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    Home > Active Ingredient News > Endocrine System > [Frontier Progress] Metformin combined with DPP-4i can help reduce the risk of anemia in patients with type 2 diabetes with advanced CKD

    [Frontier Progress] Metformin combined with DPP-4i can help reduce the risk of anemia in patients with type 2 diabetes with advanced CKD

    • Last Update: 2021-10-01
    • Source: Internet
    • Author: User
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    Yimaitong compiles and organizes, please do not reprint without authorization
    .

    Recently, a retrospective cohort study from Taiwan of China evaluated whether metformin monotherapy or combination therapy can help reduce the risk of anemia in patients with type 2 diabetes and advanced chronic kidney disease (CKD)
    .

    Research description The research data set comes from the Taiwan Health Insurance Research Database
    .

    After 1:1 matching, 9303 pairs of metformin and non-metformin users were obtained
    .

    Between 1997 and 2012, each patient was recorded separately to determine the incidence of anemia (hemoglobin less than 9gm/dL)
    .

    The Cox regression model was used to calculate the hazard ratio and 95% confidence interval
    .

     Metformin combined with DPP-4i can help reduce the occurrence of anemia.
    During the average follow-up period of 6.
    8 years and 5.
    6 years, there were 305 (0.
    7%) and 76 (0.
    8%) erythropoietin stimulators (ESA) in the metformin and non-metformin cohorts, respectively Use cases
    .

     After matching analysis, the use of metformin reduced the risk of ESA use by 24% to 70%.
    The adjusted hazard ratio (HR): 0.
    76 (95% CI 0.
    45-1.
    29) for the dose<357g group; 0.
    30 for the dose>1368g group ( 95%CI 0.
    17-0.
    56)
    .

     In addition, the combination of metformin and DPP-4i reduced the risk by 58% compared with metformin alone (HR 0.
    42, 95% CI 0.
    18-0.
    99)
    .

     Research conclusions Metformin combined with DPP-4i is superior to metformin monotherapy or non-metformin antidiabetic therapy in reducing the risk of anemia in the progression of advanced chronic kidney disease in type 2 diabetic patients
    .

     Yimaitong compiled and compiled from: Hussein M, Fathy W, Hassan A, et al.
    Zinc deficiency correlates with severity of diabetic polyneuropathy[J].
    Brain Behav, 2021:e32349.
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