Page last updated: 2024-10-30

metformin and Apoplexy

metformin has been researched along with Apoplexy in 103 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Research Excerpts

ExcerptRelevanceReference
"We aimed to assess the feasibility, safety and effects on glucose metabolism of metformin or sitagliptin in patients with transient ischaemic attack (TIA) or minor ischaemic stroke and IGT."9.41Safety, feasibility and efficacy of metformin and sitagliptin in patients with a TIA or minor ischaemic stroke and impaired glucose tolerance. ( Brouwers, PJAM; den Hertog, H; Dippel, DWJ; Koudstaal, P; Lingsma, H; Mulder, LJMM; Osei, E; Zandbergen, A, 2021)
" placebo (H-HeFT) and 2) if metformin reduces the incidence of death, worsening heart failure, acute myocardial infarction, and stroke vs."9.41The DANish randomized, double-blind, placebo controlled trial in patients with chronic HEART failure (DANHEART): A 2 × 2 factorial trial of hydralazine-isosorbide dinitrate in patients with chronic heart failure (H-HeFT) and metformin in patients with chr ( Abdulla, J; Barasa, A; Bibby, BM; Bruun, NE; Brønnum-Schou, J; Bøtker, HE; Bøttcher, M; Dodt, K; Eiskjær, H; Gislason, G; Gustafsson, F; Hansen, VB; Hassager, C; Hollingdal, M; Høfsten, DE; Jonczy, B; Knudsen, AS; Kristensen, SL; Køber, L; Larsen, AH; Lomholdt, J; Madsen, JS; Mahboubi, K; Mellemkjær, S; Mikkelsen, KV; Møller, J; Nielsen, G; Nielsen, OW; Nørrelund, H; Poenaru, MP; Poulsen, MK; Raymond, I; Refsgaard, J; Schou, M; Serup-Hansen, K; Sillesen, K; Steffensen, FH; Torp-Petersen, C; Vraa, S; Wiggers, H, 2021)
"In this PROBE design trial, people who had recent stroke (within 3 months) with pre-diabetes were randomized to either the active arm (n = 13) receiving usual care plus Metformin XR (500 mg daily increased to a total daily dose of 1500 mg) or the control group receiving only usual care (n = 13)."9.41Feasibility trial of metformin XR in people with pre-diabetes and stroke (MIPPS)-randomised open blinded endpoint controlled trial. ( Borschmann, K; Churilov, L; Donnan, G; Ekinci, EI; Hachem, M; Lau, LH; Price, SAL; Sumithran, P; Tabesh, M; Thijs, V; Zajac, J, 2021)
"BACKGROUND We investigated the effects of metformin on neurological function and oxidative stress in patients with type 2 diabetes mellitus with acute stroke."9.30Neuro-Protective Role of Metformin in Patients with Acute Stroke and Type 2 Diabetes Mellitus via AMPK/Mammalian Target of Rapamycin (mTOR) Signaling Pathway and Oxidative Stress. ( Chen, Z; Cheng, R; Hao, F; Li, XW; Liu, H; Tao, SX; Yu, HY; Zhao, M, 2019)
"The Metformin and sitAgliptin in patients with impAired glucose tolerance and a recent TIA or minor ischemic Stroke trial (MAAS trial) is a phase II, multicenter, randomized, controlled, open-label trial with blinded outcome assessment."9.20Metformin and sitAgliptin in patients with impAired glucose tolerance and a recent TIA or minor ischemic Stroke (MAAS): study protocol for a randomized controlled trial. ( Brouwers, PJ; den Hertog, HM; Dippel, DW; Fonville, S; Koudstaal, PJ; Lingsma, HF; Mulder, LJ; Osei, E; Zandbergen, AA, 2015)
"We aimed to assess the safety, feasibility, and effects on glucose metabolism of treatment with metformin in patients with TIA or minor ischemic stroke and impaired glucose tolerance."9.20Safety and feasibiLIty of Metformin in patients with Impaired glucose Tolerance and a recent TIA or minor ischemic stroke (LIMIT) trial - a multicenter, randomized, open-label phase II trial. ( Achterberg, S; Algra, A; den Hertog, HM; Dippel, DW; Kappelle, LJ; Koudstaal, PJ; Vermeer, SE; Zandbergen, AA, 2015)
"Increasing epidemiologic evidence suggests that metformin, a well-established AMPK activator and the most favorable first-line anti-diabetic drug, reduces stroke incidence and severity."8.91Neuropharmacological Actions of Metformin in Stroke. ( Cheng, J; Jia, J; Ni, J; Zhen, X, 2015)
"To explore the association between the use of metformin and the risk of ischemic stroke in patients with type 2 diabetes."8.31[Metformin use and risk of ischemic stroke in patients with type 2 diabetes: A cohort study]. ( Chen, DF; Hu, YH; Qin, XY; Wang, MY; Wang, SY; Wu, JH; Wu, T; Wu, YQ; Yang, RT; Yu, H, 2023)
"To study the effects of metformin use and vitamin B12 deficiency on stroke rate among patients with T2DM."8.31The Effect of Metformin on Vitamin B12 Deficiency and Stroke. ( Abu Dahoud, W; Blum, A; Hajouj, T; Horrany, N; Moallem, Y; Zreik, M, 2023)
"Preclinical studies have shown that metformin has neuroprotective actions in stroke."8.31Metformin treatment and acute ischemic stroke outcomes in patients with type 2 diabetes: a retrospective cohort study. ( Dang, M; Feng, Y; Jian, Y; Li, T; Li, Y; Lu, J; Lu, Z; Wang, H; Wang, X; Yang, Y; Zhang, G; Zhang, L; Zhang, Y; Zhao, L, 2023)
"To gain insights on the cardiovascular effects of metformin and sulphonylurea, the present study compares the rates of incident atrial fibrillation, stroke, cardiovascular mortality and all-cause mortality between metformin and sulphonylurea users in type 2 diabetes mellitus."8.12Metformin versus sulphonylureas for new onset atrial fibrillation and stroke in type 2 diabetes mellitus: a population-based study. ( Chang, C; Cheng, SH; Chou, OHI; Lee, S; Leung, KSK; Liu, T; Tse, G; Wai, AKC; Wong, WT; Zhang, G; Zhang, Q; Zhou, J, 2022)
" This self-controlled case series study aims to evaluate whether metformin use and SGLT2i-associated erythrocytosis influence its cardiovascular benefits."8.12Cardiovascular benefits of SGLT2 inhibitors in type 2 diabetes, interaction with metformin and role of erythrocytosis: a self-controlled case series study. ( Au, ICH; Lau, KTK; Lee, CH; Lee, CYY; Lui, DTW; Tan, KCB; Tang, EHM; Wong, CKH; Woo, YC, 2022)
"The study suggests that the prolonged effect of metformin-induced euglycemia promoted the microglial activation, reduced neuronal cell death, and improved the overall survival following stroke, without any change in infarct size."8.12The effect of chronic exposure to metformin in a new type-2 diabetic NONcNZO10/LtJ mouse model of stroke. ( Kimball, SR; Kumari, R; Simpson, IA; Willing, L, 2022)
"In this study, we showed that pre-stroke metformin use was associated with favorable outcome after acute ischemic stroke in patients with diabetes mellitus type 2."8.12Effect of metformin on outcome after acute ischemic stroke in patients with type 2 diabetes mellitus. ( den Hertog, HM; Haalboom, M; Heijmans, E; Kersten, CJBA; Knottnerus, ILH; Zandbergen, AAM, 2022)
"Although recent studies have focused on the use of metformin in treating ischemic stroke, there is little literature to support whether it can treat intracerebral hemorrhage (ICH)."8.02Prestroke Metformin Use on the 1-Year Prognosis of Intracerebral Hemorrhage Patients with Type 2 Diabetes. ( Liu, Q; Sun, BL; Tu, WJ; Wang, K; Wang, Y; Zeng, Q; Zeng, X, 2021)
"To evaluate whether pretreatment with metformin (MET) is associated with less stroke severity and better outcome after IV thrombolysis (IVT), we analyzed a cohort of 1,919 patients with stroke with type 2 diabetes mellitus in a multicenter exploratory analysis."7.96Association of prestroke metformin use, stroke severity, and thrombolysis outcome. ( Arnold, M; Bejot, Y; Brenière, C; Coutinho, JM; Curtze, S; Engelter, ST; Erdur, H; Eskandari, A; Gensicke, H; Gilliot, S; Groot, AE; Hametner, C; Held, U; Heldner, MR; Jovanovic, DR; Kägi, G; Leys, D; Luft, AR; Magoni, M; Martinez-Majander, N; Michel, P; Nederkoorn, P; Nolte, CH; Padjen, V; Pezzini, A; Polymeris, AA; Ringleb, P; Scheitz, JF; Scherrer, MJ; Seners, P; Steigmiller, K; Tatlisumak, T; Tiainen, M; Traenka, C; Turc, G; Vandelli, L; Wegener, S; Westphal, LP; Widmer, R; Zini, A, 2020)
" The drug metformin has been shown to activate neural stem cells, promote differentiation, and lead to functional motor recovery in a neonatal stroke model."7.91Age- and sex-dependent effects of metformin on neural precursor cells and cognitive recovery in a model of neonatal stroke. ( Adams, KV; Morshead, CM; Ruddy, RM, 2019)
"Metformin use reduces the incidence and severity of stroke in patients with type 2 diabetes mellitus (DM)."7.85Association Between Stroke Risk and Metformin Use in Hemodialysis Patients With Diabetes Mellitus: A Nested Case-Control Study. ( Chen, HH; Chen, JS; Chen, LY; Chien, LN; Chou, CL; Fang, TC; Kao, CC; Lin, YC; Wu, YL, 2017)
" Metformin therapy reportedly decreases the risk of stroke, but the associations between metformin treatment and neurological severity or patient prognosis have not been investigated in clinical studies."7.83Impact of Metformin on the Severity and Outcomes of Acute Ischemic Stroke in Patients with Type 2 Diabetes Mellitus. ( Kuwashiro, T; Mima, Y; Nakamura, A; Okada, Y; Tsurusaki, Y; Wakugawa, Y; Yasaka, M, 2016)
"Long-term metformin treatment reduces the risk of stroke."7.83Pre-stroke Metformin Treatment is Neuroprotective Involving AMPK Reduction. ( Chen, Y; Chen, Z; Deng, T; Hou, WW; Hu, WW; Shen, Z; Wu, XL; Yuan, Y; Zhang, LS; Zhang, XN; Zheng, YR, 2016)
"We conducted a population-based case-control study to assess the myocardial infarction (MI) and stroke risks associated with sulphonylureas and insulin when used in combination with metformin."7.81Case-control study of second-line therapies for type 2 diabetes in combination with metformin and the comparative risks of myocardial infarction and stroke. ( Dublin, S; Flory, JH; Floyd, JS; Heckbert, SR; Psaty, BM; Sitlani, CM; Smith, NL; Wiggins, KL, 2015)
"Accumulating evidence suggests that chronic metformin preconditioning offers potent neuroprotective effects against ischemic stroke."7.81Chronic Metformin Preconditioning Provides Neuroprotection via Suppression of NF-κB-Mediated Inflammatory Pathway in Rats with Permanent Cerebral Ischemia. ( Cao, L; Ding, ZZ; Jiang, T; Tan, L; Tan, MS; Wang, HF; Yu, JT; Zhang, QQ; Zhu, XC, 2015)
" Paradoxically, the clinical use of an AMPK activator metformin reduces the incidence of stroke."7.80Improvement of functional recovery by chronic metformin treatment is associated with enhanced alternative activation of microglia/macrophages and increased angiogenesis and neurogenesis following experimental stroke. ( Cheng, J; Jia, J; Jin, Q; Liu, Y; Qin, Z; Wang, X; Wei, S; Wu, J; Zhen, X; Zhou, X, 2014)
"Aim of the study was to clarify the relationship between metformin-induced vitamin B12 (B12) deficiency, hyperhomocysteinemia and vascular complications in patients with type 2 diabetes."7.79Relationship between metformin use, vitamin B12 deficiency, hyperhomocysteinemia and vascular complications in patients with type 2 diabetes. ( Aizawa, T; Funase, Y; Ouchi, K; Sato, Y; Yamauchi, K, 2013)
"Acute metformin exacerbated stroke damage, enhanced AMPK activation, and led to metabolic dysfunction."7.76Effects of metformin in experimental stroke. ( Benashski, SE; Li, J; McCullough, LD; Venna, VR, 2010)
"A 40-year-old man with sensorineural hearing loss and diabetes mellitus was hospitalized with acute-onset impaired consciousness and clumsiness in his left hand."5.91Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes diagnosed after metformin-triggered stroke-like episodes. ( Ishiguchi, H; Ito, H; Murakami, K; Sakamoto, K, 2023)
"Metformin treatment after hypoxia-ischaemia had no effect on microglia number and proliferation, but significantly reduced microglia activation in all regions examined, concomitant with improved behavioural outcomes in injured mice."5.72Reduced microglia activation following metformin administration or microglia ablation is sufficient to prevent functional deficits in a mouse model of neonatal stroke. ( Adams, KV; Bourget, C; Morshead, CM, 2022)
"Stroke is a leading cause of mortality and disability worldwide."5.46Involvement of arterial baroreflex and nicotinic acetylcholine receptor α7 subunit pathway in the protection of metformin against stroke in stroke-prone spontaneously hypertensive rats. ( Guo, JM; Liu, AJ; Niu, XC; Shu, H; Su, DF; Wang, L; Xu, JJ; Zhang, L; Zhang, Y; Zhu, DQ, 2017)
"We aimed to assess the feasibility, safety and effects on glucose metabolism of metformin or sitagliptin in patients with transient ischaemic attack (TIA) or minor ischaemic stroke and IGT."5.41Safety, feasibility and efficacy of metformin and sitagliptin in patients with a TIA or minor ischaemic stroke and impaired glucose tolerance. ( Brouwers, PJAM; den Hertog, H; Dippel, DWJ; Koudstaal, P; Lingsma, H; Mulder, LJMM; Osei, E; Zandbergen, A, 2021)
" placebo (H-HeFT) and 2) if metformin reduces the incidence of death, worsening heart failure, acute myocardial infarction, and stroke vs."5.41The DANish randomized, double-blind, placebo controlled trial in patients with chronic HEART failure (DANHEART): A 2 × 2 factorial trial of hydralazine-isosorbide dinitrate in patients with chronic heart failure (H-HeFT) and metformin in patients with chr ( Abdulla, J; Barasa, A; Bibby, BM; Bruun, NE; Brønnum-Schou, J; Bøtker, HE; Bøttcher, M; Dodt, K; Eiskjær, H; Gislason, G; Gustafsson, F; Hansen, VB; Hassager, C; Hollingdal, M; Høfsten, DE; Jonczy, B; Knudsen, AS; Kristensen, SL; Køber, L; Larsen, AH; Lomholdt, J; Madsen, JS; Mahboubi, K; Mellemkjær, S; Mikkelsen, KV; Møller, J; Nielsen, G; Nielsen, OW; Nørrelund, H; Poenaru, MP; Poulsen, MK; Raymond, I; Refsgaard, J; Schou, M; Serup-Hansen, K; Sillesen, K; Steffensen, FH; Torp-Petersen, C; Vraa, S; Wiggers, H, 2021)
"In this PROBE design trial, people who had recent stroke (within 3 months) with pre-diabetes were randomized to either the active arm (n = 13) receiving usual care plus Metformin XR (500 mg daily increased to a total daily dose of 1500 mg) or the control group receiving only usual care (n = 13)."5.41Feasibility trial of metformin XR in people with pre-diabetes and stroke (MIPPS)-randomised open blinded endpoint controlled trial. ( Borschmann, K; Churilov, L; Donnan, G; Ekinci, EI; Hachem, M; Lau, LH; Price, SAL; Sumithran, P; Tabesh, M; Thijs, V; Zajac, J, 2021)
"Metformin is a kind of oral hypoglycemic agents commonly prescribed to patients with diabetes mellitus."5.40Metformin-inclusive therapy reduces the risk of stroke in patients with diabetes: a 4-year follow-up study. ( Chen, CL; Chen, TJ; Cheng, YY; Kao, CL; Kuo, CH; Lee, SD; Leu, HB, 2014)
"Metformin is a well-known activator of AMP-activated protein kinase (AMPK)."5.40Chronic metformin treatment improves post-stroke angiogenesis and recovery after experimental stroke. ( Hammond, MD; Li, J; Mancini, NS; McCullough, LD; Venna, VR, 2014)
"Metformin is a widely used antidiabetic agent that is generally considered safe."5.37Metformin-associated lactic acidosis in Chinese patients with type II diabetes. ( Chan, WM; Chung, HY; Fong, BM; Siu, TS; Tam, S; Tsai, NW; Tsui, SH; Yeung, CW, 2011)
"BACKGROUND We investigated the effects of metformin on neurological function and oxidative stress in patients with type 2 diabetes mellitus with acute stroke."5.30Neuro-Protective Role of Metformin in Patients with Acute Stroke and Type 2 Diabetes Mellitus via AMPK/Mammalian Target of Rapamycin (mTOR) Signaling Pathway and Oxidative Stress. ( Chen, Z; Cheng, R; Hao, F; Li, XW; Liu, H; Tao, SX; Yu, HY; Zhao, M, 2019)
"All-cause mortality, cardiovascular death, cardiovascular events (death, hospitalization for heart failure, myocardial infarction, stroke or myocardial ischemia), end stage renal disease (ESRD) and the kidney disease composite (ESRD or death) were compared in metformin users and non-users with diabetes and CKD enrolled in the Trial to Reduce Cardiovascular Events with Aranesp (darbepoeitin-alfa) Therapy (TREAT) (NCT00093015)."5.30Metformin use and cardiovascular events in patients with type 2 diabetes and chronic kidney disease. ( Burdmann, EA; Charytan, DM; Claggett, B; Cooper, ME; Eckardt, KU; Ivanovich, P; Levey, AS; Lewis, EF; Liu, J; McGill, JB; McMurray, JJV; Parfrey, P; Parving, HH; Pfeffer, MA; Remuzzi, G; Singh, AK; Solomon, SD; Weinrauch, LA, 2019)
"We aimed to assess the safety, feasibility, and effects on glucose metabolism of treatment with metformin in patients with TIA or minor ischemic stroke and impaired glucose tolerance."5.20Safety and feasibiLIty of Metformin in patients with Impaired glucose Tolerance and a recent TIA or minor ischemic stroke (LIMIT) trial - a multicenter, randomized, open-label phase II trial. ( Achterberg, S; Algra, A; den Hertog, HM; Dippel, DW; Kappelle, LJ; Koudstaal, PJ; Vermeer, SE; Zandbergen, AA, 2015)
"The Metformin and sitAgliptin in patients with impAired glucose tolerance and a recent TIA or minor ischemic Stroke trial (MAAS trial) is a phase II, multicenter, randomized, controlled, open-label trial with blinded outcome assessment."5.20Metformin and sitAgliptin in patients with impAired glucose tolerance and a recent TIA or minor ischemic Stroke (MAAS): study protocol for a randomized controlled trial. ( Brouwers, PJ; den Hertog, HM; Dippel, DW; Fonville, S; Koudstaal, PJ; Lingsma, HF; Mulder, LJ; Osei, E; Zandbergen, AA, 2015)
"This analysis included 8,192 overweight patients with type 2 diabetes from the Sibutramine Cardiovascular Outcomes (SCOUT) trial randomized to lifestyle intervention with or without sibutramine for up to 6 years."5.17Association of hypoglycemic treatment regimens with cardiovascular outcomes in overweight and obese subjects with type 2 diabetes: a substudy of the SCOUT trial. ( Andersson, C; Caterson, I; Coutinho, W; Finer, N; Ghotbi, AA; James, WP; Køber, L; Sharma, AM; Torp-Pedersen, C; Van Gaal, LF, 2013)
"Addition of rosiglitazone to glucose-lowering therapy in people with type 2 diabetes is confirmed to increase the risk of heart failure and of some fractures, mainly in women."5.14Rosiglitazone evaluated for cardiovascular outcomes in oral agent combination therapy for type 2 diabetes (RECORD): a multicentre, randomised, open-label trial. ( Beck-Nielsen, H; Curtis, PS; Gomis, R; Hanefeld, M; Home, PD; Jones, NP; Komajda, M; McMurray, JJ; Pocock, SJ, 2009)
"Hypertension was present in 30% of participants at study entry and then increased in the placebo and metformin groups, although it significantly decreased with intensive lifestyle intervention."5.11Impact of intensive lifestyle and metformin therapy on cardiovascular disease risk factors in the diabetes prevention program. ( Fowler, S; Goldberg, R; Haffner, S; Marcovina, S; Orchard, T; Ratner, R; Temprosa, M, 2005)
"Increasing epidemiologic evidence suggests that metformin, a well-established AMPK activator and the most favorable first-line anti-diabetic drug, reduces stroke incidence and severity."4.91Neuropharmacological Actions of Metformin in Stroke. ( Cheng, J; Jia, J; Ni, J; Zhen, X, 2015)
"To explore the association between the use of metformin and the risk of ischemic stroke in patients with type 2 diabetes."4.31[Metformin use and risk of ischemic stroke in patients with type 2 diabetes: A cohort study]. ( Chen, DF; Hu, YH; Qin, XY; Wang, MY; Wang, SY; Wu, JH; Wu, T; Wu, YQ; Yang, RT; Yu, H, 2023)
"Preclinical studies have shown that metformin has neuroprotective actions in stroke."4.31Metformin treatment and acute ischemic stroke outcomes in patients with type 2 diabetes: a retrospective cohort study. ( Dang, M; Feng, Y; Jian, Y; Li, T; Li, Y; Lu, J; Lu, Z; Wang, H; Wang, X; Yang, Y; Zhang, G; Zhang, L; Zhang, Y; Zhao, L, 2023)
"To study the effects of metformin use and vitamin B12 deficiency on stroke rate among patients with T2DM."4.31The Effect of Metformin on Vitamin B12 Deficiency and Stroke. ( Abu Dahoud, W; Blum, A; Hajouj, T; Horrany, N; Moallem, Y; Zreik, M, 2023)
"In this population-based study, SGLT2is were associated with significant CV, renal and survival benefits among individuals with type 2 diabetes on metformin; the CV benefit was driven by a reduced risk of ischemic stroke."4.31Cardiovascular and renal outcomes among patients with type 2 diabetes using SGLT2 inhibitors added to metformin: a population-based cohort study from the UK. ( Garcia Rodriguez, LA; Gonzalez Perez, A; Lind, M; Sáez, ME; Vizcaya, D, 2023)
"In this study, we showed that pre-stroke metformin use was associated with favorable outcome after acute ischemic stroke in patients with diabetes mellitus type 2."4.12Effect of metformin on outcome after acute ischemic stroke in patients with type 2 diabetes mellitus. ( den Hertog, HM; Haalboom, M; Heijmans, E; Kersten, CJBA; Knottnerus, ILH; Zandbergen, AAM, 2022)
"To gain insights on the cardiovascular effects of metformin and sulphonylurea, the present study compares the rates of incident atrial fibrillation, stroke, cardiovascular mortality and all-cause mortality between metformin and sulphonylurea users in type 2 diabetes mellitus."4.12Metformin versus sulphonylureas for new onset atrial fibrillation and stroke in type 2 diabetes mellitus: a population-based study. ( Chang, C; Cheng, SH; Chou, OHI; Lee, S; Leung, KSK; Liu, T; Tse, G; Wai, AKC; Wong, WT; Zhang, G; Zhang, Q; Zhou, J, 2022)
"Among 8613 first-line SGLT-2i initiators matched to 17 226 metformin initiators, SGLT-2i initiators had a similar risk for MI/stroke/mortality (HR, 0."4.12Cardiovascular Outcomes in Patients Initiating First-Line Treatment of Type 2 Diabetes With Sodium-Glucose Cotransporter-2 Inhibitors Versus Metformin : A Cohort Study. ( Glynn, RJ; Patorno, E; Schneeweiss, S; Shin, H, 2022)
" This self-controlled case series study aims to evaluate whether metformin use and SGLT2i-associated erythrocytosis influence its cardiovascular benefits."4.12Cardiovascular benefits of SGLT2 inhibitors in type 2 diabetes, interaction with metformin and role of erythrocytosis: a self-controlled case series study. ( Au, ICH; Lau, KTK; Lee, CH; Lee, CYY; Lui, DTW; Tan, KCB; Tang, EHM; Wong, CKH; Woo, YC, 2022)
