title: Efficacy of insulin analogues in diabetic patients attending primary care centers.
abstract: OBJECTIVE
  To measure the efficacy of new insulin analogues compared with the conventional types of insulin, and to compare their effects on patient satisfaction regarding their weight changes and the frequency of hypoglycemic episodes.
  
  
  METHODS
  In this retrospective cohort observational study, data was collected from the medical records of 122 eligible diabetics on insulin therapy attending government primary care centers, in Jeddah, Kingdom of Saudi Arabia from June 2013 to July 2014. The data collected considered the efficacy, safety, and patient satisfaction of the types of insulin therapy used for their treatment.
  
  
  RESULTS
  After 12 weeks, there was a reduction in mean glycosylated hemoglobin (HbA1c) of -0.88% for the analogue type versus -0.19% for the conventional type, and at 24 weeks, the mean drop in HbA1c was -2.02% for the analogue type versus -1.12% for the conventional type, but the differences were not statistically significant. More patients (87% versus 38%) on analogue compared with conventional insulin treatment were satisfied with therapy.
  
  
  CONCLUSIONS
  In the primary health care setting, insulin analogues showed greater efficacy improvements than conventional insulin therapy within 6 months. However, conventional insulin therapy can still be used at primary care centers with limited resources, and when patients refuse to be converted.
authors.affiliation: Prince Abdul-Majeed Primary Care Health Center, Chronic Disease Department, General Health Directorate, General Directorate of Health Affairs, Jeddah, Kingdom of Saudi Arabia. E-mail. wbardisi@yahoo.com.
authors.forename: Wedad M
authors.initials: WM
authors.lastname: Bardisi
authors.forename: Manal M
authors.initials: MM
authors.lastname: Khorsheed
authors.forename: Faisal
authors.initials: F
authors.lastname: Magliah
authors.forename: Ayman F
authors.initials: AF
authors.lastname: Magliah
mesh_terms: D003920:Diabetes Mellitus / Q000188:drug therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007328:Insulin / Q000031:analogs & derivatives* / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012189:Retrospective Studies; D012529:Saudi Arabia
chemical_list: D006442:Glycated Hemoglobin; D007328:Insulin; C517652:hemoglobin A1c protein, human