycaemic control was poor for both insulin naïve (mean HbA1c: 10.9%) and insulin users (mean HbA1c: 9.1%) groups. After 24 weeks of treatment, all the study groups showed improvement in HbA1c (insulin naïve: -1.8%, insulin users: -1.3%). Major hypoglycaemia did not occur in the study patients. SADRs were reported in 1.4% of insulin users.
  
  
  CONCLUSIONS
  Starting or switching to insulin analogues was associated with improvement in glycaemic control with a low rate of hypoglycaemia.
authors.affiliation: Department of Endocrinology, Al Hamad Hospital, Doha, Qatar.
authors.forename: Mohamed Hasan
authors.initials: MH
authors.lastname: Daghash
authors.affiliation: Department of Internal Medicine, Premium Care Polyclinic, Doha, Qatar.
authors.forename: Jabbar Mubarak
authors.initials: JM
authors.lastname: Raja
authors.affiliation: Al Khor Hospital, Doha, Qatar.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Milad
keywords: A1chieve study; Qatar; insulin analogues; type 2 diabetes mellitus