"The study suggests that the prolonged effect of metformin-induced euglycemia promoted the microglial activation, reduced neuronal cell death, and improved the overall survival following stroke, without any change in infarct size."4.12The effect of chronic exposure to metformin in a new type-2 diabetic NONcNZO10/LtJ mouse model of stroke. ( Kimball, SR; Kumari, R; Simpson, IA; Willing, L, 2022)
"Although recent studies have focused on the use of metformin in treating ischemic stroke, there is little literature to support whether it can treat intracerebral hemorrhage (ICH)."4.02Prestroke Metformin Use on the 1-Year Prognosis of Intracerebral Hemorrhage Patients with Type 2 Diabetes. ( Liu, Q; Sun, BL; Tu, WJ; Wang, K; Wang, Y; Zeng, Q; Zeng, X, 2021)
"To evaluate whether pretreatment with metformin (MET) is associated with less stroke severity and better outcome after IV thrombolysis (IVT), we analyzed a cohort of 1,919 patients with stroke with type 2 diabetes mellitus in a multicenter exploratory analysis."3.96Association of prestroke metformin use, stroke severity, and thrombolysis outcome. ( Arnold, M; Bejot, Y; Brenière, C; Coutinho, JM; Curtze, S; Engelter, ST; Erdur, H; Eskandari, A; Gensicke, H; Gilliot, S; Groot, AE; Hametner, C; Held, U; Heldner, MR; Jovanovic, DR; Kägi, G; Leys, D; Luft, AR; Magoni, M; Martinez-Majander, N; Michel, P; Nederkoorn, P; Nolte, CH; Padjen, V; Pezzini, A; Polymeris, AA; Ringleb, P; Scheitz, JF; Scherrer, MJ; Seners, P; Steigmiller, K; Tatlisumak, T; Tiainen, M; Traenka, C; Turc, G; Vandelli, L; Wegener, S; Westphal, LP; Widmer, R; Zini, A, 2020)
" The drug metformin has been shown to activate neural stem cells, promote differentiation, and lead to functional motor recovery in a neonatal stroke model."3.91Age- and sex-dependent effects of metformin on neural precursor cells and cognitive recovery in a model of neonatal stroke. ( Adams, KV; Morshead, CM; Ruddy, RM, 2019)
" Initiators of metformin and sulfonylurea monotherapy were matched on high-dimensional propensity score, and Cox proportional hazards models were used to compare the rate of cardiovascular events (myocardial infarction, ischaemic stroke, cardiovascular death, and all-cause mortality) with sulfonylureas vs metformin."3.91Sulfonylureas as initial treatment for type 2 diabetes and the risk of adverse cardiovascular events: A population-based cohort study. ( Azoulay, L; Douros, A; Filion, KB; Suissa, S; Yin, H; Yu, OH, 2019)
"To compare time to a composite endpoint of non-fatal acute myocardial infarction, non-fatal stroke or all-cause mortality in patients with type 2 diabetes mellitus who had their treatment intensified with a dipeptidylpeptidase-4 inhibitor or insulin following dual-therapy (metformin plus sulfonylurea) failure."3.85The effects of dual-therapy intensification with insulin or dipeptidylpeptidase-4 inhibitor on cardiovascular events and all-cause mortality in patients with type 2 diabetes: A retrospective cohort study. ( Iskandar, I; Jil, M; Rajnikant, M; Richard, D, 2017)
"Metformin use reduces the incidence and severity of stroke in patients with type 2 diabetes mellitus (DM)."3.85Association Between Stroke Risk and Metformin Use in Hemodialysis Patients With Diabetes Mellitus: A Nested Case-Control Study. ( Chen, HH; Chen, JS; Chen, LY; Chien, LN; Chou, CL; Fang, TC; Kao, CC; Lin, YC; Wu, YL, 2017)
"DPP4is as a second-line add-on to metformin had a significantly lower stroke risk [hazard ratio (HR) 0."3.85Comparative cardiovascular risks of dipeptidyl peptidase 4 inhibitors with other second- and third-line antidiabetic drugs in patients with type 2 diabetes. ( Chang, KC; Li, CY; Ou, HT; Wu, JS, 2017)
" Metformin therapy reportedly decreases the risk of stroke, but the associations between metformin treatment and neurological severity or patient prognosis have not been investigated in clinical studies."3.83Impact of Metformin on the Severity and Outcomes of Acute Ischemic Stroke in Patients with Type 2 Diabetes Mellitus. ( Kuwashiro, T; Mima, Y; Nakamura, A; Okada, Y; Tsurusaki, Y; Wakugawa, Y; Yasaka, M, 2016)
" Among users of long-acting insulin, we conducted a population-based case-control study to evaluate the incident myocardial infarction (MI) and incident stroke risks associated with the use of sulfonylureas and the use of metformin."3.83Case-control study of oral glucose-lowering drugs in combination with long-acting insulin and the risks of incident myocardial infarction and incident stroke. ( Christiansen, M; Dublin, S; Floyd, JS; Heckbert, SR; Longstreth, WT; McKnight, B; Psaty, BM; Smith, NL; Weiss, NS; Wiggins, KL, 2016)
"Long-term metformin treatment reduces the risk of stroke."3.83Pre-stroke Metformin Treatment is Neuroprotective Involving AMPK Reduction. ( Chen, Y; Chen, Z; Deng, T; Hou, WW; Hu, WW; Shen, Z; Wu, XL; Yuan, Y; Zhang, LS; Zhang, XN; Zheng, YR, 2016)
"We conducted a population-based case-control study to assess the myocardial infarction (MI) and stroke risks associated with sulphonylureas and insulin when used in combination with metformin."3.81Case-control study of second-line therapies for type 2 diabetes in combination with metformin and the comparative risks of myocardial infarction and stroke. ( Dublin, S; Flory, JH; Floyd, JS; Heckbert, SR; Psaty, BM; Sitlani, CM; Smith, NL; Wiggins, KL, 2015)
"56]) compared with sulfonylureas as add-on therapy to metformin but had no effect on risks for myocardial infarction and hospitalization for heart failure."3.81Effects on Clinical Outcomes of Adding Dipeptidyl Peptidase-4 Inhibitors Versus Sulfonylureas to Metformin Therapy in Patients With Type 2 Diabetes Mellitus. ( Chao, PW; Chen, TJ; Chen, YT; Chu, H; Kuo, SC; Lee, YJ; Li, SY; Lin, CC; Ou, SM; Shih, CJ; Tarng, DC; Wang, SJ; Yang, CY, 2015)
"Accumulating evidence suggests that chronic metformin preconditioning offers potent neuroprotective effects against ischemic stroke."3.81Chronic Metformin Preconditioning Provides Neuroprotection via Suppression of NF-κB-Mediated Inflammatory Pathway in Rats with Permanent Cerebral Ischemia. ( Cao, L; Ding, ZZ; Jiang, T; Tan, L; Tan, MS; Wang, HF; Yu, JT; Zhang, QQ; Zhu, XC, 2015)
"Using nationwide administrative Danish registries, we followed all individuals without prior stroke or myocardial infarction who initiated metformin and an IS from 1997 through 2009."3.81Metformin in combination with various insulin secretagogues in type 2 diabetes and associated risk of cardiovascular morbidity and mortality--a retrospective nationwide study. ( Andersson, C; Fosbøl, EL; Gislason, G; Køber, L; Mogensen, UM; Scheller, NM; Schramm, TK; Torp-Pedersen, C; Vaag, A, 2015)
" sulfonylureas with metformin after failure of first-line treatment is associated with a decreased risk for major adverse cardiovascular events (myocardial infarction and stroke) and for all-cause mortality."3.81The combination of DPP-4 inhibitors versus sulfonylureas with metformin after failure of first-line treatment in the risk for major cardiovascular events and death. ( Azoulay, L; Yin, H; Yu, OH, 2015)
"Over a 20-year period, patients on dapagliflozin were projected to experience relative reductions in the incidence of myocardial infarction (MI), stroke, CV death, and all-cause death of 13."3.80Modeling effects of SGLT-2 inhibitor dapagliflozin treatment versus standard diabetes therapy on cardiovascular and microvascular outcomes. ( Alperin, P; Cohen, M; Dziuba, J; Goswami, D; Grossman, HL; Hardy, E; Iloeje, U; Perlstein, I; Racketa, J, 2014)
"To compare time to acute myocardial infarction (AMI), stroke, or death in a cohort of metformin initiators who added insulin or a sulfonylurea."3.80Association between intensification of metformin treatment with insulin vs sulfonylureas and cardiovascular events and all-cause mortality among patients with diabetes. ( Elasy, TA; Greevy, RA; Griffin, MR; Grijalva, CG; Hung, AM; Liu, X; Murff, HJ; Roumie, CL, 2014)
"Danish individuals without prior myocardial infarction or stroke that initiated combinations of metformin with sulphonylurea (SU), DPP-4 inhibitors, GLP-1 agonists or insulin between 9 May 2007 and 31 December 2011 were followed up for the risk of all-cause mortality, cardiovascular (CV) mortality or a combined end point of myocardial infarction, stroke and CV mortality."3.80Cardiovascular safety of combination therapies with incretin-based drugs and metformin compared with a combination of metformin and sulphonylurea in type 2 diabetes mellitus--a retrospective nationwide study. ( Andersson, C; Fosbøl, EL; Gislason, G; Køber, L; Mogensen, UM; Scheller, NM; Schramm, TK; Torp-Pedersen, C; Vaag, A, 2014)
" All-cause mortality and a composite endpoint of stroke, acute myocardial infarction (AMI) and all-cause mortality associated with sitagliptin monotherapy were compared with metformin monotherapy."3.80All-cause mortality and cardiovascular effects associated with the DPP-IV inhibitor sitagliptin compared with metformin, a retrospective cohort study on the Danish population. ( Andersson, C; Mogensen, UM; Scheller, NM; Torp-Pedersen, C; Vaag, A, 2014)
" Paradoxically, the clinical use of an AMPK activator metformin reduces the incidence of stroke."3.80Improvement of functional recovery by chronic metformin treatment is associated with enhanced alternative activation of microglia/macrophages and increased angiogenesis and neurogenesis following experimental stroke. ( Cheng, J; Jia, J; Jin, Q; Liu, Y; Qin, Z; Wang, X; Wei, S; Wu, J; Zhen, X; Zhou, X, 2014)
"Aim of the study was to clarify the relationship between metformin-induced vitamin B12 (B12) deficiency, hyperhomocysteinemia and vascular complications in patients with type 2 diabetes."3.79Relationship between metformin use, vitamin B12 deficiency, hyperhomocysteinemia and vascular complications in patients with type 2 diabetes. ( Aizawa, T; Funase, Y; Ouchi, K; Sato, Y; Yamauchi, K, 2013)
"To compare the effects of sulfonylureas and metformin on CVD outcomes (acute myocardial infarction and stroke) or death."3.78Comparative effectiveness of sulfonylurea and metformin monotherapy on cardiovascular events in type 2 diabetes mellitus: a cohort study. ( Elasy, TA; Greevy, RA; Griffin, MR; Grijalva, CG; Hung, AM; Liu, X; Murff, HJ; Roumie, CL, 2012)
"Higher risks for death (overall and due to cardiovascular disease) and heart failure were found for rosiglitazone compared to pioglitazone."3.77Risk of death and cardiovascular outcomes with thiazolidinediones: a study with the general practice research database and secondary care data. ( Gallagher, AM; Leufkens, HG; Seabroke, S; Smeeth, L; van Staa, TP, 2011)
"Acute metformin exacerbated stroke damage, enhanced AMPK activation, and led to metabolic dysfunction."3.76Effects of metformin in experimental stroke. ( Benashski, SE; Li, J; McCullough, LD; Venna, VR, 2010)
"Mycophenolic acid was detected in all cats."2.61 ( Abrams, G; Adolfsson, E; Agarwal, PK; Akkan, AG; Al Alhareth, NS; Alves, VGL; Armentano, R; Bahroos, E; Baig, M; Baldridge, KK; Barman, S; Bartolucci, C; Basit, A; Bertoli, SV; Bian, L; Bigatti, G; Bobenko, AI; Boix, PP; Bokulic, T; Bolink, HJ; Borowiec, J; Bulski, W; Burciaga, J; Butt, NS; Cai, AL; Campos, AM; Cao, G; Cao, Y; Čapo, I; Caruso, ML; Chao, CT; Cheatum, CM; Chelminski, K; Chen, AJW; Chen, C; Chen, CH; Chen, D; Chen, G; Chen, H; Chen, LH; Chen, R; Chen, RX; Chen, X; Cherdtrakulkiat, R; Chirvony, VS; Cho, JG; Chu, K; Ciurlino, D; Coletta, S; Contaldo, G; Crispi, F; Cui, JF; D'Esposito, M; de Biase, S; Demir, B; Deng, W; Deng, Z; Di Pinto, F; Domenech-Ximenos, B; Dong, G; Drácz, L; Du, XJ; Duan, LJ; Duan, Y; Ekendahl, D; Fan, W; Fang, L; Feng, C; Followill, DS; Foreman, SC; Fortunato, G; Frew, R; Fu, M; Gaál, V; Ganzevoort, W; Gao, DM; Gao, X; Gao, ZW; Garcia-Alvarez, A; Garza, MS; Gauthier, L; Gazzaz, ZJ; Ge, RS; Geng, Y; Genovesi, S; Geoffroy, V; Georg, D; Gigli, GL; Gong, J; Gong, Q; Groeneveld, J; Guerra, V; Guo, Q; Guo, X; Güttinger, R; Guyo, U; Haldar, J; Han, DS; Han, S; Hao, W; Hayman, A; He, D; Heidari, A; Heller, S; Ho, CT; Ho, SL; Hong, SN; Hou, YJ; Hu, D; Hu, X; Hu, ZY; Huang, JW; Huang, KC; Huang, Q; Huang, T; Hwang, JK; Izewska, J; Jablonski, CL; Jameel, T; Jeong, HK; Ji, J; Jia, Z; Jiang, W; Jiang, Y; Kalumpha, M; Kang, JH; Kazantsev, P; Kazemier, BM; Kebede, B; Khan, SA; Kiss, J; Kohen, A; Kolbenheyer, E; Konai, MM; Koniarova, I; Kornblith, E; Krawetz, RJ; Kreouzis, T; Kry, SF; Laepple, T; Lalošević, D; Lan, Y; Lawung, R; Lechner, W; Lee, KH; Lee, YH; Leonard, C; Li, C; Li, CF; Li, CM; Li, F; Li, J; Li, L; Li, S; Li, X; Li, Y; Li, YB; Li, Z; Liang, C; Lin, J; Lin, XH; Ling, M; Link, TM; Liu, HH; Liu, J; Liu, M; Liu, W; Liu, YP; Lou, H; Lu, G; Lu, M; Lun, SM; Ma, Z; Mackensen, A; Majumdar, S; Martineau, C; Martínez-Pastor, JP; McQuaid, JR; Mehrabian, H; Meng, Y; Miao, T; Miljković, D; Mo, J; Mohamed, HSH; Mohtadi, M; Mol, BWJ; Moosavi, L; Mosdósi, B; Nabu, S; Nava, E; Ni, L; Novakovic-Agopian, T; Nyamunda, BC; Nyul, Z; Önal, B; Özen, D; Özyazgan, S; Pajkrt, E; Palazon, F; Park, HW; Patai, Á; Patai, ÁV; Patzke, GR; Payette, G; Pedoia, V; Peelen, MJCS; Pellitteri, G; Peng, J; Perea, RJ; Pérez-Del-Rey, D; Popović, DJ; Popović, JK; Popović, KJ; Posecion, L; Povall, J; Prachayasittikul, S; Prachayasittikul, V; Prat-González, S; Qi, B; Qu, B; Rakshit, S; Ravelli, ACJ; Ren, ZG; Rivera, SM; Salo, P; Samaddar, S; Samper, JLA; Samy El Gendy, NM; Schmitt, N; Sekerbayev, KS; Sepúlveda-Martínez, Á; Sessolo, M; Severi, S; Sha, Y; Shen, FF; Shen, X; Shen, Y; Singh, P; Sinthupoom, N; Siri, S; Sitges, M; Slovak, JE; Solymosi, N; Song, H; Song, J; Song, M; Spingler, B; Stewart, I; Su, BL; Su, JF; Suming, L; Sun, JX; Tantimavanich, S; Tashkandi, JM; Taurbayev, TI; Tedgren, AC; Tenhunen, M; Thwaites, DI; Tibrewala, R; Tomsejm, M; Triana, CA; Vakira, FM; Valdez, M; Valente, M; Valentini, AM; Van de Winckel, A; van der Lee, R; Varga, F; Varga, M; Villarino, NF; Villemur, R; Vinatha, SP; Vincenti, A; Voskamp, BJ; Wang, B; Wang, C; Wang, H; Wang, HT; Wang, J; Wang, M; Wang, N; Wang, NC; Wang, Q; Wang, S; Wang, X; Wang, Y; Wang, Z; Wen, N; Wesolowska, P; Willis, M; Wu, C; Wu, D; Wu, L; Wu, X; Wu, Z; Xia, JM; Xia, X; Xia, Y; Xiao, J; Xiao, Y; Xie, CL; Xie, LM; Xie, S; Xing, Z; Xu, C; Xu, J; Yan, D; Yan, K; Yang, S; Yang, X; Yang, XW; Ye, M; Yin, Z; Yoon, N; Yoon, Y; Yu, H; Yu, K; Yu, ZY; Zhang, B; Zhang, GY; Zhang, H; Zhang, J; Zhang, M; Zhang, Q; Zhang, S; Zhang, W; Zhang, X; Zhang, Y; Zhang, YW; Zhang, Z; Zhao, D; Zhao, F; Zhao, P; Zhao, W; Zhao, Z; Zheng, C; Zhi, D; Zhou, C; Zhou, FY; Zhu, D; Zhu, J; Zhu, Q; Zinyama, NP; Zou, M; Zou, Z, 2019)
"The incidence of congestive cardiac failure was similar with pioglitazone (12/1857) and non-pioglitazone (10/1856) treatments."2.42Cardiovascular effects of treatment of type 2 diabetes with pioglitazone, metformin and gliclazide. ( Belcher, G; Edwards, G; Goh, KL; Lambert, C; Valbuena, M, 2004)
"A 40-year-old man with sensorineural hearing loss and diabetes mellitus was hospitalized with acute-onset impaired consciousness and clumsiness in his left hand."1.91Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes diagnosed after metformin-triggered stroke-like episodes. ( Ishiguchi, H; Ito, H; Murakami, K; Sakamoto, K, 2023)
"Then, stroke was induced by transient middle cerebral artery occlusion (tMCAO)."1.72Effects of co-administration of metformin and evogliptin on cerebral infarct volume in the diabetic rat. ( Hong, JM; Joe, EH; Lee, JS; Lee, SJ; Yoon, BS, 2022)
"Metformin treatment after hypoxia-ischaemia had no effect on microglia number and proliferation, but significantly reduced microglia activation in all regions examined, concomitant with improved behavioural outcomes in injured mice."1.72Reduced microglia activation following metformin administration or microglia ablation is sufficient to prevent functional deficits in a mouse model of neonatal stroke. ( Adams, KV; Bourget, C; Morshead, CM, 2022)
"312,368 persons with newly diagnosed type 2 diabetes without previous stroke/TIA (mean age: 64 years; 52% males) were included."1.72Association of glucose-lowering drugs with incident stroke and transient ischaemic attacks in primary care patients with type 2 diabetes: disease analyzer database. ( Kostev, K; Rathmann, W, 2022)
"Platelet thrombosis is the main pathogeny resulting in the low curability of ischemic stroke, a leading cause of mortality and disability worldwide."1.56Novel potent antiplatelet thrombotic agent derived from biguanide for ischemic stroke. ( Chen, Z; He, Y; Huang, W; Ji, C; Lee, KH; Li, S; Li, Y; Ming, Y; Morris-Natschke, SL; Niu, H; Wei, Z; Xin, G; Xing, Z; Yang, X; Yu, K; Zhang, B; Zhang, J; Zhang, X, 2020)
"The metformin intoxication was confirmed to be intentional in 23% (n = 5) of the single intoxications."1.51Metformin - Postmortem fatal and non-fatal reference concentrations in femoral blood and risk factors associated with fatal intoxications. ( Ahlner, J; Druid, H; Jönsson, AK; Östgren, CJ; Walz, L, 2019)
"Inflammation has been suggested as a critical etiologic factor."1.46Attenuation of Myeloid-Specific TGFβ Signaling Induces Inflammatory Cerebrovascular Disease and Stroke. ( Boehm, M; Hallenbeck, J; Hollander, MC; Ishii, H; Latour, LL; Lin, PC; Merchant, AS; Min, Y; Munasinghe, J; Ray-Choudhury, A; Xiao, Z; Yang, D; Yang, L, 2017)
"Treatment with glyburide is associated with increased all-cause and cardiovascular mortality in patients with T2DM."1.46All-Cause and Cardiovascular Mortality following Treatment with Metformin or Glyburide in Patients with Type 2 Diabetes Mellitus. ( Esteghamati, A; Heidari, B; Larry, M; Mansournia, MA; Nakhjavani, M; Nargesi, AA; Rabizadeh, S; Raee, MR; Zarifkar, M, 2017)
"Stroke is a leading cause of mortality and disability worldwide."1.46Involvement of arterial baroreflex and nicotinic acetylcholine receptor α7 subunit pathway in the protection of metformin against stroke in stroke-prone spontaneously hypertensive rats. ( Guo, JM; Liu, AJ; Niu, XC; Shu, H; Su, DF; Wang, L; Xu, JJ; Zhang, L; Zhang, Y; Zhu, DQ, 2017)
"A total of 123 patients had type 2 diabetes mellitus."1.42Prior treatment with dipeptidyl peptidase 4 inhibitors is associated with better functional outcome and lower in-hospital mortality in patients with type 2 diabetes mellitus admitted with acute ischaemic stroke. ( Bouziana, SD; Dourliou, V; Giampatzis, V; Hatzitolios, AI; Kostaki, S; Kostourou, DT; Papadopoulou, M; Savopoulos, C; Spanou, M; Tziomalos, K, 2015)
"Metformin is a kind of oral hypoglycemic agents commonly prescribed to patients with diabetes mellitus."1.40Metformin-inclusive therapy reduces the risk of stroke in patients with diabetes: a 4-year follow-up study. ( Chen, CL; Chen, TJ; Cheng, YY; Kao, CL; Kuo, CH; Lee, SD; Leu, HB, 2014)
"A model that incorporates HbA1c and diabetes complications can serve as a useful clinical decision tool for selection of treatment options."1.40Second-line agents for glycemic control for type 2 diabetes: are newer agents better? ( Denton, BT; Mason, JE; McCoy, RG; Shah, ND; Smith, SA; Zhang, Y, 2014)
"A total of 740 patients with incident Type 2 diabetes were registered at the Laxå Primary Health Care Centre, Sweden between 1972 and 2001."1.40Effects of fasting blood glucose levels and blood pressure and treatment of diabetes and hypertension on the incidence of cardiovascular disease: a study of 740 patients with incident Type 2 diabetes with up to 30 years' follow-up. ( Andersson, DK; Jansson, SP; Svärdsudd, K, 2014)
"Patients with type 2 Diabetes and nonlacunar isehemic stroke met the standardized criteria were included and divided into sulfonylures (SU) group and Non-SU group."1.40[Effects of sulfonylureas on patients with type 2 diabetes and acute nonlacunar ischemic stroke]. ( Chen, DM; Yu, YR, 2014)
"Subjects with type 2 diabetes who progressed to first-line treatment with metformin or sulphonylurea monotherapy were selected and matched to people without diabetes."1.40Can people with type 2 diabetes live longer than those without? A comparison of mortality in people initiated with metformin or sulphonylurea monotherapy and matched, non-diabetic controls. ( Bannister, CA; Currie, CJ; Halcox, JP; Holden, SE; Jenkins-Jones, S; Morgan, CL; Mukherjee, J; Schernthaner, G, 2014)
"Patients with type 2 diabetes were selected if initiated with combination therapies comprising metformin plus SU or DPP-4i 2007-2012."1.40Combination therapy with metformin plus sulphonylureas versus metformin plus DPP-4 inhibitors: association with major adverse cardiovascular events and all-cause mortality. ( Currie, CJ; Holden, SE; Jenkins-Jones, S; Morgan, CL; Mukherjee, J, 2014)
"Patients with type 2 diabetes were selected if initiated with metformin or sulphonylurea monotherapy as their first-line glucose-lowering regimen 2000-2012."1.40Association between first-line monotherapy with sulphonylurea versus metformin and risk of all-cause mortality and cardiovascular events: a retrospective, observational study. ( Currie, CJ; Holden, SE; Jenkins-Jones, S; Morgan, CL; Mukherjee, J, 2014)
"Metformin is a well-known activator of AMP-activated protein kinase (AMPK)."1.40Chronic metformin treatment improves post-stroke angiogenesis and recovery after experimental stroke. ( Hammond, MD; Li, J; Mancini, NS; McCullough, LD; Venna, VR, 2014)
"We identified 4817 stroke patients with type 2 diabetes mellitus."1.38Type of preadmission antidiabetic treatment and outcome among patients with ischemic stroke: a nationwide follow-up study. ( Horsdal, HT; Johnsen, SP; Mehnert, F; Rungby, J, 2012)
"Metformin is a widely used antidiabetic agent that is generally considered safe."1.37Metformin-associated lactic acidosis in Chinese patients with type II diabetes. ( Chan, WM; Chung, HY; Fong, BM; Siu, TS; Tam, S; Tsai, NW; Tsui, SH; Yeung, CW, 2011)

