A small RCT finds adding sitagliptin or bedtime NPH insulin lowers HbA1c similarly in type 2 diabetes but produces distinct microRNA changes, with sitagliptin affecting a broader set. PICO summary and commentary.
Browsing: Type 2 Diabetes
Clinical evidence summaries for type 2 diabetes, including glycaemic therapies, cardiovascular outcomes, kidney protection, complications, technology, obesity, and long-term safety.
A 20-week RCT finds adding empagliflozin improves glucose, kidney function, neuropathy symptoms, and nerve conduction velocity in type 2 diabetes, though amplitude and exam scores were unchanged. PICO summary and commentary.
A 12-week RCT finds adding sitagliptin to metformin improves fasting glucose, lipids, beta-cell function, and inflammatory cytokines, though HbA1c did not change significantly. PICO summary and commentary.
A subgroup analysis finds adding Control-IQ+ automated insulin delivery to GLP-1 agonist therapy lowers HbA1c and improves time in range without weight gain in insulin-treated type 2 diabetes. PICO summary and commentary.
Summary: In patients with type 2 diabetes mellitus accompanied by cognitive decline, Huayu Tongluo moxibustion therapy targeting specific acupuncture points…
A single-blind RCT finds personalised exercise prescribed from the Chester Step Test reduces glycaemic variability in type 2 diabetes under free-living conditions. PICO summary and commentary.
Summary: In patients with diabetes or prediabetes identified through electronic health records (EHR) recruitment, invitation and recruitment into a physical…
A quasi-experimental Nigerian trial finds a print-based educational module with leaflets and reminders significantly improves diabetes self-care practices versus no intervention. PICO summary and commentary.
Summary: In patients with diabetes receiving care in primary healthcare institutions, personalized patient education using the CAPDCA (collection-assessment-plan-do-check-aggrandizement) iterative model…
A six-arm trial finds combined training plus astaxanthin best improves oxidative and inflammatory markers in women with type 2 diabetes, but glycaemic gains come from exercise, not the supplement. PICO summary and commentary.