Influence of Different factors (duration of disease, gender, education, patients' history, job, and age) in metformin response in type 2 diabetes mellitus patient
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1
Department of Pharmacology and Clinical Pharmacy, Al-Zahraa University for Women, Karbala, Iraq
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Department of Molecular Biology, Faculty of Science, University of Babylon, Babil, Iraq, Iraq
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Department of Pharmacology and Therapeutic, Faculty of Medicine, University of Kufa, Iraq, Iraq
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Department of Microbiology, Faculty of Medicine, University of Kufa, Najaf, Iraq, Iraq
Submission date: 2023-09-16
Final revision date: 2024-05-20
Acceptance date: 2024-07-04
Publication date: 2024-09-03
Corresponding author
Najah Rayish Hadi
Department of Pharmacology and Therapeutic, Faculty of Medicine, University of Kufa, Iraq, Iraq
Wiadomości Lekarskie 2024;77(7):1356-1363
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ABSTRACT
Aim:
Background: In the context of treating type 2 diabetes using oral antidiabetic drugs like metformin, there is significant variability in how patients respond to the treatment and the adverse effects they experience. Aim: This study aims to evaluate how various factors affect various aspects of glycemic control in individuals with type 2 diabetes who are undergoing metformin treatment.
Material and methods:
Patients and Method: A cross-sectional study involved 150 participants who met specific criteria, including being aged between 30 and 70, having a type 2 diabetes diagnosis, and using 1000 mg of metformin as the monotherapy for at least three months. Collected data encompassed various measures, such as levels of glycated hemoglobin (HbA1c), fasting blood glucose concentrations, fasting serum insulin levels, Homeostatic Model Assessment of Insulin Resistance (HOMA-IR), and insulin sensitivity.
Results:
Results: Our research reveals that when it comes to factors such as several socio-demographic variables, there is no statistically significant difference (p-value ≥ 0.05) between patients who exhibit a positive response to metformin and those who do not. Nevertheless, distinctions were noted in patients' previous history and the duration of their illness, which did influence their treatment response.
Conclusions:
Conclusion: Glycemic parameters in individuals with type 2 diabetes can be impacted by a range of factors, such as age, gender, and occupation also it's important to note that these outcomes influenced by additional variables like the adherence for medication, and the existence of diabetes-related complications.