Research

Studies (103)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's9 (8.74)29.6817
2010's67 (65.05)24.3611
2020's27 (26.21)2.80

Authors

AuthorsStudies
Xin, G1
Ming, Y1
Ji, C1
Wei, Z1
Li, S2
Morris-Natschke, SL1
Zhang, X3
Yu, K2
Li, Y9
Zhang, B2
Zhang, J4
Xing, Z2
He, Y1
Chen, Z3
Yang, X3
Niu, H1
Lee, KH2
Huang, W1
Osei, E2
Zandbergen, A1
Brouwers, PJAM1
Mulder, LJMM1
Koudstaal, P1
Lingsma, H1
Dippel, DWJ1
den Hertog, H1
Tu, WJ1
Zeng, Q1
Wang, K1
Wang, Y6
Sun, BL1
Zeng, X1
Liu, Q1
Lee, SJ1
Yoon, BS1
Hong, JM1
Joe, EH1
Lee, JS1
Zhou, J1
Zhang, G4
Chang, C1
Chou, OHI1
Lee, S1
Leung, KSK1
Wong, WT1
Liu, T1
Wai, AKC1
Cheng, SH1
Zhang, Q2
Tse, G1
Shin, H1
Schneeweiss, S1
Glynn, RJ2
Patorno, E2
Wong, CKH1
Lau, KTK1
Tang, EHM1
Lee, CH1
Lee, CYY1
Woo, YC1
Au, ICH1
Tan, KCB1
Lui, DTW1
Bourget, C1
Adams, KV2
Morshead, CM2
Kumari, R1
Willing, L1
Kimball, SR1
Simpson, IA1
Kersten, CJBA1
Knottnerus, ILH1
Heijmans, E1
Haalboom, M1
Zandbergen, AAM1
den Hertog, HM3
Rathmann, W1
Kostev, K1
Jian, Y3
Wang, H4
Zhao, L3
Li, T3
Zhang, L5
Wang, X6
Zhang, Y8
Dang, M3
Lu, Z3
Lu, J3
Feng, Y3
Yang, Y4
Gonzalez Perez, A1
Vizcaya, D1
Sáez, ME1
Lind, M1
Garcia Rodriguez, LA1
Zhu, X1
Jiao, W1
Wu, Y1
Yang, L2
Horrany, N1
Abu Dahoud, W1
Moallem, Y1
Hajouj, T1
Zreik, M1
Blum, A1
Murakami, K2
Sakamoto, K2
Ishiguchi, H2
Ito, H2
Finsterer, J1
Yu, H2
Yang, RT1
Wang, SY1
Wu, JH1
Wang, MY1
Qin, XY1
Wu, T1
Chen, DF1
Wu, YQ1
Hu, YH1
Bobenko, AI1
Heller, S1
Schmitt, N1
Cherdtrakulkiat, R1
Lawung, R1
Nabu, S1
Tantimavanich, S1
Sinthupoom, N1
Prachayasittikul, S1
Prachayasittikul, V1
Wu, C1
Zhang, Z2
Yan, K1
Li, C2
Li, L3
Zheng, C1
Xiao, Y1
He, D1
Zhao, F1
Su, JF1
Lun, SM1
Hou, YJ1
Duan, LJ1
Wang, NC1
Shen, FF1
Zhang, YW1
Gao, ZW1
Li, J7
Du, XJ1
Zhou, FY1
Yin, Z1
Zhu, J2
Yan, D1
Lou, H1
Feng, C1
Wang, Z1
Hu, X1
Li, Z2
Shen, Y1
Hu, D1
Chen, H1
Wu, X1
Duan, Y1
Zhi, D1
Zou, M2
Zhao, Z1
Popović, KJ1
Popović, DJ1
Miljković, D1
Lalošević, D1
Čapo, I1
Popović, JK1
Liu, M1
Song, H2
Lu, G1
Chen, D1
Valentini, AM1
Di Pinto, F1
Coletta, S1
Guerra, V1
Armentano, R1
Caruso, ML1
Gong, J1
Wang, N1
Bian, L1
Wang, M1
Ye, M1
Wen, N1
Fu, M1
Fan, W1
Meng, Y1
Dong, G1
Lin, XH1
Liu, HH1
Gao, DM1
Cui, JF1
Ren, ZG1
Chen, RX1
Önal, B1
Özen, D1
Demir, B1
Akkan, AG1
Özyazgan, S1
Payette, G1
Geoffroy, V1
Martineau, C1
Villemur, R1
Jameel, T1
Baig, M1
Gazzaz, ZJ1
Tashkandi, JM1
Al Alhareth, NS1
Khan, SA1
Butt, NS1
Wang, J3
Geng, Y1
Liu, J4
Basit, A1
Miao, T1
Liu, W1
Jiang, W1
Yu, ZY1
Wu, L2
Qu, B1
Sun, JX1
Cai, AL1
Xie, LM1
Groeneveld, J1
Ho, SL1
Mackensen, A1
Mohtadi, M1
Laepple, T1
Genovesi, S1
Nava, E1
Bartolucci, C1
Severi, S1
Vincenti, A1
Contaldo, G1
Bigatti, G1
Ciurlino, D1
Bertoli, SV1
Slovak, JE1
Hwang, JK1
Rivera, SM1
Villarino, NF1
Cao, G1
Ling, M1
Ji, J1
Zhao, D1
Sha, Y1
Gao, X1
Liang, C2
Guo, Q1
Zhou, C1
Ma, Z1
Xu, J1
Wang, C1
Zhao, W1
Xia, X1
Jiang, Y1
Peng, J1
Jia, Z1
Li, F1
Chen, X2
Mo, J1
Zhang, S2
Li, X1
Huang, T1
Zhu, Q1
Wang, S1
Ge, RS1
Fortunato, G1
Lin, J2
Agarwal, PK1
Kohen, A1
Singh, P1
Cheatum, CM1
Zhu, D1
Hayman, A1
Kebede, B1
Stewart, I1
Chen, G1
Frew, R1
Guo, X1
Gong, Q1
Borowiec, J1
Han, S1
Zhang, M1
Willis, M1
Kreouzis, T1
Chirvony, VS1
Sekerbayev, KS1
Pérez-Del-Rey, D1
Martínez-Pastor, JP1
Palazon, F1
Boix, PP1
Taurbayev, TI1
Sessolo, M1
Bolink, HJ1
Lu, M1
Lan, Y1
Xiao, J1
Song, M1
Chen, C1
Huang, Q1
Cao, Y1
Ho, CT1
Qi, B1
Wang, Q1
Zhang, W1
Fang, L1
Xie, CL1
Chen, R1
Yang, S1
Xia, JM1
Zhang, GY1
Chen, CH1
Yang, XW1
Domenech-Ximenos, B1
Garza, MS1
Prat-González, S1
Sepúlveda-Martínez, Á1
Crispi, F1
Perea, RJ1
Garcia-Alvarez, A1
Sitges, M1
Kalumpha, M1
Guyo, U1
Zinyama, NP1
Vakira, FM1
Nyamunda, BC1
Varga, M1
Drácz, L1
Kolbenheyer, E1
Varga, F1
Patai, ÁV1
Solymosi, N1
Patai, Á1
Kiss, J1
Gaál, V1
Nyul, Z1
Mosdósi, B1
Valdez, M1
Moosavi, L1
Heidari, A1
Novakovic-Agopian, T1
Kornblith, E1
Abrams, G1
McQuaid, JR1
Posecion, L1
Burciaga, J1
D'Esposito, M1
Chen, AJW1
Samy El Gendy, NM1
Wesolowska, P1
Georg, D1
Lechner, W1
Kazantsev, P1
Bokulic, T1
Tedgren, AC1
Adolfsson, E1
Campos, AM1
Alves, VGL1
Suming, L1
Hao, W1
Ekendahl, D1
Koniarova, I1
Bulski, W1
Chelminski, K1
Samper, JLA1
Vinatha, SP1
Rakshit, S1
Siri, S1
Tomsejm, M1
Tenhunen, M1
Povall, J1
Kry, SF1
Followill, DS1
Thwaites, DI1
Izewska, J1
Kang, JH1
Yoon, Y1
Song, J1
Van de Winckel, A1
Gauthier, L1
Chao, CT1
Lee, YH1
Li, CM1
Han, DS1
Huang, JW1
Huang, KC1
Ni, L1
Güttinger, R1
Triana, CA1
Spingler, B1
Baldridge, KK1
Patzke, GR1
Shen, X1
Wang, B1
Xie, S1
Deng, W1
Wu, D1
Voskamp, BJ1
Peelen, MJCS1
Ravelli, ACJ1
van der Lee, R1
Mol, BWJ1
Pajkrt, E1
Ganzevoort, W1
Kazemier, BM1
Tibrewala, R1
Bahroos, E1
Mehrabian, H1
Foreman, SC1
Link, TM1
Pedoia, V1
Majumdar, S1
Jablonski, CL1
Leonard, C1
Salo, P1
Krawetz, RJ1
Yoon, N1
Hong, SN1
Cho, JG1
Jeong, HK1
Park, HW1
Barman, S1
Konai, MM1
Samaddar, S1
Haldar, J1
Mohamed, HSH1
Li, CF1
Hu, ZY1
Deng, Z1
Chen, LH1
Su, BL1
Chu, K1
Liu, YP1
Li, YB1
Zhang, H1
Xu, C1
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Xia, Y1
Zhao, P1
Wang, HT1
de Biase, S1
Pellitteri, G1
Gigli, GL1
Valente, M1
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Leon-Jimenez, D1
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Latour, LL1
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Lin, PC1
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Koller, L1
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Schmidt, TA1
Savarese, G1
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Ceconi, C1
Torp-Pedersen, C6
Kaski, JC1
Kjeldsen, KP1
Agewall, S1
Walther, T1
Drexel, H1
Lewis, BS1
Chien, LN1
Chou, CL1
Chen, HH1
Kao, CC1
Lin, YC1
Wu, YL1
Chen, JS1
Chen, LY1
Fang, TC1
Ould-Brahim, F1
Sarma, SN1
Syal, C1
Lu, KJ1
Seegobin, M1
Carter, A1
Jeffers, MS1
Doré, C1
Stanford, WL1
Corbett, D1
Crowley, MJ1
Gokhale, M1
Pate, V1
Stürmer, T1
Buse, JB1
Charytan, DM1
Solomon, SD1
Ivanovich, P1
Remuzzi, G1
Cooper, ME1
McGill, JB1
Parving, HH1
Parfrey, P1
Singh, AK1
Burdmann, EA1
Levey, AS1
Eckardt, KU1
McMurray, JJV1
Weinrauch, LA1
Claggett, B1
Lewis, EF1
Pfeffer, MA1
Zhao, M1
Li, XW1
Hao, F1
Tao, SX1
Yu, HY1
Cheng, R1
Liu, H1
Leech, T1
Chattipakorn, N1
Chattipakorn, SC1
Abbasi, J1
Filion, KB1
Douros, A1
Azoulay, L2
Yin, H2
Yu, OH2
Suissa, S1
Vermeer, SE1
Zandbergen, AA2
Achterberg, S1
Dippel, DW2
Algra, A1
Kappelle, LJ1
Koudstaal, PJ2
Sato, Y1
Ouchi, K1
Funase, Y1
Yamauchi, K1
Aizawa, T1
Scheller, NM3
Mogensen, UM3
Andersson, C4
Vaag, A4
Ghotbi, AA1
Finer, N1
James, WP1
Sharma, AM1
Caterson, I1
Coutinho, W1
Van Gaal, LF1
Cheng, YY1
Leu, HB1
Chen, TJ2
Chen, CL1
Kuo, CH1
Lee, SD1
Kao, CL1
Green, JB1
Bethel, MA1
Paul, SK1
Ring, A1
Kaufman, KD1
Shapiro, DR1
Califf, RM1
Holman, RR1
Dziuba, J1
Alperin, P1
Racketa, J1
Iloeje, U1
Goswami, D1
Hardy, E1
Perlstein, I1
Grossman, HL1
Cohen, M1
McCoy, RG1
Mason, JE1
Smith, SA1
Shah, ND1
Denton, BT1
Jin, Q1
Cheng, J2
Liu, Y1
Wu, J1
Wei, S1
Zhou, X1
Qin, Z1
Jia, J2
Zhen, X2
Venna, VR2
Hammond, MD1
Mancini, NS1
McCullough, LD2
Morgan, CL3
Mukherjee, J3
Jenkins-Jones, S3
Holden, SE3
Currie, CJ3
Fosbøl, EL3
Schramm, TK3
Jansson, SP1
Svärdsudd, K1
Andersson, DK1
Roumie, CL2
Greevy, RA2
Grijalva, CG2
Hung, AM2
Liu, X2
Murff, HJ2
Elasy, TA2
Griffin, MR2
Bannister, CA1
Halcox, JP1
Schernthaner, G1
Hu, Y1
Ley, SH1
Rajpathak, S1
Hu, FB1
Zhu, XC1
Jiang, T1
Zhang, QQ1
Cao, L1
Tan, MS1
Wang, HF1
Ding, ZZ1
Tan, L1
Yu, JT1
Chen, DM1
Yu, YR1
Füessl, HS1
Abdelsaid, M1
Prakash, R1
Li, W1
Coucha, M1
Hafez, S1
Johnson, MH1
Fagan, SC1
Ergul, A1
Lefaucheur, R1
Bourre, B1
Ozkul-Wermester, O1
Maltête, D1
Wallon, D1
Seong, JM1
Choi, NK1
Shin, JY1
Chang, Y1
Kim, YJ1
Lee, J1
Kim, JY1
Park, BJ1
Floyd, JS2
Wiggins, KL2
Sitlani, CM1
Flory, JH1
Dublin, S2
Smith, NL2
Heckbert, SR2
Psaty, BM2
Fonville, S1
Brouwers, PJ1
Mulder, LJ1
Lingsma, HF1
Tziomalos, K1
Bouziana, SD1
Spanou, M1
Kostaki, S1
Papadopoulou, M1
Giampatzis, V1
Dourliou, V1
Kostourou, DT1
Savopoulos, C1
Hatzitolios, AI1
Ni, J1
Fung, CS1
Wan, EY1
Wong, CK1
Jiao, F1
Chan, AK1
Ou, SM1
Shih, CJ1
Chao, PW1
Chu, H1
Kuo, SC1
Lee, YJ1
Wang, SJ1
Yang, CY1
Lin, CC1
Tarng, DC1
Li, SY1
Chen, YT1
Christiansen, M1
Longstreth, WT1
McKnight, B1
Weiss, NS1
Mima, Y1
Kuwashiro, T1
Yasaka, M1
Tsurusaki, Y1
Nakamura, A1
Wakugawa, Y1
Okada, Y1
Pladevall, M1
Riera-Guardia, N1
Margulis, AV1
Varas-Lorenzo, C1
Calingaert, B1
Perez-Gutthann, S1
Everett, BM1
Goldfine, AB1
Gopalakrishnan, C1
Kim, SC1
Zghebi, SS1
Steinke, DT1
Rutter, MK1
Emsley, RA1
Ashcroft, DM1
Prentice, JC1
Pizer, SD1
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Deng, T1
Zheng, YR1
Hou, WW1
Yuan, Y1
Shen, Z1
Wu, XL1
Chen, Y1
Zhang, LS1
Hu, WW1
Zhang, XN1
Ou, HT1
Chang, KC1
Li, CY1
Wu, JS1
Guo, JM1
Niu, XC1
Shu, H1
Wang, L1
Su, DF1
Liu, AJ1
Zhu, DQ1
Xu, JJ1
Raee, MR1
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Heidari, B1
Mansournia, MA1
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Zarifkar, M1
Esteghamati, A1
Nakhjavani, M1
Retnakaran, R1
Zinman, B1
Home, PD1
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Beck-Nielsen, H1
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Gomis, R1
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Komajda, M1
McMurray, JJ1
Frye, RL1
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Hardison, RM1
Kelsey, SF1
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Genuth, SM1
Goldberg, SH1
Hlatky, MA1
Jones, TL1
Molitch, ME1
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Sobel, BE1
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Norhammar, A1
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Melander, A1

