A real-world study in patients with type 2 diabetes mellitus treated with gliclazide modified-release during fasting: DIA-RAMADAN

Mohamed Hassanein, Saud Al Sifri, Shehla Shaikh, Syed Abbas Raza, Javed Akram, Agung Pranoto, Achmad Rudijanto, Inass Shaltout, Md Fariduddin, Wan Mohd Izani Wan Mohamed, Fatheya Al Awadi, Thamer Alessa

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31 Citations (Scopus)

Abstract

Aims: To explore the real-world safety and effectiveness of gliclazide modified release (MR) in patients with type 2 diabetes mellitus (T2DM) fasting during Ramadan. Methods: DIA-RAMADAN (NCT04132934) was a prospective, international, observational study conducted in nine countries. Patients >18 years of age with T2DM (N = 1244) were examined at an inclusion visit (V0) occurring 6–8 weeks before the start of Ramadan. Patients received a diary to report treatment changes, hypoglycaemic events (HEs), and other adverse events. Gliclazide MR was taken once daily for 14–18 weeks. A second visit (V1) was conducted 4–6 weeks after the end of Ramadan. The primary endpoint was the proportion of patients reporting ≥1 symptomatic HE. Changes in HbA1c, fasting plasma glucose (FPG), and body weight were secondary endpoints. Results: The proportion of patients reporting ≥1 symptomatic HE during Ramadan was low (2.2%) with no reported severe HEs. There was a significant reduction in HbA1c (−0.3%), FPG (–9.7 mg/dL), body weight (−0.5 kg) and body mass index (−0.2 kg/m2) between V0 and V1 (p < 0.001). Conclusions: Patients with T2DM treated with gliclazide MR during Ramadan have a low risk of hypoglycaemia and maintain glycaemic control and weight while fasting.

Original languageEnglish
Article number108154
JournalDiabetes Research and Clinical Practice
Volume163
DOIs
Publication statusPublished - May 2020

Keywords

  • Diabetes mellitus
  • Diamicron
  • Fasting
  • Gliclazide
  • Ramadan
  • Type 2

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