UPDATING CHARACTERISTICS OF TYPE 2 DIABETES MELLITUS PATIENTS IN CHINA- SURVEYS IN YEAR 2008 AND 2011-12

Author(s)

Mo D1, Liu L2, Chen Y3, Yang J3, Li J3, Wood R4, Colclough H4, Babineaux SM1
1Eli Lilly and Company, Indianapolis, IN, USA, 2Eli Lilly Suzhou Pharmaceutical Co. Ltd., Shanghai, China, 3Eli Lilly Suzhou Pharmaceutical Co., Ltd., Shanghai, China, 4Adelphi Real World, Bollington, UK

OBJECTIVES: To update the characteristics of Chinese Type 2 Diabetes Mellitus (T2DM) patients and describe their blood glucose control. METHODS: Adelphi Disease Specific Programme (DSP), a cross-sectional study, collected comprehensive data on Chinese T2DM patients in two waves: Wave I [W1] in year 2008 and Wave 2 [W2] in 2011-12.  The patients aged ≥18 years were diagnosed and managed by qualified internists, diabetologists or endocrinologist in 9 major cities. Chi-square test and Student t test were used for testing the differences between waves. RESULTS: In contrast with W1 (n=1648), W2 patients (n=2059) were younger (mean: 56.3 vs. 57.7 years, P<0.001), more physically active (83% active or very active vs. 18%, P<0.001), had fewer comorbidities and complications (macrovascular diseases: 10.8% vs. 19.2%; peripheral vascular diseases: 0.8% vs. 4.0%; dyslipidemia: 22.4% vs. 42.2%;  impaired vision: 2.3% vs. 5.6%; neuropathy: 1.4% vs. 7.0%; nephropathy: 1.7% vs. 4.7%,  all Ps<0.0001 ), and started anti-diabetic medication (ADM) earlier (40 days of trying to manage lifestyle alone prior to initiating ADM vs. 64 days, P<0.001). Of the insulin users, more patients in W2 than W1 were on basal insulin (28.2% vs. 12.1%, P<0.05), and fewer on biphasic insulin/mixtures (51.1% vs. 59.4%, P<0.05).  Of the non-insulin ADM users, biguanides and sulfonylureas were the most commonly used agents. 2.4% and 4.2% of the patients were on GLP-1 inhibitors and DPP-4 in W2.  W1 and W2 had the same mean of HbA1C% (7.4%). 36.6% of all the patients had HbA1C% <7%. CONCLUSIONS: The data may suggest that diabetes awareness increased, and clinical diagnosis and medical intervention were initiated earlier for T2DM from 2008 to 2011-12 in China. More insulin users were treated with basal insulin and some started GLP-1 inhibitors and DPP-4. However, blood glucose control for preventing further development of complications remained to be improved.

Conference/Value in Health Info

2014-09, ISPOR Asia Pacific 2014, Beijing, China

Value in Health, Vol. 17, No. 7 (November 2014)

Code

PCV5

Topic

Clinical Outcomes, Epidemiology & Public Health

Topic Subcategory

Comparative Effectiveness or Efficacy, Disease Classification & Coding

Disease

Cardiovascular Disorders, Diabetes/Endocrine/Metabolic Disorders, Sensory System Disorders

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