Clinical Trials (28)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Dipeptidyl-4 Inhibitors in Reducing Stroke Severity, From the Health Insurance Review and Assessment Service Database[NCT05817097]22,119 participants (Anticipated)Observational2023-08-31Not yet recruiting
Study of Metformin Overdose in Adult Patients Treated at the University Hospital of Nancy: Single-center Descriptive Retrospective Observational Study[NCT04762966]50 participants (Anticipated)Observational2021-03-01Recruiting
A Multi-center, Prospective, Cohort Study to Elucidate the Effects of Metformin Treatment on Steroid Hormones and Social Behavior. Linking Autistic Behaviorial Symptoms to Changes in Steroid Hormone Availability[NCT04930471]45 participants (Anticipated)Observational2021-06-30Not yet recruiting
A Multicentric, Randomized, Open Label Study on Comparison of Pancreatic Beta Cell Recovery and Preservation in Type 2 Diabetic Patients Treated With DPP-4 Inhibitor (Vildagliptin) and Metformin[NCT02853630]Phase 4203 participants (Actual)Interventional2013-12-31Completed
A 52 Week Randomized, Double-Blind, Multicenter, Mechanistic Study With a 24 Week Open-Label Follow-Up to Evaluate the Effect of AVANDIA TM on Bone in Postmenopausal Women With Type 2 Diabetes Mellitus[NCT00679939]Phase 4226 participants (Actual)Interventional2008-04-21Completed
[NCT00396851]100 participants Interventional2007-01-31Not yet recruiting
Efficacy and Safety of Vildagliptin Compared to Metformin in Drug Naive Patients With Type 2 Diabetes[NCT00099866]Phase 3570 participants (Actual)Interventional2004-01-31Completed
Extension to a Study on the Efficacy and Safety of Vildagliptin Compared to Metformin in Drug Naive Patients With Type 2 Diabetes[NCT00138567]Phase 3530 participants Interventional2005-01-31Completed
A Randomized, Double-Blind Study to Compare the Durability of Glucose Lowering and Preservation of Pancreatic Beta-Cell Function of Rosiglitazone Monotherapy Compared to Metformin or Glyburide/Glibenclamide in Patients With Drug-Naive, Recently Diagnosed [NCT00279045]Phase 34,426 participants (Actual)Interventional2000-01-03Completed
Effects of Agonists of Glucagon Like Peptide - 1 Receptors (GLP-1R) on Arterial Stiffness, Endothelial Glycocalyx and Coronary Flow Reserve in Patients With Coronary Artery Disease and Patients With Diabetes Mellitus[NCT03010683]60 participants (Actual)Interventional2015-11-30Completed
Metabolic Effects of Treatment in Patients With Recently Diagnosed Type 2 Diabetes[NCT00373178]Phase 4100 participants (Actual)Interventional2005-01-31Completed
Double Blind Comparison Study of JARDIANCE® (Empagliflozin) in Prehypertensives Type II Diabetics With Metformin[NCT01001962]Phase 41,054 participants (Anticipated)Interventional2016-01-31Not yet recruiting
A Multicenter, Randomized, Double-Blind Active-Controlled, Phase 3 Trial to Evaluate the Efficacy and Safety of Saxagliptin in Combination With Metformin IR as Initial Therapy Compared to Saxagliptin Monotherapy and to Metformin IR Monotherapy in Subjects[NCT00327015]Phase 31,306 participants (Actual)Interventional2006-05-31Completed
A Multicenter, Randomized, Double-Blind Factorial Study of the Co-Administration of MK0431 and Metformin in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control[NCT00103857]Phase 31,208 participants (Actual)Interventional2005-03-17Completed
[NCT00035568]Phase 40 participants Interventional2002-02-28Completed
A Multicenter, Register-based, Randomized, Controlled Trial Comparing Dapagliflozin With Metformin Treatment in Early Stage Type 2 Diabetes Patients by Assessing Mortality and Macro- and Microvascular Complications[NCT03982381]Phase 42,067 participants (Actual)Interventional2019-09-05Active, not recruiting
Restoring Insulin Secretion Adult Medication Study[NCT01779362]Phase 3267 participants (Actual)Interventional2013-04-30Completed
The Impact of LY2189265 Versus Metformin on Glycemic Control in Early Type 2 Diabetes Mellitus (AWARD-3: Assessment of Weekly AdministRation of LY2189265 in Diabetes-3)[NCT01126580]Phase 3807 participants (Actual)Interventional2010-05-31Completed
A Randomized, Double-blind, Placebo Controlled Study (DANHEART): Hydralazine-ISDN in Patients With Chronic Heart Failure - Hydralazine Heart Failure Trial (H-HeFT) and Metformin in Patients With Chronic Heart Failure and Diabetes or Insulin Resistance - M[NCT03514108]Phase 41,500 participants (Anticipated)Interventional2018-03-01Recruiting
Efficacy Study of Folic Acid Supplementation on Homocysteine Levels in Adolescent Epileptics Taking Antiepileptic Drugs: A Single Blind Randomized Controlled Clinical Trial[NCT02318446]Phase 336 participants (Anticipated)Interventional2015-03-31Not yet recruiting
TECOS: A Randomized, Placebo Controlled Clinical Trial to Evaluate Cardiovascular Outcomes After Treatment With Sitagliptin in Patients With Type 2 Diabetes Mellitus and Inadequate Glycemic Control[NCT00790205]Phase 314,671 participants (Actual)Interventional2008-12-10Completed
A Long Term, Open Label, Randomised Study in Patients With Type 2 Diabetes, Comparing the Combination of Rosiglitazone and Either Metformin or Sulfonylurea With Metformin Plus Sulfonylurea on Cardiovascular Endpoints and Glycaemia[NCT00379769]Phase 34,447 participants (Actual)Interventional2001-04-30Completed
Bypass Angioplasty Revascularization Investigation in Type 2 Diabetes[NCT00006305]Phase 32,368 participants (Actual)Interventional2000-09-30Completed
Allopurinol in the Treatment of Patients With Diabetes Mellitus and Multivessel Coronary Artery Disease Treated by Either PCI or CABG: Pilot Study[NCT03700645]Phase 4100 participants (Anticipated)Interventional2018-12-01Not yet recruiting
Effect of Modifying Anti-platelet Treatment to Ticagrelor in Patients With Diabetes and Low Response to Clopidogrel[NCT01643031]Phase 4500 participants (Anticipated)Interventional2012-08-31Not yet recruiting
Effect of Metformin Glycinate on Postprandial Lipemia, Glycemic Control and Oxidation Markers in Type 2 Diabetes Patients[NCT02064881]Phase 2/Phase 372 participants (Anticipated)Interventional2015-10-31Recruiting
The Emirates Heart Health Project: A Stepped-wedge Cluster Randomized-controlled Trial of a Family-based Health Coach Guided Dietary and Exercise Intervention for Reducing Weight and Cardiovascular Risk in Overweight and Obese Adult Nationals of the Unite[NCT04688684]80 participants (Anticipated)Interventional2022-06-01Not yet recruiting
Physical Activity and Sedentary Behavior Change; Impact on Lifestyle Intervention Effects for Diabetes Translation[NCT02467881]308 participants (Actual)Interventional2015-09-30Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Adjusted Change From Baseline in Femoral Neck (FN) Infero-anterior Cortical Thickness Via QCT at Week 76 + 30 Days

Cortical thickness was measured by QCT. Change was calculated as thickness at Week 76 + 30 days minus thickness at Baseline. (NCT00679939)
Timeframe: Baseline and Week 76 + 30 days

Interventionmillimeters (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-0.120
Metformin in DB Period; Metformin in OL Period-0.040

Adjusted Change From Baseline in Femoral Neck (FN) Infero-anterior Cortical vBMD Via QCT at Week 76 + 30 Days

vBMD was measured by QCT. Change from Baseline at Week 76 + 30 days was calculated as vBMD at Week 76 + 30 days minus vBMD at baseline and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Infero-anterior is the lower and front section of the FN. (NCT00679939)
Timeframe: Baseline and Week 76 + 30 days

Interventionmg/cm^3 (Mean)
Rosiglitazone in DB Period; Metformin in OL Period7.901
Metformin in DB Period; Metformin in OL Period-5.025

Adjusted Change From Baseline in Femoral Neck (FN) Infero-posterior Cortical Thickness Via QCT at Week 76 + 30 Days

Cortical thickness was measured by QCT. Change from Baseline was calculated as thickness at Week 76 + 30 days minus thickness at Baseline. (NCT00679939)
Timeframe: Baseline and Week 76 + 30 days

Interventionmillimeters (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-0.082
Metformin in DB Period; Metformin in OL Period-0.048

Adjusted Change From Baseline in Femoral Neck (FN) Infero-posterior Cortical vBMD Via QCT at Week 76 + 30 Days

vBMD was measured by QCT. Change from Baseline at Week 76 + 30 days was calculated as vBMD at Week 76 + 30 days minus vBMD at baseline and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Infero-posterior is the lower and back section of the FN. (NCT00679939)
Timeframe: Baseline and Week 76 + 30 days

Interventionmg/cm^3 (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-12.424
Metformin in DB Period; Metformin in OL Period-10.244

Adjusted Change From Baseline in Femoral Neck (FN) Supero-anterior Cortical Thickness Via QCT at Week 76 + 30 Days

Cortical thickness was measured by QCT. Change from baseline was calculated as thickness at Week 76 + 30 days minus thickness at Baseline. (NCT00679939)
Timeframe: Baseline and Week 76 + 30 days

Interventionmillimeters (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-0.117
Metformin in DB Period; Metformin in OL Period-0.087

Adjusted Change From Baseline in Femoral Neck (FN) Supero-anterior Cortical vBMD Via QCT at Week 76 + 30 Days

vBMD was measured by QCT. Change from Baseline at Week 76 + 30 days was calculated as vBMD at Week 76 + 30 days minus vBMD at baseline and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Supero-anterior is the upper and front section of the FN. (NCT00679939)
Timeframe: Baseline and Week 76 + 30 days

Interventionmg/cm^3 (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-4.555
Metformin in DB Period; Metformin in OL Period-7.553

Adjusted Change From Baseline in Femoral Neck (FN) Supero-posterior and Cortical vBMD Via QCT at Week 76 + 30 Days

vBMD was measured by QCT. Change from Baseline at Week 76 + 30 days was calculated as vBMD at Week 76 + 30 days minus vBMD at baseline and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Supero-posterior is the upper and back section of the FN. (NCT00679939)
Timeframe: Baseline and Week 76 + 30 days

Interventionmg/cm^3 (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-8.007
Metformin in DB Period; Metformin in OL Period-7.006

Adjusted Change From Baseline in Femoral Neck (FN) Supero-posterior Cortical Thickness Via QCT at Week 76 + 30 Days

Cortical thickness was measured by QCT. Change from baseline was calculated as thickness at Week 76 + 30 days minus thickness at Baseline. (NCT00679939)
Timeframe: Baseline and Week 76 + 30 days

Interventionmillimeters (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-0.95
Metformin in DB Period; Metformin in OL Period-0.067

Adjusted Change in Albumin-adjusted Serum Calcium (AASC) From Week 52 to Week 76

AASC levels were measured from blood samples. AASC is the amount of free calcium circulating in the blood and calcium is required for good bone health. Change from Week 52 was calculated as the Week 76 value minus the Week 52 value and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 and Week 76

Interventionmillimoles per Liter (mmol/L) (Mean)
Rosiglitazone in DB Period; Metformin in OL Period0.01
Metformin in DB Period; Metformin in OL Period0.00

Adjusted Change in Femoral Neck (FN) Infero-anterior Cortical Thickness Via QCT From Week 52 + 30 Days to Week 76 + 30 Days

Cortical thickness was measured by QCT. Change was calculated as thickness at Week 76 + 30 days minus thickness at Week 52 + 30 days. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionmillimeters (Mean)
Rosiglitazone in DB Period; Metformin in OL Period0.09
Metformin in DB Period; Metformin in OL Period0.01

Adjusted Change in Femoral Neck (FN) Infero-anterior Cortical vBMD Via QCT From Week 52 + 30 Days to Week 76 + 30 Days

vBMD was measured by QCT. Change from Week 52 + 30 days to Week 76 + 30 days was calculated as vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Infero-anterior is the lower and front section of the FN. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionmg/cm^3 (Mean)
Rosiglitazone in DB Period; Metformin in OL Period20.15
Metformin in DB Period; Metformin in OL Period-10.73

Adjusted Change in Femoral Neck (FN) Infero-posterior Cortical Thickness Via QCT From Week 52 + 30 Days to Week 76 + 30 Days

Cortical thickness was measured by QCT. Change was calculated as thickness at Week 76 + 30 days minus thickness at Week 52 + 30 days. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionmillimeters (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-0.08
Metformin in DB Period; Metformin in OL Period0.07

Adjusted Change in Femoral Neck (FN) Infero-posterior Cortical vBMD Via QCT From Week 52 + 30 Days to Week 76 + 30 Days

vBMD was measured by QCT. Change from Week 52 + 30 days to Week 76 + 30 days was calculated as vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Infero-posterior is the lower and back section of the FN. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionmg/cm^3 (Mean)
Rosiglitazone in DB Period; Metformin in OL Period15.48
Metformin in DB Period; Metformin in OL Period-17.59

Adjusted Change in Femoral Neck (FN) Supero-anterior Cortical Thickness Via QCT From Week 52+30 Days to Week 76 + 30 Days

Cortical thickness was measured by QCT. Change was calculated as thickness at Week 76 + 30 days minus thickness at Week 52 + 30 days. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionmillimeters (Mean)
Rosiglitazone in DB Period; Metformin in OL Period0.11
Metformin in DB Period; Metformin in OL Period-0.13

Adjusted Change in Femoral Neck (FN) Supero-anterior Cortical vBMD Via QCT From Week 52+30 Days to Week 76 + 30 Days

vBMD was measured by QCT. Change from Week 52 + 30 days to Week 76 + 30 days was calculated as vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Supero-anterior is the upper and front section of the FN. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionmg/cm^3 (Mean)
Rosiglitazone in DB Period; Metformin in OL Period5.19
Metformin in DB Period; Metformin in OL Period-6.24

Adjusted Change in Femoral Neck (FN) Supero-posterior Cortical Thickness Via QCT From Week 52 + 30 Days to Week 76 + 30 Days

Cortical thickness was measured by QCT. Change was calculated as thickness at Week 76 + 30 days minus thickness at Week 52 + 30 days. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionmillimeters (Mean)
Rosiglitazone in DB Period; Metformin in OL Period0.18
Metformin in DB Period; Metformin in OL Period-0.05

Adjusted Change in Femoral Neck (FN) Supero-posterior Cortical vBMD Via QCT From Week 52 + 30 Days to Week 76 + 30 Days

vBMD was measured by QCT. Change from Week 52 + 30 days to Week 76 + 30 days was calculated as vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therpay, and region. Supero-posterior is the upper and back section of the FN. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionmg/cm^3 (Mean)
Rosiglitazone in DB Period; Metformin in OL Period9.30
Metformin in DB Period; Metformin in OL Period-4.92

Adjusted Percent Change From Baseline in Femoral Neck (FN) Bone Mineral Density (BMD) Via Dual-energy X-ray Absorptiometry (DXA) at Week 52

FN BMD (measured in grams per centimeters squared [g/cm^2]) was measured by DXA. Bone mineral density is calculated as the mineral content of a bone divided by the area of the bone. DXA is the principal technique used for measuring BMD. Percent change from Baseline at Week 52 was calculated as (BMD at Week 52 minus BMD at Baseline)/BMD at Baseline x 100% and was assessed by analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Change in FN BMD at Week 52 was only analyzed within the Rosiglitazone arm. (NCT00679939)
Timeframe: Baseline and Week 52

Interventionpercent change (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-1.24

Adjusted Percent Change From Baseline in Femoral Neck (FN) Bone Mineral Density (BMD) Via Dual-energy X-ray Absorptiometry (DXA) at Week 76+10 Days

FN BMD (measured in grams per centimeters squared [g/cm^2]) was measured by DXA. Bone mineral density is calculated as the mineral content of a bone divided by the area of the bone. DXA is the principal technique used for measuring BMD. Percent change from Baseline at Week 76+10 days was calculated as (BMD at Week 76+10 days minus BMD at Baseline)/BMD at Baseline x 100% and was assessed by analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline and Week 76+10 days

Interventionpercent change (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-1.91
Metformin in DB Period; Metformin in OL Period0.31

Adjusted Percent Change in Femoral Neck (FN) Bone Mineral Density (BMD) Via Dual-energy X-ray Absorptiometry (DXA) From Week 52 +10 Days to Week 76+10 Days

FN BMD (measured in grams per centimeters squared [g/cm^2]) was measured by DXA. Bone mineral density is calculated as the mineral content of a bone divided by the area of the bone. DXA is the principal technique used for measuring BMD. Percent change from Week 52+10 days to Week 76+10 days was calculated as (BMD at Week 76+10 days minus BMD at Week 52+10 days)/BMD at Week 52+10 days x 100% and was assessed by analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52+10 days and Week 76+10 days

Interventionpercent change (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-0.07
Metformin in DB Period; Metformin in OL Period-0.02

Adjusted Percent Change in Femoral Neck (FN) Infero-anterior Cortical Thickness Via QCT From Week 52 + 30 Days to Week 76 + 30 Days

Cortical thickness (measured in millimeters) was measured by QCT. Percent change was calculated as (thickness at Week 76 + 30 days minus thickness at Week 52 + 30 days)/thickness at Week 52 + 30 days x 100%. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionpercent change (Mean)
Rosiglitazone in DB Period; Metformin in OL Period3.12
Metformin in DB Period; Metformin in OL Period1.56

Adjusted Percent Change in Femoral Neck (FN) Infero-posterior Cortical Thickness Via QCT From Week 52 + 30 Days to Week 76 + 30 Days

Cortical thickness (measured in millimeters) was measured by QCT. Percent change was calculated as (thickness at Week 76 + 30 days minus thickness at Week 52 + 30 days)/thickness at Week 52 + 30 days x 100%. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionpercent change (Mean)
Rosiglitazone in DB Period; Metformin in OL Period-1.48
Metformin in DB Period; Metformin in OL Period2.04

Adjusted Percent Change in Femoral Neck (FN) Supero-anterior Cortical Thickness Via QCT From Week 52 + 30 Days to Week 76 + 30 Days

Cortical thickness (measured in millimeters) was measured by QCT. Percent change was calculated as (thickness at Week 76 + 30 days minus thickness at Week 52 + 30 days)/thickness at Week 52 + 30 days x 100%. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionpercent change (Mean)
Rosiglitazone in DB Period; Metformin in OL Period14.02
Metformin in DB Period; Metformin in OL Period-13.65

Adjusted Percent Change in Femoral Neck (FN) Supero-posterior Cortical Thickness Via QCT From Week 52+30 Days to Week 76 + 30 Days

Cortical thickness (measured in millimeters) was measured by QCT. Percent change was calculated as (thickness at Week 76 + 30 days minus thickness at Week 52 + 30 days)/thickness at Week 52 + 30 days x 100%. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionpercent change (Mean)
Rosiglitazone in DB Period; Metformin in OL Period32.42
Metformin in DB Period; Metformin in OL Period-7.80

Adjusted Percent Change in Vertebral Trabecular vBMD Via QCT From Week 52+30 Days to Week 76 + 30 Days

BMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Week 52 + 30 days to Week 76 + 30 days was calculated as (vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days)/vBMD at Week 52 + 30 days x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

Interventionpercent change (Mean)
Rosiglitazone in DB Period; Metformin in OL Period3.53
Metformin in DB Period; Metformin in OL Period-2.11

Adjusted Change From Baseline in Albumin-adjusted Serum Calcium (AASC) at Week 52 and Week 76

AASC levels were measured from blood samples. AASC is the amount of free calcium circulating in the blood and calcium is required for good bone health. Change from baseline was calculated as the Week 52or Week 76 value minus the baseline value and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52, and Week 76

,
Interventionmillimoles per Liter (mmol/L) (Mean)
Week 52, n=73, 83Week 76, n=64, 75
Metformin in DB Period; Metformin in OL Period0.030.04
Rosiglitazone in DB Period; Metformin in OL Period0.010.03

Adjusted Percent Change From Baseline in 25-Hydroxyvitamin D (Vitamin D) at Week 52 and Week 76

Vitamin D levels were measured in nanomoles per Liter (nmol/L) from blood samples. Vitamin D is required for good bone health. Percent change was based on log-transformed data and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52, and Week 76

,
Interventionpercent change (Number)
Week 52, GM - SE, n=61, 65Week 52, GM, n=61, 65Week 52, GM + SE, n=61, 65Week 76, GM - SE, n=55, 58Week 76, GM, n=55, 58Week 76, GM + SE, n=55, 58
Metformin in DB Period; Metformin in OL Period-15.9-12.2-8.4-12.5-8.9-5.2
Rosiglitazone in DB Period; Metformin in OL Period-27.9-24.7-21.4-21.3-18.1-14.6

Adjusted Percent Change From Baseline in Bone Specific Alkaline Phosphatase (BSAP) and Procollagen Type 1 N-propeptide (P1NP) at Week 52 and Week 76

BSAP and P1NP levels were measured in micrograms per liter (mcg/L) from blood samples. BSAP and P1NP are indicators of bone buildup or formation. GM, geometric mean; SE, standard error. Percent change was based on log-transformed data and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52, and Week 76

