3._DrugTrends_supp_DC_R2.pdf (1.3 MB)
Download fileTrends in Glucose Lowering Drug Utilization, Glycemic Control, and Severe Hypoglycemia in Adults with Diabetes in Hong Kong 2002-2016
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posted on 2020-10-13, 14:01 authored by Aimin Yang, Hongjiang Wu, Eric S.H. Lau, Ronald C.W. Ma, Alice P.S. Kong, Wing Yee So, Andrea O.Y. Luk, Juliana C.N. Chan, Elaine ChowOBJECTIVE
There has
been a shift towards new classes of glucose lowering drugs (GLDs) in the past
decade but no improvements in glycemic control or hospitalization rates due to
severe hypoglycemia (SH) in previous surveys. We examined trends in GLDs
utilization, glycemic control and SH rate among patients with diabetes in Hong
Kong which introduced a territory-wide, team-based diabetes care model since
2000.
RESEARCH DESIGN AND METHODS Using population-based data from the Hong Kong Diabetes Surveillance Database, we estimated age- and sex-standardized proportion of GLDs classes, mean hemoglobin A1c (HbA1c) levels and SH rates in 763,809 diabetes patients aged≥20 years between 2002-2016.
CONCLUSIONS In this 15-year survey, the modest but important improvement in HbA1c since 2007 coincided with diabetes service reforms, increase in metformin, decrease in sulfonylurea and modest rise in DPP-4i use. Persistently poor glycemic control and under-utilization of GLDs in the youngest group calls for targeted action.