,
Interventionpercent change (Number)
Week 52, GM - SE, BSAP, n=78, 84Week 52, GM, BSAP, n=78, 84Week 52, GM + SE, BSAP, n=78, 84Week 76, GM - SE, BSAP, n=64, 77Week 76, GM, BSAP, n=64, 77Week 76, GM + SE, BSAP, n=64, 77Week 52, GM - SE, P1NP, n=76, 83Week 52, GM, P1NP, n=76, 83Week 52, GM + SE, P1NP, n=76, 83Week 76 GM - SE, P1NP, n=63, 75Week 76, GM, P1NP, n=63, 75Week 76, GM + SE, P1NP, n=63, 75
Metformin-29.7-27.3-24.8-26.7-24.3-21.8-16.5-13.3-9.9-14.5-10.5-6.4
Rosiglitazone-15.2-12.3-9.3-18.7-15.9-12.95.09.013.3-11.2-6.9-2.4

Adjusted Percent Change From Baseline in Carboxyterminal Cross-linked Telopeptide of Type 1 Collagen (CTX) at Week 52 and Week 76

CTX levels were measured in picograms per milliliter (pg/ml) from blood samples. CTX is an indicator of bone break down or resorption. Percent change was based on log-transformed data and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52, and Week 76

,
Interventionpercent change (Number)
Week 52, GM - SE, n=77, 84Week 52, GM, n=77, 84Week 52, GM + SE, n=77, 84Week 76, GM - SE, n=63, 77Week 76, GM, n=63, 77Week 76, GM + SE, n=63, 77
Metformin in DB Period; Metformin in OL Period-7.8-2.33.7-4.52.610.3
Rosiglitazone in DB Period; Metformin in OL Period11.318.125.4-19.5-13.1-6.1

Adjusted Percent Change From Baseline in Femoral Neck (FN) Infero-anterior Cortical Thickness Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

Cortical thickness (measured in millimeters) was measured by QCT. Percent change was calculated as (thickness at Week 52 + 30 days (orWeek 76 + 30 days) minus thickness at Baseline)/thickness at Baseline x 100%. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, n=32, 35Week 76 + 30 days, n=31, 30
Metformin in DB Period; Metformin in OL Period0.640.39
Rosiglitazone in DB Period; Metformin in OL Period-6.05-3.59

Adjusted Percent Change From Baseline in Femoral Neck (FN) Infero-anterior Integral, Trabecular, and Cortical vBMD Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Baseline at Week 52 + 30 days or Week 76 + 30 days was calculated as (vBMD at Week 52 + 30 days (orWeek 76 + 30 days) minus vBMD at baseline)/vBMD at Baseline x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Infero-anterior is the lower and front section of the FN. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, Integral, n=32, 35Week 52, Trabecular, n=32, 35Week 52, Cortical, n=32, 35Week 76 + 30 days, Integral, n=31, 30Week 76 + 30 days, Trabecular, n=31, 30Week 76 + 30 days, Cortical, n=31, 30
Metformin in DB Period; Metformin in OL Period1.26930.710.850.5437.81-0.63
Rosiglitazone in DB Period; Metformin in OL Period-4.35-161.59-1.85-0.2981.291.45

Adjusted Percent Change From Baseline in Femoral Neck (FN) Infero-posterior Cortical Thickness Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

Cortical thickness (measured in millimeters) was measured by QCT. Percent change was calculated as (thickness at Week 52 + 30 days (or Week 76 + 30 days) minus thickness at Baseline)/thickness at Baseline x 100%. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, n=32, 35Week 76 + 30 days, n=31, 30
Metformin in DB Period; Metformin in OL Period-1.27-0.11
Rosiglitazone in DB Period; Metformin in OL Period0.47-1.46

Adjusted Percent Change From Baseline in Femoral Neck (FN) Infero-posterior Integral, Trabecular, and Cortical vBMD Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Baseline at Week 52 + 30 days or Week 76 + 30 days was calculated as (vBMD at Week 52 + 30 days (or Week 76 + 30 days) minus vBMD at baseline)/vBMD at Baseline x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Infero-posterior is the lower and back section of the FN. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, Integral, n=32, 35Week 52 + 30 days, Trabecular, n=32, 35Week 52 + 30 days, Cortical, n=32, 35Week 76 + 30 days, Integral, n=31, 30Week 76 + 30 days, Trabecular, n=31, 30Week 76 + 30 days, Cortical, n=31, 30
Metformin in DB Period; Metformin in OL Period1.74282.161.140.0113.54-1.17
Rosiglitazone in DB Period; Metformin in OL Period-4.11-84.08-3.42-3.1124.46-1.32

Adjusted Percent Change From Baseline in Femoral Neck (FN) Integral, FN Trabecular, and FN Cortical vBMD Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Baseline at Week 52 + 30 days or Week 76 + 30 days was calculated as (vBMD at Week 52 + 30 days (orWeek 76 + 30 days) minus vBMD at baseline)/vBMD at Baseline x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, Integral, n=32, 35Week 52 + 30 days, Trabecular, n=32, 35Week 52 + 30 days, Cortical, n=32, 35Week 76 + 30 days, Integral, n=31, 30Week 76 + 30 days, Trabecular, n=31, 30Week 76 + 30 days, Cortical, n=31, 30
Metformin in DB Period; Metformin in OL Period0.580.91-0.20-0.612.27-1.60
Rosiglitazone in DB Period; Metformin in OL Period-3.72-1.83-1.00-2.13-1.05-0.46

Adjusted Percent Change From Baseline in Femoral Neck (FN) Supero-anterior Cortical Thickness Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

Cortical thickness (measured in millimeters) was measured by QCT. Percent change was calculated as (thickness at Week 52 + 30 days(or Week 76 + 30 days) minus thickness at Baseline)/thickness at Baseline x 100%. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, n=32, 35Week 76 + 30 days, n=31, 30
Metformin in DB Period; Metformin in OL Period5.05-4.78
Rosiglitazone in DB Period; Metformin in OL Period-13.45-4.23

Adjusted Percent Change From Baseline in Femoral Neck (FN) Supero-anterior Integral, Trabecular, and Cortical vBMD Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Baseline at Week 52 + 30 daysor Week 76 + 30 days was calculated as (vBMD at Week 52 + 30 days(or Week 76 + 30 days) minus vBMD at baseline)/vBMD at Baseline x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Supero-anterior is the upper and front section of the FN. (NCT00679939)
Timeframe: Baseline, Week 52 plus 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, Integral, n=32, 35Week 52 + 30 days, Trabecular, n=32, 35Week 52 + 30 days, Cortical, n=32, 35Week 76 + 30 days, Integral, n=31, 30Week 76 + 30 days, Trabecular, n=31, 30Week 76 + 30 days, Cortical, n=31, 30
Metformin in DB Period; Metformin in OL Period-0.582.82-0.25-2.453.98-1.49
Rosiglitazone in DB Period; Metformin in OL Period-6.563.59-1.91-4.97-0.85-0.93

Adjusted Percent Change From Baseline in Femoral Neck (FN) Supero-posterior Cortical Thickness Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

Cortical thickness (measured in millimeters) was measured by QCT. Percent change was calculated as (thickness at Week 52 + 30 days (or Week 76 + 30 days) minus thickness at Baseline)/thickness at Baseline x 100% (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, n=32, 35Week 76 + 30 days, n=31,30
Metformin in DB Period; Metformin in OL Period1.00-1.50
Rosiglitazone in DB Period; Metformin in OL Period-20.48-3.52

Adjusted Percent Change From Baseline in Femoral Neck (FN) Supero-posterior Integral, Trabecular, and Cortical vBMD Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Baseline at Week 52 + 30 days orWeek 76 + 30 days was calculated as (vBMD at Week 52 + 30 days (or Week 76 + 30 days) minus vBMD at baseline)/vBMD at Baseline x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therpay, and region. Supero-posterior is the upper and back section of the FN. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, Integral, n=32, 35Week 52 + 30 days, Trabecular, n=32, 35Week 52 + 30 days, Cortical, n=32, 35Week 76 + 30 days, Integral, n=31, 30Week 76 + 30 days, Trabecular, n=31, 30Week 76 + 30 days, Cortical, n=31, 30
Metformin in DB Period; Metformin in OL Period-0.035.57-0.661.0710.24-1.30
Rosiglitazone in DB Period; Metformin in OL Period-10.262.77-3.76-4.212.37-1.65

Adjusted Percent Change From Baseline in Femoral Neck, Total Hip, Trochanter, and Intertrochanter Areal BMD Via Quantitative Computed Tomography (QCT) at Week 52 + 30 Days and Week 76 + 30 Days

BMD (measured in grams per centimeters squared [g/cm^2]) was measured by QCT. BMD by QCT is the 2-dimensional volume that mimics the DXA measurement for the same region. Percent change from Baseline at Week 52 + 30 days orWeek 76 + 30 days was calculated as (BMD at Week 52 + 30 days (orWeek 76 + 30 days) minus BMD at baseline)/BMD at Baseline x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days; Femoral neck (FN), n=32, 35Week 52 + 30 days; Total hip (TH), n=32, 35Week 52 + 30 days; Trochanter (Tro.), n=32, 35Week 52+30 days; Intertrochanter (Inter.),n=32, 35Week 76+30 days; Femoral neck (FN), n=31, 30Week 76 + 30 days; TH, n=31, 30Week 76 + 30 days; Tro., n=31, 30Week 76 + 30 days; Inter., n=31, 30
Metformin in DB Period; Metformin in OL Period0.090.09-0.230.77-1.52-0.32-1.280.30
Rosiglitazone in DB Period; Metformin in OL Period-2.39-3.39-4.53-3.36-1.98-2.11-2.86-1.66

Adjusted Percent Change From Baseline in Femoral Neck, Total Hip, Trochanter, and Lumbar Spine BMD Via DXA at Week 52

BMD (measured in grams per centimeters squared [g/cm^2]) was measured by DXA. Percent change from Baseline at Week 52 was calculated as (BMD at Week 52 minus BMD at Baseline)/BMD at Baseline x 100% and was assessed by analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline and Week 52

,
Interventionpercent change (Mean)
Femoral neck, n=52, 54Total hip, n=52, 54Trochanter, n=52, 54Lumbar spine, n=51, 53
Metformin in DB Period; Metformin in OL Period0.72-0.38-0.780.12
Rosiglitazone in DB Period; Metformin in OL Period-1.24-0.77-0.21-1.21

Adjusted Percent Change From Baseline in Femoral Neck, Total Hip, Trochanter, and Lumbar Spine BMD Via DXA at Week 52 + 10 Days and Week 76 + 10 Days

BMD (measured in grams per centimeters squared [g/cm^2]) was measured by DXA. Percent change from Baseline at Week 52 + 10 days or Week 76 + 10 days was calculated as (BMD at Week 52 + 10 days (or Week 76 + 10 days ) minus BMD at Baseline)/BMD at Baseline x 100% and was assessed by analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52 + 10 days, and Week 76 + 10 days

,
Interventionpercent change (Mean)
Week 52 + 10 days; Femoral neck (FN), n=70, 78Week 52 + 10 days; Total hip (TH), n=70, 78Week 52 + 10 days; Trochanter (Tro.), n=70, 78Week 52 + 10 days; Lumbar spine (LS), n=70, 76Week 76 + 10 days; FN, n=65, 70Week 76 + 10 days; TH, n=65, 70Week 76 + 10 days; Tro., n=65, 70Week 76 + 10 days; LS, n=65, 71
Metformin in DB Period; Metformin in OL Period0.22-0.72-1.040.040.31-0.83-1.350.85
Rosiglitazone in DB Period; Metformin in OL Period-1.47-1.62-1.45-1.41-1.91-1.70-2.14-1.24

Adjusted Percent Change From Baseline in Femoral Neck, Total Hip, Trochanter, and Lumbar Spine BMD Via DXA at Week 52 + 30 Days and Week 76 + 30 Days

BMD (measured in grams per centimeters squared [g/cm^2]) was measured by DXA. Percent change from Baseline at Week 52 + 30 days or Week 76 + 30 days was calculated as (BMD at Week 52 + 30 days (or Week 76 + 30 days) minus BMD at Baseline)/BMD at Baseline x 100% and was assessed by analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days; Femoral neck (FN), n=77, 83Week 52 + 30 days; Total hip (TH), n=77, 83Week 52 + 30 days; Trochanter (Tro.), n=77, 83Week 52 + 30 days; Lumbar spine (LS), n=79, 81Week 76 + 30 days; FN, n=66, 74Week 76 + 30 days; TH, n=66, 74Week 76 + 30 days; Tro., n=66, 74Week 76 + 30 days; LS, n=66, 72
Metformin in DB Period; Metformin in OL Period0.24-0.72-1.010.110.29-0.68-0.961.13
Rosiglitazone in DB Period; Metformin in OL Period-1.59-1.79-1.83-1.60-2.05-1.79-2.53-1.15

Adjusted Percent Change From Baseline in Intact Parathyroid Hormone (PTH) at Week 52 and Week 76

Intact PTH levels were measured in nanograms per Liter (ng/L) from blood samples. Intact PTH is the amount of PTH circulating in the blood and influences bone health. Percent change was based on log-transformed data and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52, and Week 76

,
Interventionpercent change (Number)
Week 52, GM - SE, n=64, 71Week 52, GM, n=64, 71Week 52, GM + SE, n=64, 71Week 76, GM - SE, n=56, 64Week 76, GM, n=56, 64Week 76, GM + SE, n=56, 64
Metformin in DB Period; Metformin in OL Period-25.9-22.0-17.8-26.2-20.8-15.0
Rosiglitazone in DB Period; Metformin in OL Period-16.5-12.0-7.2-28.8-23.1-17.0

Adjusted Percent Change From Baseline in Intertrochanter Integral, Intertrochanter Trabecular, and Intertrochanter Cortical vBMD Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Baseline at Week 52 + 30 days or Week 76 + 30 days was calculated as (vBMD at Week 52 + 30 days (or Week 76 + 30 days) minus vBMD at baseline)/vBMD at Baseline x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, Integral, n=32, 35Week 52 + 30 days, Trabecular, n=32, 35Week 52 + 30 days, Cortical, n=32, 35Week 76 + 30 days, Integral, n=31, 30Week 76 + 30 days, Trabecular, n=31, 30Week 76 + 30 days, Cortical, n=31, 30
Metformin in DB Period; Metformin in OL Period2.18-0.220.991.880.270.79
Rosiglitazone in DB Period; Metformin in OL Period-3.47-4.26-0.76-0.92-3.090.41

Adjusted Percent Change From Baseline in Total Hip (TH) Integral, TH Trabecular, and TH Cortical vBMD Via QCT at Week 52 + 30 Days and at Week 76 + 30 Days

Volumetric (v)BMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. vBMD is the 3-dimensional density of a region of bone. Cortical bone is dense bone. Trabecular bone is spongy bone. Integral bone is the sum of cortical and trabecular bone measurements. Cortical thickness is the width of the cortical shell. Percent change from Baseline was calculated as (vBMD at Week 52+30 days (or Week 76+30 days) minus vBMD at baseline)/vBMD at Baseline x 100% and was assessed by ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days; Integral, n=32, 35Week 52 + 30 days; Trabecular, n=32, 35Week 52 + 30 days; Cortical, n=32, 35Week 76 + 30 days; Integral, n=31, 30Week 76 + 30 days; Trabecular, n=31, 30Week 76 + 30 days; Cortical, n=31, 30
Metformin in DB Period; Metformin in OL Period0.990.210.520.850.700.50
Rosiglitazone in DB Period; Metformin in OL Period-3.60-3.63-0.54-1.70-2.660.23

Adjusted Percent Change From Baseline in Trochanter Integral, Trochanter Trabecular, and Trochanter Cortical vBMD Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Baseline at Week 52 + 30 days or Week 76 + 30 days was calculated as (vBMD at Week 52 + 30 days (or Week 76 + 30 days) minus vBMD at baseline)/vBMD at Baseline x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, Integral, n=32, 35Week 52 + 30 days, Trabecular, n=32, 35Week 52 + 30 days, Cortical, n=32, 35Week 76 + 30 days, Integral, n=31, 30Week 76 + 30 days, Trabecular, n=31, 30Week 76 + 30 days, Cortical, n=31, 30
Metformin in DB Period; Metformin in OL Period0.010.67-0.18-0.930.92-0.64
Rosiglitazone in DB Period; Metformin in OL Period-4.80-3.43-1.26-2.88-2.42-0.49

Adjusted Percent Change From Baseline in Vertebral Trabecular vBMD Via QCT at Week 52 + 30 Days and Week 76 + 30 Days

BMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Baseline at Week 52 + 30 days or Week 76 + 30 days was calculated as (vBMD at Week 52 + 30 days (orWeek 76 + 30 days) minus vBMD at baseline)/vBMD at Baseline x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Baseline, Week 52 + 30 days, and Week 76 + 30 days

,
Interventionpercent change (Mean)
Week 52 + 30 days, n=32, 35Week 76 + 30 days, n=31, 30
Metformin in DB Period; Metformin in OL Period-1.72-3.91
Rosiglitazone in DB Period; Metformin in OL Period-6.71-5.15

Adjusted Percent Change in 25-Hydroxyvitamin D (Vitamin D) From Week 52 to Week 76

Vitamin D levels were measured in nanomoles per Liter (nmol/L) from blood samples. Vitamin D is required for good bone health. Percent change was based on log-transformed data and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 and Week 76

,
Interventionpercent change (Number)
GM - SEGMGM + SE
Metformin in DB Period; Metformin in OL Period-7.7-3.21.5
Rosiglitazone in DB Period; Metformin in OL Period-4.70.15.1

Adjusted Percent Change in Bone Specific Alkaline Phosphatase (BSAP) and Procollagen Type 1 N-propeptide (P1NP) From Week 52 to Week 76

BSAP and P1NP levels were measured in micrograms per liter (mcg/L) from blood samples. BSAP and P1NP are indicators of bone buildup or formation. GM, geometric mean; SE, standard error. Percent change was based on log-transformed data and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 and Week 76

,
Interventionpercent change (Number)
GM - SE, BSAP, n=64, 76GM, BSAP, n=64, 76GM + SE, BSAP, n=64, 76GM - SE, P1NP, n=63, 76GM, P1NP, n=63, 76GM + SE, P1NP, n=63, 76
Metformin in DB Period; Metformin in OL Period4.38.011.83.27.011.0
Rosiglitazone in DB Period; Metformin in OL Period-5.6-2.01.8-15.8-12.4-9.0

Adjusted Percent Change in Carboxyterminal Cross-linked Telopeptide of Type 1 Collagen (CTX) From Week 52 to Week 76

CTX levels were measured in picograms per milliliter (pg/ml) from blood samples. CTX is an indicator of bone break down or resorption. Percent change was based on log-transformed data and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 and Week 76

,
Interventionpercent change (Number)
GM - SEGMGM + SE
Metformin in DB Period; Metformin in OL Period2.28.414.9
Rosiglitazone in DB Period; Metformin in OL Period-31.2-26.7-21.9

Adjusted Percent Change in Femoral Neck (FN) Infero-anterior Integral, Trabecular, and Cortical vBMD Via QCT From Week 52+30 Days to Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Week 52 + 30 days to Week 76 + 30 days was calculated as (vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days)/vBMD at Week 52 + 30 days x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Infero-anterior is the lower and front section of the FN. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

,
Interventionpercent change (Mean)
IntegralTrabecularCortical
Metformin in DB Period; Metformin in OL Period0.38260.13-1.64
Rosiglitazone in DB Period; Metformin in OL Period5.05-90.603.68

Adjusted Percent Change in Femoral Neck (FN) Infero-posterior Integral, Trabecular, and Cortical vBMD Via QCT From Week 52+30 Days to Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Week 52 + 30 days to Week 76 + 30 days was calculated as (vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days)/vBMD at Week 52 + 30 days x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Infero-posterior is the lower and back section of the FN. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

,
Interventionpercent change (Mean)
IntegralTrabecularCortical
Metformin in DB Period; Metformin in OL Period-1.87161.81-2.50
Rosiglitazone in DB Period; Metformin in OL Period1.47-39.812.67

Adjusted Percent Change in Femoral Neck (FN) Integral, FN Trabecular, and FN Cortical vBMD Via QCT From Week 52+30 Days to Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Week 52 + 30 days to Week 76 + 30 days was calculated as (vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days)/vBMD at Week 52 + 30 days x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

,
Interventionpercent change (Mean)
IntegralTrabecularCortical
Metformin in DB Period; Metformin in OL Period-1.372.21-1.30
Rosiglitazone in DB Period; Metformin in OL Period2.210.271.03

Adjusted Percent Change in Femoral Neck (FN) Supero-anterior Integral, Trabecular, and Cortical vBMD Via QCT From Week 52+30 Days to Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Week 52 + 30 days to Week 76 + 30 days was calculated as (vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days)/vBMD at Week 52 + 30 days x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. Supero-anterior is the upper and front section of the FN. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

,
Interventionpercent change (Mean)
IntegralTrabecularCortical
Metformin in DB Period; Metformin in OL Period-1.816.63-1.28
Rosiglitazone in DB Period; Metformin in OL Period2.96-2.781.19

Adjusted Percent Change in Femoral Neck (FN) Supero-posterior Integral, Trabecular, and Cortical vBMD Via QCT From Week 52+30 Days to Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Week 52 + 30 days to Week 76 + 30 days was calculated as (vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days)/vBMD at Week 52 + 30 days x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therpay, and region. Supero-posterior is the upper and back section of the FN. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

,
Interventionpercent change (Mean)
IntegralTrabecularCortical
Metformin in DB Period; Metformin in OL Period0.52-11.69-0.94
Rosiglitazone in DB Period; Metformin in OL Period8.2936.052.17

Adjusted Percent Change in Femoral Neck, Total Hip, Trochanter, and Intertrochanter Areal BMD Via Quantitative Computed Tomography (QCT) From Week 52+30 Days to Week 76 + 30 Days

BMD (measured in grams per centimeters squared [g/cm^2]) was measured by QCT. BMD by QCT is the 2-dimensional volume that mimics the DXA measurement for the same region. Percent change from Week 52 + 30 days to Week 76 + 30 days was calculated as (BMD at Week 76 + 30 days minus BMD at Week 52 + 30 days)/BMD at Week 52 + 30 days x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

,
Interventionpercent change (Mean)
percent changeTotal hipTrochanterIntertrochanter
Metformin in DB Period; Metformin in OL Period-1.39-0.18-0.91-0.25
Rosiglitazone in DB Period; Metformin in OL Period0.951.611.812.05

Adjusted Percent Change in Femoral Neck, Total Hip, Trochanter, and Lumbar Spine BMD Via DXA From Week 52+10 Days to Week 76 + 10 Days

BMD (measured in grams per centimeters squared [g/cm^2]) was measured by DXA. Percent change from Week 52 + 10 days toat Week 76 + 10 days was calculated as (BMD at Week 76 + 10 days minus BMD at Week 52 + 10 days)/BMD at Week 52 + 10 days x 100% and was assessed by analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 + 10 days and Week 76 + 10 days

,
Interventionpercent change (Mean)
Femoral neck, n=56, 62Total hip, n=56, 62Trochanter, n=56, 62Lumbar spine, n=55, 62
Metformin in DB Period; Metformin in OL Period-0.02-0.13-0.681.03
Rosiglitazone in DB Period; Metformin in OL Period-0.070.40-0.020.26

Adjusted Percent Change in Femoral Neck, Total Hip, Trochanter, and Lumbar Spine BMD Via DXA From Week 52+30 Days to Week 76 + 30 Days

BMD (measured in grams per centimeters squared [g/cm^2]) was measured by DXA. Percent change from Week 52 + 30 days to Week 76 + 30 days was calculated as (BMD at Week 76 + 30 days minus BMD at Week 52 + 30 days)/BMD at Week 52 + 30 days x 100% and was assessed by analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

,
Interventionpercent change (Mean)
Femoral neck, n=64, 73Total hip, n=64, 73Trochanter, n=64, 73Lumbar spine, n=65, 70
Metformin in DB Period; Metformin in OL Period-0.25-0.27-0.470.90
Rosiglitazone in DB Period; Metformin in OL Period-0.270.00-0.170.54

Adjusted Percent Change in Intact Parathyroid Hormone (PTH) From Week 52 to Week 76

Intact PTH levels were measured in nanograms per Liter (ng/L) from blood samples. Intact PTH is the amount of PTH circulating in the blood and influences bone health. Percent change was based on log-transformed data and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 and Week 76

,
Interventionpercent change (Number)
GM - SEGMGM + SE
Metformin in DB Period; Metformin in OL Period-1.74.310.7
Rosiglitazone in DB Period; Metformin in OL Period-13.2-7.4-1.3

Adjusted Percent Change in Intertrochanter Integral, Intertrochanter Trabecular, and Intertrochanter Cortical vBMD Via QCT From Week 52+30 Days to Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Week 52 + 30 days to Week 76 + 30 days was calculated as (vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days)/vBMD at Week 52 + 30 days x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

,
Interventionpercent change (Mean)
percent changeTrabecularCortical
Metformin in DB Period; Metformin in OL Period-0.461.21-0.27
Rosiglitazone in DB Period; Metformin in OL Period2.831.161.29

Adjusted Percent Change in Total Hip (TH) Integral, TH Trabecular, and TH Cortical vBMD Via QCT From Week 52+30 Days to Week 76 + 30 Days

Volumetric (v)BMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. vBMD is the 3-dimensional density of a region of bone. Cortical bone is dense bone. Trabecular bone is spongy bone. Integral bone is the sum of cortical and trabecular bone measurements. Cortical thickness is the width of the cortical shell. Percent change from Week 52 + 30 days was calculated as (vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days)/ vBMD at Week 52 + 30 days x 100% and was assessed by an ANCOVA with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

,
Interventionpercent change (Mean)
IntegralTrabecularCortical
Metformin in DB Period; Metformin in OL Period-0.201.15-0.06
Rosiglitazone in DB Period; Metformin in OL Period2.240.900.94

Adjusted Percent Change in Trochanter Integral, Trochanter Trabecular, and Trochanter Cortical vBMD Via QCT From Week 52+30 Days to Week 76 + 30 Days

vBMD (measured in milligrams per centimeters cubed [mg/cm^3]) was measured by QCT. Percent change from Week 52 + 30 days to Week 76 + 30 days was calculated as (vBMD at Week 76 + 30 days minus vBMD at Week 52 + 30 days)/vBMD at Week 52 + 30 days x 100% and was assessed by an analysis of covariance (ANCOVA) with terms for treatment, baseline value, prior therapy, and region. (NCT00679939)
Timeframe: Week 52 + 30 days and Week 76 + 30 days

,
Interventionpercent change (Mean)
percent changeTrabecularCortical
Metformin in DB Period; Metformin in OL Period-0.900.95-0.65
Rosiglitazone in DB Period; Metformin in OL Period2.221.070.78

Percent Change From Baseline in Free Testosterone at Week 52 and Week 76

Free testosterone levels were measured as a percentage of total testosterone from blood samples. Free testosterone is the amount of testosterone available to the body for use. Percent change from baseline was based on log-transformed data. (NCT00679939)
Timeframe: Baseline, Week 52, and Week 76

,
Interventionpercent change (Number)
Week 52, GM - SE, n=74, 82Week 52, GM, n=74, 82Week 52, GM + SE, n=74, 82Week 76, GM - SE, n=64, 75Week 76, GM, n=64, 75Week 76, GM + SE, n=64, 75
Metformin in DB Period; Metformin in OL Period2.57256.26610.0934-1.95322.4787.1093
Rosiglitazone in DB Period; Metformin in OL Period-9.9964-5.9401.7006-0.32323.6877.8593

Percent Change From Baseline in Serum Estradiol at Week 52 and Week 76

Serum estradiol levels were measured in picomoles per Liter (pmol/L) from blood samples. Estradiol is one form of the female sex hormone estrogen and influences bone health. Percent change from baseline was based on log-transformed data. (NCT00679939)
Timeframe: Baseline, Week 52, and Week 76

,
Interventionpercent change (Number)
Week 52, GM - SE, n=74, 82Week 52, GM, n=74, 82Weel 52, GM + SE, n=74, 82Week 76, GM - SE, n=64, 76Week 76, GM, n=64, 76Week 76, GM + SE, n=64, 76
Metformin in DB Period; Metformin in OL Period-31.4166-17.280-0.22920.437221.38946.7122
Rosiglitazone in DB Period; Metformin in OL Period-17.0838-3.45312.4189-16.09710.21519.6987

Percent Change From Baseline in Sex Hormone Binding Globulin (SHBG) at Week 52 and Week 76

SHBG levels were measured in nanomoles per liter (nmol/L) from blood samples. SHBG binds to estradiol and testosterone and influences the amount of estradiol or testosterone available to the body for use. Percent change from baseline was based on log-transformed data. (NCT00679939)
Timeframe: Baseline, Week 52, and Week 76

,
Interventionpercent change (Number)
Week 52, GM - SE, n=74, 83Week 52, GM, n=74, 83Week 52, GM + SE, n=74, 83Week 76, GM - SE, n=61, 67Week 76, GM, n=61, 67Week 76, GM + SE, n=61, 67
Metformin in DB Period; Metformin in OL Period4.39298.14612.03494.09839.84615.9116
Rosiglitazone in DB Period; Metformin in OL Period33.260837.56342.0049-0.29733.1376.6896

Percent Change From Baseline in Total Testosterone at Week 52 and Week 76

Total testosterone levels were measured in nanomoles per Liter (nmol/L) from blood samples. Testosterone is a male sex hormone and influences bone health; total testosterone is the entire amount circulating in blood. Percent change from baseline was based on log-transformed data. (NCT00679939)
Timeframe: Baseline, Week 52, and Week 76

,
Interventionpercent change (Number)
Week 52, GM - SE, n=74, 82Week 52, GM, n=74, 82Week 52, GM + SE, n=74, 82Week 76, GM - SE, n=64, 75Week 76, GM, n=64, 75Week 76, GM + SE, n=64, 75
Metformin in DB Period; Metformin in OL Period-5.82061.0448.4082-8.2870-2.9322.7363
Rosiglitazone in DB Period; Metformin in OL Period14.156919.68925.4897-12.5441-8.156-3.5470

Percent Change in Free Estradiol From Week 52 to Week 76

Free estradiol levels were measured in picomoles per Liter (pmol/L) from blood samples. Free estrodial is the amount of estrogen available to the body for use. Change was based on log-transformed data. (NCT00679939)
Timeframe: Week 52 and Week 76

,
Interventionpercent change (Number)
GM - SEGMGM + SE
Metformin in DB Period; Metformin in OL Period96.1843173.932282.4903
Rosiglitazone in DB Period; Metformin in OL Period-29.5250-3.23932.8525

Percent Change in Free Testosterone From Week 52 to Week 76

Free testosterone levels were measured as a percentage of total testosterone from blood samples. Free testosterone is the amount of testosterone available to the body for use. Percent change from baseline was based on log-transformed data. (NCT00679939)
Timeframe: Week 52 and Week 76

,
Interventionpercent change (Number)
GM - SEGMGM + SE
Metformin in DB Period; Metformin in OL Period-6.9549-3.5370.0073
Rosiglitazone in DB Period; Metformin in OL Period3.11098.99315.2100

Percent Change in Percentage of Free Estradiol From Week 52 to Week 76

Free estradiol levels were measured as a percentage of serum estrogen from blood samples. Free estradiol is the amount of estrogen available to the body for use. Percent change was based on log-transformed data. (NCT00679939)
Timeframe: Week 52 and Week 76

,
Interventionpercent change (Number)
GM - SEGMGM + SE
Metformin in DB Period; Metformin in OL Period-5.4666-0.9753.7301
Rosiglitazone in DB Period; Metformin in OL Period-7.6337-2.6832.5337

Percent Change in Serum Estradiol From Week 52 to Week 76

Serum estradiol levels were measured in picomoles per Liter (pmol/L) from blood samples. Estradiol is one form of the female sex hormone estrogen and influences bone health. Percent change from baseline was based on log-transformed data. (NCT00679939)
Timeframe: Week 52 and Week 76

,
Interventionpercent change (Number)
GM - SEGMGM + SE
Metformin in DB Period; Metformin in OL Period29.305850.82375.9217
Rosiglitazone in DB Period; Metformin in OL Period-15.20560.51319.1447

Percent Change in Sex Hormone Binding Globulin (SHBG) From Week 52 to Week 76

SHBG levels were measured in nanomoles per liter (nmol/L) from blood samples. SHBG binds to estradiol and testosterone and influences the amount of estradiol or testosterone available to the body for use. Percent change from baseline was based on log-transformed data. (NCT00679939)
Timeframe: Week 52 and Week 76

,
Interventionpercent change (Number)
GM - SEGMGM + SE
Metformin in DB Period; Metformin in OL Period-3.9036-0.8252.3517
Rosiglitazone in DB Period; Metformin in OL Period-27.0129-24.624-22.1566

Percent Change in Total Testosterone From Week 52 to Week 76

Total testosterone levels were measured in nanomoles per Liter (nmol/L) from blood samples. Testosterone is a male sex hormone and influences bone health; total testosterone is the entire amount circulating in blood. Percent change from baseline was based on log-transformed data. (NCT00679939)
Timeframe: Week 52 and Week 76

,
Interventionpercent change (Number)
GM - SEGMGM + SE
Metformin in DB Period; Metformin in OL Period-13.9923-7.1020.3411
Rosiglitazone in DB Period; Metformin in OL Period-29.0307-24.373-19.4104

Differences in Augmentation Index at Baseline and 3, 6 and 12 Months After Treatment With Metformin or Agonist GLP-1R.

Differences in augmentation index (AI, %) using oscillometry at baseline and 3, 6 and 12 months after treatment with metformin or agonist GLP-1R. (NCT03010683)
Timeframe: Baseline, 3 months, 6 months, and 12 months.

,
Interventionpercentage of the central pulse pressure (Mean)
Baseline3 months6 months12 months
Liraglutide1815.81313.9
Metformin1413.61515.3

Differences in Endothelial Glycocalyx Thickness at Baseline and 3, 6 and 12 Months After Treatment With Metformin or Agonist GLP-1R.

Differences in endothelial glycocalyx thickness as assessed by perfused boundary region (PBR, micrometers) of the sublingual arterial microvessels at baseline and 3, 6 and 12 months after treatment with metformin or agonist GLP-1R. High PBR values represent reduced glycocalyx thickness. (NCT03010683)
Timeframe: Baseline, 3 months, 6 months, and 12 months.

,
Interventionmicrometers (Mean)
Baseline3 months6 months12 months
Liraglutide2.12.072.52.04
Metformin2.132.152.132.10

Differences in Pulse Wave Velocity at Baseline and 3, 6 and 12 Months After Treatment With Metformin or Agonist GLP-1R.

Differences in carotid-femoral pulse wave velocity (PWV, m/sec) using tonometry at baseline and 3, 6 and 12 months after treatment with metformin or agonist GLP-1R. (NCT03010683)
Timeframe: Baseline, 3 months, 6 months and 12 months

,
Interventionm/s (Mean)
Baseline3 months6 months12 months
Liraglutide11.811.610.310.5
Metformin11.211.51110.8

Endothelial Glycocalyx and Pulse Wave Velocity.

Association of endothelial glycocalyx thickness as assessed by perfused boundary region (PBR, micrometers) of the sublingual arterial microvessels with pulse wave velocity (PWV, m/sec) at baseline and 3, 6 and 12 months after treatment with metformin or agonist GLP-1R. (NCT03010683)
Timeframe: Baseline, 3 months, 6 months, and 12 months.

,
InterventionPearson correlation coefficient (r) (Number)
Baseline3 months6 months12 months
Liraglutide0.390.360.320.44
Metformin0.350.320.290.37

Percentage of Participants Achieving A1C < 7% at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy

Percentage of participants achieving A1C < 7%, the American Diabetes Association's defined goal for glycemia, at each dose of saxagliptin plus metformin versus metformin alone at Week 24. (NCT00327015)
Timeframe: Week 24

InterventionPercentage of participants (Number)
Saxagliptin 5 mg + Metformin60.3
Saxagliptin 10 mg + Metformin59.7
Metformin41.1

Percentage of Participants Achieving A1C < 7% at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy

Percentage of participants achieving A1C < 7%, the American Diabetes Association's defined goal for glycemia, at each dose of saxagliptin plus metformin versus saxagliptin alone at Week 24. (NCT00327015)
Timeframe: Week 24

InterventionPercentage of participants (Number)
Saxagliptin 5 mg + Metformin60.3
Saxagliptin 10 mg + Metformin59.7
Saxagliptin 10 mg32.2

Percentage of Participants Achieving A1C ≤6.5% at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy

Percentage of participants achieving A1C ≤6.5%, at each dose of saxagliptin plus metformin versus metformin alone at Week 24. (NCT00327015)
Timeframe: Week 24

InterventionPercentage of participants (Number)
Saxagliptin 5 mg + Metformin45.3
Saxagliptin 10 mg + Metformin40.6
Metformin29.0

Percentage of Participants Achieving A1C ≤6.5% at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy

Percentage of participants achieving A1C ≤6.5%, at each dose of saxagliptin plus metformin versus saxagliptin alone at Week 24. (NCT00327015)
Timeframe: Week 24

InterventionPercentage of Participants (Number)
Saxagliptin 5 mg + Metformin45.3
Saxagliptin 10 mg + Metformin40.6
Saxagliptin 10 mg20.3

Percentage of Participants Requiring Rescue or Discontinuation at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy

Percentage of participants requiring rescue for failing to achieve pre-specified glycemic targets or discontinuing for lack of efficacy within the 24-week treatment period at each dose of saxagliptin plus metformin versus metformin alone. (NCT00327015)
Timeframe: Week 24

InterventionPercentage of participants (Number)
Saxagliptin 5 mg + Metformin7.5
Saxagliptin 10 mg + Metformin5.9
Metformin10.1

Percentage of Participants Requiring Rescue or Discontinuation at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy

Percentage of participants requiring rescue for failing to achieve pre-specified glycemic targets or discontinuing for lack of efficacy within the 24-week treatment period at each dose of saxagliptin plus metformin versus saxagliptin alone. (NCT00327015)
Timeframe: Week 24

InterventionPercentage of participants (Number)
Saxagliptin 5 mg + Metformin7.5
Saxagliptin 10 mg + Metformin5.9
Saxagliptin 10 mg21.2

Change From Baseline in A1C at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy

Mean change from baseline in A1C at Week 24, adjusted for baseline value. (NCT00327015)
Timeframe: Baseline, Week 24

,,
Interventionpercent (Mean)
Baseline MeanWeek 24 MeanAdjusted Mean Change from Baseline
Metformin9.437.48-1.99
Saxagliptin 10 mg + Metformin9.537.02-2.49
Saxagliptin 5 mg + Metformin9.416.93-2.53

Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy

Mean change from baseline in FPG at Week 24, adjusted for baseline value. (NCT00327015)
Timeframe: Baseline, Week 24

,,
Interventionmg/dL (Mean)
Baseline MeanWeek 24 MeanAdjusted Mean Change from Baseline
Metformin199.1152.7-47.3
Saxagliptin 10 mg + Metformin204.3140.1-62.2
Saxagliptin 5 mg + Metformin198.9140.2-59.8

Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy

Mean change from baseline in FPG at Week 24, adjusted for baseline value. (NCT00327015)
Timeframe: Baseline, Week 24

,,
Interventionmg/dL (Mean)
Baseline MeanWeek 24 MeanAdjusted Mean Change from Baseline
Saxagliptin 10 mg200.9169.9-30.9
Saxagliptin 10 mg + Metformin204.3140.1-62.2
Saxagliptin 5 mg + Metformin198.9140.2-59.8

Change From Baseline in Hemoglobin A1c (A1C) at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy

Mean change from baseline in A1C at Week 24, adjusted for baseline value. (NCT00327015)
Timeframe: Baseline, Week 24

,,
Interventionpercent (Mean)
Baseline MeanWeek 24 MeanAdjusted Mean Change from Baseline
Saxagliptin 10 mg9.617.86-1.69
Saxagliptin 10 mg + Metformin9.537.02-2.49
Saxagliptin 5 mg + Metformin9.416.93-2.53

Changes From Baseline in Postprandial Glucose (PPG) Area Under the Curve (AUC) Response to an Oral Glucose Tolerance Test (OGTT) at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy

Mean change from baseline for 0 to 180 minutes PPG AUC at Week 24, adjsuted for baseline value. (NCT00327015)
Timeframe: Baseline, Week 24

,,
Interventionmg*min/dL (Mean)
Baseline MeanWeek 24 MeanAdjusted Mean Change from Baseline
Metformin5793742428-15005
Saxagliptin 10 mg + Metformin5721935790-21336
Saxagliptin 5 mg + Metformin5553135324-21080

Changes From Baseline in Postprandial Glucose (PPG) Area Under the Curve (AUC) Response to an Oral Glucose Tolerance Test (OGTT) at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy

Mean change from baseline for 0 to 180 minutes PPG AUC at Week 24, adjusted for baseline value. (NCT00327015)
Timeframe: Baseline, Week 24

,,
Interventionmg*min/dL (Mean)
Baseline MeanWeek 24 MeanAdjusted Mean Change from Baseline
Saxagliptin 10 mg5758441229-16054
Saxagliptin 10 mg + Metformin5721935790-21336
Saxagliptin 5 mg + Metformin5553135324-21080

Change From Baseline in 2-Hour PMG (Post-Meal Glucose) at Week 104

Change from baseline at Week 104 is defined as Week 104 minus Week 0. (NCT00103857)
Timeframe: Week 104

Interventionmg/dL (Least Squares Mean)
Sitagliptin 100 mg q.d.-74.1
Metformin 500 mg b.i.d.-72.7
Metformin 1000 mg b.i.d.-86.7
Sitagliptin 50 mg b.i.d. + Metformin 500 mg b.i.d.-96.2
Sitagliptin 50 mg b.i.d + Metformin 1000 mg b.i.d.-110.0
Placebo/Metformin 1000 mg b.i.d.-93.3

Change From Baseline in 2-Hour PMG (Post-Meal Glucose) at Week 24

Change from baseline at Week 24 is defined as Week 24 minus Week 0. (NCT00103857)
Timeframe: Week 24

Interventionmg/dL (Least Squares Mean)
Sitagliptin 100 mg q.d.-51.9
Metformin 500 mg b.i.d.-53.4
Metformin 1000 mg b.i.d.-78.0
Sitagliptin 50 mg b.i.d. + Metformin 500 mg b.i.d.-92.5
Sitagliptin 50 mg b.i.d + Metformin 1000 mg b.i.d.-116.6
Placebo/Metformin 1000 mg b.i.d.0.3

Change From Baseline in 2-Hour PMG (Post-Meal Glucose) at Week 54

Change from baseline at Week 54 is defined as Week 54 minus Week 0. (NCT00103857)
Timeframe: Week 54

Interventionmg/dL (Least Squares Mean)
Sitagliptin 100 mg q.d.-45.9
Metformin 500 mg b.i.d.-58.6
Metformin 1000 mg b.i.d.-76.3
Sitagliptin 50 mg b.i.d. + Metformin 500 mg b.i.d.-89.6
Sitagliptin 50 mg b.i.d + Metformin 1000 mg b.i.d.-107.9
Placebo/Metformin 1000 mg b.i.d.-80.9

Change From Baseline in FPG (Fasting Plasma Glucose) at Week 104

Change from baseline at Week 104 is defined as Week 104 minus Week 0. (NCT00103857)
Timeframe: Week 104

Interventionmg/dL (Least Squares Mean)
Sitagliptin 100 mg q.d.-26.8
Metformin 500 mg b.i.d.-41.4
Metformin 1000 mg b.i.d.-43.2
Sitagliptin 50 mg b.i.d. + Metformin 500 mg b.i.d.-47.5
Sitagliptin 50 mg b.i.d + Metformin 1000 mg b.i.d.-57.3
Placebo/Metformin 1000 mg b.i.d.-45.2

Change From Baseline in FPG (Fasting Plasma Glucose) at Week 24

Change from baseline at Week 24 is defined as Week 24 minus Week 0. (NCT00103857)
Timeframe: Week 24

Interventionmg/dL (Least Squares Mean)
Sitagliptin 100 mg q.d.-17.5
Metformin 500 mg b.i.d.-27.3
Metformin 1000 mg b.i.d.-29.3
Sitagliptin 50 mg b.i.d. + Metformin 500 mg b.i.d.-47.1
Sitagliptin 50 mg b.i.d + Metformin 1000 mg b.i.d.-63.9
Placebo/Metformin 1000 mg b.i.d.5.8

Change From Baseline in FPG (Fasting Plasma Glucose) at Week 54

Change from baseline at Week 54 is defined as Week 54 minus Week 0. (NCT00103857)
Timeframe: Week 54

Interventionmg/dL (Least Squares Mean)
Sitagliptin 100 mg q.d.-16.0
Metformin 500 mg b.i.d.-29.0
Metformin 1000 mg b.i.d.-39.6
Sitagliptin 50 mg b.i.d. + Metformin 500 mg b.i.d.-42.5
Sitagliptin 50 mg b.i.d + Metformin 1000 mg b.i.d.-55.6
Placebo/Metformin 1000 mg b.i.d.-43.9

Change From Baseline in HbA1c (Hemoglobin A1C) at Week 104

HbA1c is measured as a percent. This change from baseline reflects the Week 104 HbA1c percent minus the Week 0 HbA1c percent. (NCT00103857)
Timeframe: Week 104

InterventionPercent (Least Squares Mean)
Sitagliptin 100 mg q.d.-1.15
Metformin 500 mg b.i.d.-1.06
Metformin 1000 mg b.i.d.-1.34
Sitagliptin 50 mg b.i.d. + Metformin 500 mg b.i.d.-1.39
Sitagliptin 50 mg b.i.d + Metformin 1000 mg b.i.d.-1.66
Placebo/Metformin 1000 mg b.i.d.-1.39

Change From Baseline in HbA1c (Hemoglobin A1C) at Week 24

HbA1c is measured as a percent. This change from baseline reflects the Week 24 HbA1c percent minus the Week 0 HbA1c percent. (NCT00103857)
Timeframe: Week 24

InterventionPercent (Least Squares Mean)
Sitagliptin 100 mg q.d.-0.66
Metformin 500 mg b.i.d.-0.82
Metformin 1000 mg b.i.d.-1.13
Sitagliptin 50 mg b.i.d. + Metformin 500 mg b.i.d.-1.40
Sitagliptin 50 mg b.i.d + Metformin 1000 mg b.i.d.-1.90
Placebo/Metformin 1000 mg b.i.d.0.17

Change From Baseline in HbA1c (Hemoglobin A1C) at Week 54

HbA1c is measured as a percent. This change from baseline reflects the Week 54 HbA1c percent minus the Week 0 HbA1c percent. (NCT00103857)
Timeframe: Week 54

InterventionPercent (Least Squares Mean)
Sitagliptin 100 mg q.d.-0.82
Metformin 500 mg b.i.d.-1.01
Metformin 1000 mg b.i.d.-1.34
Sitagliptin 50 mg b.i.d. + Metformin 500 mg b.i.d.-1.41
Sitagliptin 50 mg b.i.d + Metformin 1000 mg b.i.d.-1.80
Placebo/Metformin 1000 mg b.i.d.-1.10

ACPRg

First phase response from the hyperglycemic clamp (NCT01779362)
Timeframe: 3-months after a medication washout

Interventionnmol/L (Geometric Mean)
Metformin Alone1.68
Glargine Followed by Metformin1.68
Placebo1.68
Liraglutide + Metformin1.68

Insulin Sensitivity, M/I

Clamp measure of insulin sensitivity (NCT01779362)
Timeframe: 3-months after a medication washout

Interventionx 10-5 mmol/kg/min per pmol/L (Geometric Mean)
Metformin Alone3.53
Glargine Followed by Metformin3.38
Placebo3.63
Liraglutide + Metformin3.49

ß-cell Function Measured by Hyperglycemic Clamp Techniques at M12

Participants had 12-months of active therapy. Secondary results at the end of active intervention. (NCT01779362)
Timeframe: Secondary analysis was on all participants with a Month 12 visit.

,,,
Interventionnmol/L (Geometric Mean)
ACRPgSteady State C-peptideACRPmax
Glargine Followed by Metformin1.8811.614.1
Liraglutide + Metformin2.6821.210.1
Metformin Alone1.9311.713.4
Placebo1.6910.813.6

ß-cell Response Measured by Hyperglycemic Clamp

Clamp measures of ß-cell response, co-primary outcomes (NCT01779362)
Timeframe: 3-months after medication washout (Month 15)

,,,
Interventionnmol/L (Geometric Mean)
Steady State C-peptideACPRmax
Glargine Followed by Metformin3.584.32
Liraglutide + Metformin3.734.58
Metformin Alone3.654.61
Placebo3.604.45

Change From Baseline to 26-week Endpoint in Glycosylated Hemoglobin (HbA1c)

Least Squares (LS) means were calculated using analysis of covariance (ANCOVA) with country, treatment, and prior medication group (previous oral antihyperglycemic medication [OAM] versus no previous OAM) as fixed effects and baseline HbA1c as a covariate. (NCT01126580)
Timeframe: Baseline, 26 weeks

Interventionpercentage of glycosylated hemoglobin (Least Squares Mean)
1.5 mg LY2189265-0.78
0.75 mg LY2189265-0.71
Metformin-0.56

Change From Baseline to 52-week Endpoint in Glycosylated Hemoglobin (HbA1c)

Least Squares (LS) means were calculated using analysis of covariance (ANCOVA) with country, treatment, and prior medication group (previous oral antihyperglycemic medication [OAM] versus no previous OAM) as fixed effects and baseline HbA1c as a covariate. (NCT01126580)
Timeframe: Baseline, 52 weeks

Interventionpercentage of glycosylated hemoglobin (Least Squares Mean)
1.5 mg LY2189265-0.70
0.75 mg LY2189265-0.55
Metformin-0.51

Diabetes Treatment Satisfaction Questionnaire (DTSQ) Score, Change Version

The Diabetes Treatment Satisfaction Questionnaire change (DTSQc) score is used to assess relative change in participant satisfaction from baseline. The questionnaire consists of 8 items, 6 of which (1 and 4 through 8) assess treatment satisfaction. Each item is rated on a 7-point Likert scale. The scores from the 6 treatment satisfaction items are summed to a Total Treatment Satisfaction Score, which ranges from -18 (much less satisfied) to +18 (much more satisfied). Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) adjusted by treatment, country, prior medication group, gender, and baseline score. (NCT01126580)
Timeframe: 52 weeks

Interventionunits on a scale (Least Squares Mean)
1.5 mg LY218926512.92
0.75 mg LY218926512.73
Metformin12.58

Measurement of LY2189265 Drug Concentration for Pharmacokinetics: Area Under the Concentration Curve (AUC)

Evaluable pharmacokinetic concentrations from the 4-week, 13-week, 26-week, and 52-week timepoints were combined and utilized in a population approach to determine the population mean estimate and standard deviation at steady-state. (NCT01126580)
Timeframe: 4 weeks, 13 weeks, 26 weeks, and 52 weeks

Interventionnanogram hours per milliliter (ng*hr/mL) (Mean)
1.5 mg LY218926512036
0.75 mg LY21892655919

Number of Participants With Adjudicated Pancreatitis at 52 Weeks Plus 30-day Follow up

The number of participants with pancreatitis confirmed by adjudication is summarized cumulatively at 52 weeks plus 30-day follow up. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01126580)
Timeframe: Baseline through 52 weeks plus 30-day follow up

Interventionparticipants (Number)
1.5 mg LY21892650
0.75 mg LY21892650
Metformin0

Number of Participants With Treatment Emergent Anti-LY2189265 Antibodies

A participant was considered to have treatment emergent LY2189265 anti-drug antibodies (ADA) if the participant had at least one titer that was treatment-emergent relative to baseline, defined as a 4-fold or greater increase in titer from baseline measurement. The total number of treatment emergent ADA was not analyzed at 26 weeks. (NCT01126580)
Timeframe: Baseline through 52 weeks

Interventionparticipants (Number)
1.5 mg or 0.75 mg LY218926510

Change From Baseline to 26 and 52 Weeks in Blood Pressure

Sitting systolic blood pressure (SBP) and sitting diastolic blood pressure (DBP) were measured. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, prior medication group, visit, and treatment-by-visit interaction as fixed effects, baseline interval as a covariate, and participant as a random effect. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionmilliliters of mercury (mmHg) (Least Squares Mean)
SBP, 26 weeks (n=244, 251, 239)SBP, 52 weeks (n=221, 219, 215)DBP, 26 weeks (n=244, 251, 239)DBP, 52 weeks (n=221, 219, 215)
0.75 mg LY2189265-2.61-2.74-1.02-1.37
1.5 mg LY2189265-1.89-0.110.050.31
Metformin-0.91-0.98-0.64-0.38

Change From Baseline to 26 and 52 Weeks in Body Mass Index (BMI)

Body mass index is an estimate of body fat based on body weight divided by height squared. Least Squares (LS) means were calculated using analysis of covariance (ANCOVA) with country, treatment, and prior medication group as fixed effects and baseline BMI as a covariate. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionkilograms per meter squared (kg/m^2) (Least Squares Mean)
26 weeks52 weeks
0.75 mg LY2189265-0.51-0.42
1.5 mg LY2189265-0.86-0.73
Metformin-0.82-0.83

Change From Baseline to 26 and 52 Weeks in Body Weight

Least Squares (LS) means were calculated using analysis of covariance (ANCOVA) with country, treatment, and prior medication group as fixed effects and baseline body weight as a covariate. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionkilograms (kg) (Least Squares Mean)
26 weeks (n=267, 269, 267)52 weeks (n=267, 269, 267)
0.75 mg LY2189265-1.36-1.09
1.5 mg LY2189265-2.29-1.93
Metformin-2.22-2.20

Change From Baseline to 26 and 52 Weeks in Daily Mean Blood Glucose Values From the 8-point Self-monitored Blood Glucose (SMBG) Profiles

The SMBG data were collected at the following 8 time points: pre-morning meal; 2 hours post-morning meal; pre-midday meal; 2 hours post-midday meal; pre-evening; 2 hours post-evening meal; bedtime; and 3AM or 5 hours after bedtime. Least Squares (LS) means of the mean of the 8 time points (daily mean) were calculated using analysis of covariance (ANCOVA) with country, treatment, and prior medication group as fixed effects and baseline daily mean as a covariate. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionmillimoles per liter (mmol/L) (Least Squares Mean)
26 weeks (n=195, 200, 211)52 weeks (n=197, 200, 212)
0.75 mg LY2189265-1.75-1.71
1.5 mg LY2189265-1.98-1.99
Metformin-1.68-1.58

Change From Baseline to 26 and 52 Weeks in Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval

The QT interval is a measure of the time between the start of the Q wave and the end of the T wave and was calculated from electrocardiogram (ECG) data using Fridericia's formula: QTc = QT/RR^0.33. Corrected QT (QTc) is the QT interval corrected for heart rate and RR, which is the interval between two R waves. PR is the interval between the P wave and the QRS complex. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, prior medication group, visit, and treatment-by-visit interaction as fixed effects, baseline interval as a covariate, and participant as a random effect. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionmilliseconds (msec) (Least Squares Mean)
QTcF interval, 26 weeks (n=230, 237, 221)QTcF interval, 52 weeks (n=212, 212, 205)PR interval, 26 weeks (n=226, 235, 218)PR interval, 52 weeks (n=209, 210, 201)
0.75 mg LY21892651.380.73-0.011.53
1.5 mg LY21892652.603.76-0.041.15
Metformin-0.91-0.53-2.04-2.88

Change From Baseline to 26 and 52 Weeks in Electrocardiogram Parameters, Heart Rate

Electrocardiogram (ECG) heart rate was measured. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, prior medication group, visit, and treatment-by-visit interaction as fixed effects and baseline interval as a covariate. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionbeats per minute (bpm) (Least Squares Mean)
26 weeks (n=230, 237, 221)52 weeks (n=212, 212, 205)
0.75 mg LY21892652.572.36
1.5 mg LY21892651.602.02
Metformin0.821.27

Change From Baseline to 26 and 52 Weeks in Fasting Blood Glucose

Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, prior medication group, visit, and treatment-by-visit interaction as fixed effects, baseline fasting blood glucose as a covariate, and participant as a random effect. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionmillimoles per liter (mmol/L) (Least Squares Mean)
26 weeks (n=244, 247, 245)52 weeks (n=207, 210, 194)
0.75 mg LY2189265-1.46-1.00
1.5 mg LY2189265-1.61-1.56
Metformin-1.34-1.15

Change From Baseline to 26 and 52 Weeks in Homeostasis Model Assessment of Beta-cell Function

The homeostatic model assessment (HOMA) quantifies insulin resistance and beta-cell function. HOMA2-B is a computer model that uses fasting plasma insulin and glucose concentrations to estimate steady-state beta cell function (%B) as a percentage of a normal reference population (normal young adults). HOMA2-S is a computer model that uses fasting plasma insulin and glucose concentrations to estimate insulin sensitivity (%S) as percentages of a normal reference population (normal young adults). The normal reference populations were set at 100%. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, prior medication group, visit, and treatment-by-visit interaction as fixed effects, baseline HOMA2 as a covariate, and participant as a random effect. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionpercentage of HOMA2 (Least Squares Mean)
HOMA2-%B, 26 weeks (n=207, 207, 215)HOMA2-%B, 52 weeks (n=179, 185, 170)HOMA2-%S, 26 weeks (n=207, 207, 215)HOMA2-%S, 52 weeks (n=179, 185, 170)
0.75 mg LY218926528.9622.52.711.84
1.5 mg LY218926536.5529.970.955.29
Metformin14.119.779.9910.83

Change From Baseline to 26 and 52 Weeks in Pancreatic Enzymes

Amylase (total and pancreas-derived [PD]) and lipase concentrations were measured. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionunits per liter (U/L) (Median)
Amylase (total), 26 weeksAmylase (total), 52 weeksAmylase (PD), 26 weeksAmylase (PD), 52 weeksLipase, 26 weeksLipase, 52 weeks
0.75 mg LY21892656.005.004.003.005.005.00
1.5 mg LY21892657.005.505.004.007.005.00
Metformin4.004.001.002.001.001.00

Change From Baseline to 26 and 52 Weeks in Pulse Rate

Sitting pulse rate was measured. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, prior medication group, visit, and treatment-by-visit interaction as fixed effects, baseline interval as a covariate, and participant as a random effect. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionbeats per minute (bpm) (Least Squares Mean)
26 weeks (n=244, 251, 239)52 weeks (n=221, 219, 215)
0.75 mg LY21892652.141.63
1.5 mg LY21892652.391.84
Metformin1.591.12

Change From Baseline to 26 and 52 Weeks in Serum Calcitonin

(NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionpicograms per milliliter (pcg/mL) (Median)
26 weeks52 weeks
0.75 mg LY21892650.000.00
1.5 mg LY21892650.000.00
Metformin0.000.00

Change From Baseline to 26 and 52 Weeks in the Diabetes Symptoms Checklist Participant-reported Outcome (DSC-r) Score

"The Diabetes Symptoms Checklist-revised (DSC-r) was designed to assess the presence and perceived burden of diabetes-related symptoms. Respondents were to consider troublesomeness of 34 symptoms on a 5-point scale ranging from 5=extremely to 1=not at all. For symptoms/side-effects not experienced, the item was scored as 0. Symptoms were grouped into the following subscales: psychology-fatigue, psychology-cognitive, neurology-pain, neurology-sensory, cardiology, ophthalmology, hypoglycemia, and hyperglycemia. Subscale scores were calculated as the sum of the given subscale divided by the total number of items in the scale. Total score was computed from the sum of the 8 subscales and ranged from 0 to 40. Higher scores indicate greater symptom burden. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) adjusted by treatment, country, prior medication group, gender, and baseline score." (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionunits on a scale (Least Squares Mean)
26 weeks (n=245, 253, 248)52 weeks (n=247, 255, 249)
0.75 mg LY2189265-0.160.42
1.5 mg LY21892650.240.49
Metformin0.410.59

Change From Baseline to 26 and 52 Weeks in the Diabetes Treatment Satisfaction Questionnaire (DTSQ) Score, Status Version

The Diabetes Treatment Satisfaction Questionnaire status version (DTSQs) is used to assess participant treatment satisfaction at each study visit. The questionnaire consists of 8 items, 6 of which (1 and 4 through 8) assess treatment satisfaction. Each item is rated on a 7-point Likert scale. Scores from the 6 treatment satisfaction items are summed to a Total Treatment Satisfaction Score, which ranges from 0 (very dissatisfied) to 36 (very satisfied). Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) adjusted by treatment, country, prior medication group, gender, and baseline score. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionunits on a scale (Least Squares Mean)
26 weeks (n=244, 249, 241)52 weeks (n=245, 251, 244)
0.75 mg LY21892651.811.29
1.5 mg LY21892651.931.82
Metformin2.041.94

Change From Baseline to 26 and 52 Weeks in the Impact of Weight on Activities of Daily Living (IW-ADL) Score

"The Impact of Weight on Activities of Daily Living (renamed the Ability to Perform Physical Activities of Daily Living [APPADL]) questionnaire contains 7 items that assess how difficult it is for participants to engage in certain activities considered to be integral to normal daily life, such as walking, standing and climbing stairs. Items are scored on a 5-point numeric rating scale where 5 = not at all difficult and 1 = unable to do. The individual scores from all 7 items are summed and a single total score is calculated and may range between 7 and 35. A higher score indicates better ability to perform activities of daily living. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) adjusted by treatment, country, prior medication group, gender, and baseline score." (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionunits on a scale (Least Squares Mean)
26 weeks (n=247, 251, 247)52 weeks (n=247, 252, 248)
0.75 mg LY21892650.19-0.05
1.5 mg LY21892650.090.39
Metformin0.020.28

Change From Baseline to 26 and 52 Weeks in the Impact of Weight on Self-Perception (IW-SP) Score

The Impact of Weight on Self-Perception (IW-SP) questionnaire contains 3 items that assess how often the participants' body weight affects how happy they are with their appearance and how often they feel self-conscious when out in public. Items are scored on a 5-point numeric rating scale where 5 = never and 1 = always. A single total score is calculated by summing the scores for all 3 items. Total score ranges between 3 and 15, where a higher score is indicative of better self-perception. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) adjusted by treatment, country, prior medication group, gender, and baseline score. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionunits on a scale (Least Squares Mean)
26 weeks (n=248, 254, 249)52 weeks (n=249, 255, 250)
0.75 mg LY21892650.630.61
1.5 mg LY21892650.720.45
Metformin0.790.75

Number of Participants With Adjudicated Cardiovascular Events at 52 Weeks Plus 30-day Follow up

Information on cardiovascular (CV) risk factors was collected at baseline. Data on any new CV event was prospectively collected using a CV event electronic case report form. Deaths and nonfatal cardiovascular adverse events (AEs) were adjudicated by an external committee of physicians with cardiology expertise. Nonfatal cardiovascular AEs to be adjudicated included myocardial infarction, hospitalization for unstable angina, hospitalization for heart failure, coronary interventions, and cerebrovascular events, including cerebrovascular accident (stroke) and transient ischemic attack. The number of participants with CV events confirmed by adjudication is summarized cumulatively at 52 weeks plus 30-day follow up. Serious and all other non-serious adverse events regardless of causality are summarized in the Reported Adverse Events module. (NCT01126580)
Timeframe: Baseline through 52 weeks plus 30-day follow up

,,
Interventionparticipants (Number)
Any CV EventAny Fatal CV EventAny Nonfatal CV Event
0.75 mg LY2189265202
1.5 mg LY2189265101
Metformin101

Number of Participants With Treatment Emergent Adverse Events at 26 and 52 Weeks

A treatment-emergent adverse event (TEAE) was defined as an event that first occurs or worsens (increases in severity) after baseline regardless of causality or severity. The number of participants with one or more TEAE is summarized cumulatively at 26 and 52 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01126580)
Timeframe: 26 weeks and 52 weeks

,,
Interventionparticipants (Number)
26 weeks52 weeks
0.75 mg LY2189265150177
1.5 mg LY2189265163179
Metformin151170

Number of Self-reported Hypoglycemic Events at 26 and 52 Weeks

Hypoglycemic events were classified as severe (defined as episodes requiring the assistance of another person to actively administer resuscitative actions), documented symptomatic (defined as any time a participant feels that he/she is experiencing symptoms and/or signs associated with hypoglycemia, and has a plasma glucose level of less than or equal to 70 milligrams per deciliter [mg/dL]), or asymptomatic (defined as events not accompanied by typical symptoms of hypoglycemia but with a measured plasma glucose of less than or equal to 70 mg/dL). A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01126580)
Timeframe: Baseline through 26 weeks and 52 weeks

,,
Interventionevents (Number)
Severe, 26 weeks (n=241, 248, 236)Severe, 52 weeks (n=214, 217, 199)Documented Symptomatic, 26 weeks (n=241, 248, 236)Documented Symptomatic, 52 weeks (n=214, 217, 199)Asymptomatic, 26 weeks (n=241, 248, 236)Asymptomatic, 52 weeks (n=214, 217, 199)
0.75 mg LY2189265006899
1.5 mg LY21892650027195
Metformin0022139

Percent Change From Baseline to 26 and 52 Weeks in Total Cholesterol

Percent changes in total cholesterol were assessed using analysis of variance (ANOVA) on the rank-transformed data with only treatment included in the model. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionpercentage change in total cholesterol (Median)
26 weeks (n=244, 244, 243)52 weeks (n=247, 248, 245)
0.75 mg LY2189265-1.77-0.78
1.5 mg LY2189265-3.86-1.69
Metformin-3.51-3.88

Percentage Change From Baseline to 26 and 52 Weeks in High Density Lipoprotein Cholesterol (HDL-C)

Percentage changes in HDL-C were assessed using analysis of variance (ANOVA) on the rank-transformed data with only treatment included in the model. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionpercentage change in HDL-C (Median)
26 weeks (n=246, 244, 244)52 weeks (n=248, 248, 246)
0.75 mg LY21892654.202.31
1.5 mg LY21892652.394.95
Metformin5.784.32

Percentage Change From Baseline to 26 and 52 Weeks in Low Density Lipoprotein Cholesterol (LDL-C)

Percentage changes in LDL-C were assessed using analysis of variance (ANOVA) on the rank-transformed data with only treatment included in the model. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionpercentage change in LDL-C (Median)
26 weeks (n=233, 231, 221)52 weeks (n=236, 240, 231)
0.75 mg LY2189265-2.70-2.34
1.5 mg LY2189265-6.86-2.06
Metformin-8.97-7.23

Percentage Change From Baseline to 26 and 52 Weeks in Triglycerides

Percentage changes in triglycerides were assessed using analysis of variance (ANOVA) on the rank-transformed data with only treatment included in the model. (NCT01126580)
Timeframe: Baseline, 26 weeks, and 52 weeks

,,
Interventionpercentage change in triglycerides (Median)
26 weeks (n=252, 252, 253)52 weeks (n=255, 256, 254)
0.75 mg LY2189265-1.96-0.86
1.5 mg LY2189265-2.35-4.27
Metformin2.561.91

Percentage of Participants Achieving a Glycosylated Hemoglobin (HbA1c) of Less Than 7% and Less Than or Equal to 6.5% at 26 and 52 Weeks

The percentage of participants achieving HbA1c level less than 7.0% and less than or equal to 6.5% was analyzed with a logistic regression model with baseline, prior medication group, and treatment as factors included in the model. (NCT01126580)
Timeframe: 26 weeks and 52 weeks

,,
Interventionpercentage of participants (Number)
HbA1c less than 7%, 26 weeksHbA1c less than or equal to 6.5%, 26 weeksHbA1c less than 7%, 52 weeksHbA1c less than or equal to 6.5%, 52 weeks
0.75 mg LY218926562.640.053.234.7
1.5 mg LY218926561.546.060.042.3
Metformin53.629.848.328.3

Rate of Self-reported Hypoglycemic Events at 52 Weeks

Hypoglycemic events were classified as severe (defined as episodes requiring the assistance of another person to actively administer resuscitative actions), documented symptomatic (defined as any time a participant feels that he/she is experiencing symptoms and/or signs associated with hypoglycemia, and has a plasma glucose level of less than or equal to 70 milligrams per deciliter [mg/dL]), or asymptomatic (defined as events not accompanied by typical symptoms of hypoglycemia but with a measured plasma glucose of less than or equal to 70 mg/dL). The 1-year adjusted rate of hypoglycemic events is summarized cumulatively at 52 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01126580)
Timeframe: Baseline through 52 weeks

,,
Interventionevents per participant per year (Mean)
SevereDocumented SymptomaticAsymptomatic
0.75 mg LY21892650.000.150.30
1.5 mg LY21892650.000.620.24
Metformin0.000.090.18

Percent Incidence of All-cause Mortality (Intent to Treat Population)

Percent incidence of all-cause mortality is reported as the percentage of participants who died due to any cause. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin7.5
Placebo7.3

Percent Incidence of All-cause Mortality (Per Protocol Population)

Percent incidence of all-cause mortality is reported as the percentage of participants who died due to any cause. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin4.7
Placebo4.3

Percent Incidence of CHF Requiring Hospitalization (Intent to Treat Population)

Percent incidence of CHF requiring hospitalization was reported as the percentage of participants who were admitted to the hospital for CHF. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin3.1
Placebo3.1

Percent Incidence of Congestive Heart Failure (CHF) Requiring Hospitalization (Per Protocol Population)

Percent incidence of CHF requiring hospitalization was reported as the percentage of participants who were admitted to the hospital for CHF. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin2.8
Placebo2.8

Percentage of Participants Who Initiated Chronic Insulin Therapy (Intent to Treat Population)

Chronic insulin therapy is defined as a continuous period of insulin use of more than 3 months. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin9.7
Placebo13.2

Percentage of Participants Who Initiated Chronic Insulin Therapy (Per Protocol Population)

Chronic insulin therapy is defined as a continuous period of insulin use of more than 3 months. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin8.6
Placebo11.9

Percentage of Participants With First Confirmed Cardiovascular (CV) Event of Major Adverse Cardiovascular Event (MACE) Plus (Per Protocol Population)

Primary composite CV endpoint of MACE plus which includes CV-related death, nonfatal MI, nonfatal stroke, or unstable angina requiring hospitalization. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin9.6
Placebo9.6

Percentage of Participants With First Confirmed CV Event of MACE (Intent to Treat Population)

CV composite endpoint of MACE which includes CV-related death, nonfatal MI, or nonfatal stroke. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin10.2
Placebo10.2

Percentage of Participants With First Confirmed CV Event of MACE (Per Protocol Population)

CV composite endpoint of MACE which includes CV-related death, nonfatal MI, or nonfatal stroke. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin8.4
Placebo8.3

Percentage of Participants With First Confirmed CV Event of Major Adverse Cardiovascular Event (MACE) Plus (Intent to Treat Population)

Primary composite CV endpoint of MACE plus which includes CV-related death, nonfatal MI, nonfatal stroke, or unstable angina requiring hospitalization. (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin11.4
Placebo11.6

Percentage of Participants With Initiation of Co-interventional Agent (Intent to Treat Population)

In participants not receiving insulin at baseline, time to addition of first co-interventional agent (i.e., next oral AHA or chronic insulin, where chronic insulin therapy is defined as a continuous period of insulin use of more than 3 months.) (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin21.7
Placebo27.9

Percentage of Participants With Initiation of Co-interventional Agent (Per Protocol Population)

In participants not receiving insulin at baseline, time to addition of first co-interventional agent (i.e., next oral antihyperglycemic agent [AHA] or chronic insulin, where chronic insulin therapy is defined as a continuous period of insulin use of more than 3 months.) (NCT00790205)
Timeframe: Up to 5 years

InterventionPercentage of participants (Number)
Sitagliptin18.9
Placebo24.5

Change From Baseline in HbA1c Over Time (Intent to Treat Population)

HbA1c is a measure of the percentage of glycated hemoglobin in the blood. Estimated mean difference between sitagliptin and placebo controlling for baseline HbA1c and region. (NCT00790205)
Timeframe: Baseline and up to 4 years

,
InterventionPercentage of HbA1c (Mean)
Month 4: Sitagliptin, n= 6772; Placebo, n= 6738Month 8: Sitagliptin, n= 6478; Placebo, n= 6414Month 12: Sitagliptin, n= 6448; Placebo, n= 6384Month 24: Sitagliptin, n= 6105; Placebo, n= 5975Month 36: Sitagliptin, n= 3521; Placebo, n= 3439Month 48: Sitagliptin, n= 1432; Placebo, n= 1383Month 60: Sitagliptin, n= 123; Placebo, n= 128
Placebo0.10.10.10.10.10.10.0
Sitagliptin-0.3-0.2-0.2-0.1-0.10.00.0

Change From Baseline in HbA1c Over Time (Per Protocol Population)

HbA1c is a measure of the percentage of glycated hemoglobin in the blood. Estimated mean difference between sitagliptin and placebo controlling for baseline HbA1c and region. (NCT00790205)
Timeframe: Baseline and up to 4 years

,
InterventionPercentage of HbA1c (Mean)
Month 4; Sitagliptin, n=6632, Placebo, n=6588Month 8; Sitagliptin, n=6294, Placebo, n=6197Month 12; Sitagliptin, n=6217, Placebo, n=6092Month 24; Sitagliptin, n=5668, Placebo, n=5475Month 36; Sitagliptin, n=3227, Placebo, n=3083Month 48; Sitagliptin, n=1271, Placebo, n=1224Month 60; Sitagliptin, n=106, Placebo, n=108
Placebo0.10.10.10.20.10.10.0
Sitagliptin-0.3-0.3-0.2-0.1-0.10.0-0.1

Change From Baseline in Renal Function Over Time (Intent to Treat Population)

Change in renal function based on eGFR using the MDRD method. (NCT00790205)
Timeframe: Baseline and up to 5 years

,
InterventionmL/min/1.73 m^2 (Mean)
Month 4; Sitagliptin, n=3949; Placebo, n=3977Month 8; Sitagliptin, n=3687; Placebo, n=3648Month 12; Sitagliptin, n=5082; Placebo, n=5015Month 24; Sitagliptin, n=5157; Placebo, n=5071Month 36; Sitagliptin, n=3037; Placebo, n=2942Month 48; Sitagliptin, n=1237; Placebo, n=1210Month 60; Sitagliptin, n=93; Placebo, n=106
Placebo-0.8-0.9-0.5-1.7-1.6-2.8-5.7
Sitagliptin-1.8-2.4-1.8-3.2-3.8-4.0-4.2

Change From Baseline in Renal Function Over Time (Per Protocol Population)

Change in renal function based on estimated glomerular filtration rate [eGFR] using the Modification of Diet in Renal Disease [MDRD] method. (NCT00790205)
Timeframe: Baseline and up to 5 years

,
InterventionmL/min/1.73 m^2 (Mean)
Month 4; Sitagliptin, n= 3859; Placebo, n= 3864Month 8; Sitagliptin, n= 3562; Placebo, n= 3501Month 12; Sitagliptin, n=4912, Placebo, n=4778Month 24; Sitagliptin, n=4782, Placebo, n=4637Month 36; Sitagliptin, n=2776, Placebo, n=2614Month 48; Sitagliptin, n=1096, Placebo, n=1056Month 60; Sitagliptin, n=79, Placebo, n=88
Placebo-0.8-0.9-0.5-1.7-1.6-2.8-6.4
Sitagliptin-1.9-2.5-1.8-3.1-3.7-3.7-3.5

Change From Baseline in Urine Albumin:Creatinine Ratio Over Time (Intent to Treat Population)

Change from baseline reflects the difference between the urine albumin:creatinine ratio reported time point and baseline value. (NCT00790205)
Timeframe: Baseline and up to 5 years

,
Interventiong/mol Creatinine (Mean)
Month 4; n=677, n=713Month 8; n=658, n=624Month 12; n=1167, n=1115Month 24; n=1011, n=964Month 36; n=537, n=553Month 48; n=265, n=256Month 60; n=14, n=18
Placebo-1.40.51.23.13.91.66.4
Sitagliptin-2.12.11.30.52.61.9-2.5

Change From Baseline in Urine Albumin:Creatinine Ratio Over Time (Per Protocol Population)

Change from baseline reflects the difference between the urine albumin:creatinine ratio reported time point and baseline value. (NCT00790205)
Timeframe: Baseline and up to 5 years

,
Interventiong/mol Creatinine (Mean)
Month 4; Sitagliptin, n=664; Placebo, n=688Month 8; Sitagliptin, n=635; Placebo, n=597Month 12; Sitagliptin, n=1126; Placebo, n=1059Month 24; Sitagliptin, n=930; Placebo, n=892Month 36; Sitagliptin, n=488; Placebo, n=513Month 48; Sitagliptin, n=238; Placebo, n=233Month 60; Sitagliptin, n=13; Placebo, n=17
Placebo-1.40.21.23.24.01.54.8
Sitagliptin-2.21.70.80.72.51.3-2.7

Independent Re-adjudication (IR) Outcome: Number of Participants With a First Occurrence of a Major Adverse Cardiovascular Event (MACE) Defined as CV (or Unknown) Death, Non-fatal MI, and Non-fatal Stroke Based on Original RECORD Endpoint Definitions

IR was based on original RECORD endpoint definitions. CV death= no unequivocal non-CV cause (sudden death, death from acute vascular events, heart failure, acute MI, other CV causes, and deaths adjudicated as unknown cause). MI event=hospitalization + elevation of specific cardiac biomarkers above the upper limit of normal + cardiac ischemia symptoms/new pathological electrocardiogram findings. Stroke event=hospitalization + rapidly developed clinical signs of focal/global disturbance of cerebral function for more than 24 hours, with no apparent cause other than a vascular origin. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG181
Combined MET/SU188

Independent Re-adjudication Outcome: Number of Participants (Par.) With an Event of Stroke (Fatal and Non-fatal), Based on Original RECORD Endpoint Definitions

Par. with a stroke (fatal or non-fatal) event as determined by independent re-adjudication using the original RECORD endpoint definitions was recorded. A stroke event=hospitalization plus rapidly developed clinical signs of focal (or global) disturbance of cerebral function lasting more than 24 hours (unless interrupted by thrombolysis, surgery, or death), with no apparent cause other than a vascular origin, including par. presenting clinical signs/symptoms suggestive of subarachnoid haemorrhage/intracerebral haemorrhage/cerebral ischemic necrosis or cause of death adjudicated as stroke. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG50
Combined MET/SU63

Independent Re-adjudication Outcome: Number of Participants Who Died Due to Any Cause

All deaths identified during the original record study and discovered after the re-adjudication efforts began were included. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG139
Combined MET/SU160

Independent Re-adjudication Outcome: Number of Participants With a CV (or Unknown) Death, Based on Contemporary Endpoint Definitions

The number of participants with a CV (or unknown) death as determined by independent re-adjudication using the Standard Data Collection for Cardiovascular Trials Initiative (draft October 2011) endpoint definitions was recorded. CV death included death resulting from an acute myocardial infarction (MI), sudden cardiac death, death due to heart failure, death due to stroke, and death due to other CV causes. Deaths of unknown cause were counted as CV deaths. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG88
Combined MET/SU96

Independent Re-adjudication Outcome: Number of Participants With a CV (or Unknown) Death, Based on Original RECORD Endpoint Definitions

"The number of participants with a CV death (or unknown) as determined by independent re-adjudication using the original RECORD endpoint definitions was recorded. CV death was defined as any death for which an unequivocal non-CV cause could not be established. CV death included death following heart failure, death following acute myocardial infarction (MI), sudden death, death due to acute vascular events, and other CV causes. Deaths due to unknown causes were classified as unknown deaths, but were counted as CV deaths for the analysis of this endpoint." (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG88
Combined MET/SU96

Independent Re-adjudication Outcome: Number of Participants With a First Occurrence of a Major Adverse Cardiovascular Event (MACE) Defined as CV (or Unknown) Death, Non-fatal MI, and Non-fatal Stroke Based on Contemporary Endpoint Definitions

Independent re-adjudication was based on the Standard Data Collection for Cardiovascular Trials Initiative (draft October 2011) endpoint definitions. CV death included death resulting from an acute MI; sudden cardiac death and death due to heart failure, stroke, and to other CV causes. Deaths of unknown cause were counted as CV deaths. MI was defined as evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia. Stroke was defined as an acute episode of neurological dysfunction caused by focal or global brain, spinal cord, or retinal vascular injury. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG186
Combined MET/SU191

Independent Re-adjudication Outcome: Number of Participants With an Event of Myocardial Infarction (Fatal and Non-fatal), Based on Contemporary Endpoint Definitions

The number of participants with an MI (fatal or non-fatal) event as determined by independent re-adjudication using the Standard Data Collection for Cardiovascular Trials Initiative (draft October 2011) endpoint definitions was recorded. An event of MI was defined as evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG72
Combined MET/SU62

Independent Re-adjudication Outcome: Number of Participants With an Event of Myocardial Infarction (Fatal and Non-fatal), Based on Original RECORD Endpoint Definitions

The number of participants with an MI (fatal or non-fatal) event as determined by independent re-adjudication using the original RECORD endpoint definitions was recorded. An event of MI was defined as hospitalization plus elevation of cardiac biomarkers troponin (TN) I and/or TNT above the upper limit of normal (ULN) or creatinine kinase (CK) MB (M=muscle type; B=brain type) isoenzyme >= 2x the ULN or CK > 2x the ULN plus typical symptoms of cardiac ischemia or new pathological electrocardiogram findings, or cause of death adjudicated as MI. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG68
Combined MET/SU60

Independent Re-adjudication Outcome: Number of Participants With an Event of Stroke (Fatal and Non-fatal), Based on Contemporary Endpoint Definitions

The number of participants with a stroke (fatal or non-fatal) event as determined by independent re-adjudication using the Standard Data Collection for Cardiovascular Trials Initiative (draft October 2011) endpoint definitions was recorded. An event of stroke was defined as an acute episode of neurological dysfunction caused by focal or global brain, spinal cord, or retinal vascular injury. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG53
Combined MET/SU64

Model Adjusted Change From Baseline in Alanine Aminotransferase at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in alanine aminotransferase was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

InterventionU/L (Units/Liter) (Mean)
RSG in Addition to Background MET-37.43
SU in Addition to Background MET-21.73
RSG in Addition to Background SU-30.17
MET in Addition to Background SU-24.00

Model Adjusted Change From Baseline in Body Weight at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in body weight was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventionkilograms (Mean)
RSG in Addition to Background MET3.93
SU in Addition to Background MET-0.54
RSG in Addition to Background SU4.72
MET in Addition to Background SU-2.16

Model Adjusted Change From Baseline in Fasting Plasma Glucose at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in fasting plasma glucose was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment period

Interventionmmol/L (millimoles/Liter) (Mean)
RSG in Addition to Background MET-1.38
SU in Addition to Background MET-0.29
RSG in Addition to Background SU-2.00
MET in Addition to Background SU-0.94

Model Adjusted Change From Baseline in HbA1c at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in HbA1c was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline and Month 60 of randomised dual therapy treatment period

InterventionPercent (Mean)
RSG in Addition to Background MET-0.14
SU in Addition to Background MET0.17
RSG in Addition to Background SU-0.24
MET in Addition to Background SU-0.10

Model Adjusted Change From Baseline in Waist Circumference at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in waist circumference was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventioncm (centimeters) (Mean)
RSG in Addition to Background MET2.70
SU in Addition to Background MET0.65
RSG in Addition to Background SU3.00
MET in Addition to Background SU-0.60

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Apolipoprotein B (Apo-B) at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in Apo-B was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment period

Interventionpercent change (Geometric Mean)
RSG in Addition to Background MET-13.77
SU in Addition to Background MET-11.63
RSG in Addition to Background SU-9.68
MET in Addition to Background SU-12.09

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for C-Reactive Protein at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in C-Reactive Protein was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventionpercent change (Geometric Mean)
RSG in Addition to Background MET-57.40
SU in Addition to Background MET-28.92
RSG in Addition to Background SU-56.50
MET in Addition to Background SU-36.29

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Fibrinogen at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in fibrinogen was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventionpercent change (Geometric Mean)
RSG in Addition to Background MET2.12
SU in Addition to Background MET5.74
RSG in Addition to Background SU-0.23
MET in Addition to Background SU3.14

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Plasminogen Activator Inhibitor-1 (PAI-1) Antigen at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in plasminogen activator inhibitor-1 (PAI-1) antigen was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventionpercent change (Geometric Mean)
RSG in Addition to Background MET-9.85
SU in Addition to Background MET15.01
RSG in Addition to Background SU-7.79
MET in Addition to Background SU-0.64

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Urinary Albumin Creatinine Ratio at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in urinary albumin creatinine ratio was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

Interventionpercent change (Geometric Mean)
RSG in Addition to Background MET8.31
SU in Addition to Background MET15.17
RSG in Addition to Background SU-3.43
MET in Addition to Background SU11.91

Number of Participants With an Event of Death Due to a Bone Fracture-related Event: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

Interventionparticipants (Number)
Combined RSG: Main Study and Observational Follow-up0
Combined MET/SU: Main Study and Observational Follow-up0

Number of Participants With Cardiovascular Death/Cardiovascular Hospitalisation Events

The number of participants with cardiovascular death events (death due to cardiovascular causes or deaths with insufficient information to rule out a cardiovascular cause) and cardiovascular hospitalisation events (hospitalisation for a cardiovascular event, excluding planned admissions not associated with a worsening of the disease/condition of the participant) was recorded. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
Combined RSG321
Combined MET/SU323

Number of Participants With First Cardiovascular Hospitalisations/Cardiovascular Deaths by Stratum

Participants with first cardiovascular death (death due to cardiovascular causes or deaths with insufficient information to rule out a cardiovascular cause) and cardiovascular hospitalisation (hospitalisation for a cardiovascular event, excluding planned admissions not associated with a worsening of the disease/condition of the participant) were recorded by study stratum. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionpartcipants (Number)
RSG in Addition to Background MET158
SU in Addition to Background MET154
RSG in Addition to Background SU163
MET in Addition to Background SU169

Number of Participants With Glycaemic Failure Events

Failure of glycaemic control was defined as two consecutive HbA1c values of ≥8.5 percent, or HbA1c ≥8.5percent at a single visit, after which the subject was either moved to the post-randomised treatment phase or triple therapy was started. (NCT00379769)
Timeframe: Baseline through to end of randomised dual therapy

Interventionparticipants (Number)
RSG in Addition to Background MET281
SU in Addition to Background MET451
RSG in Addition to Background SU365
MET in Addition to Background SU424

The Number of Participants Starting Insulin at Any Time During the Study

The number of participants starting insulin at any time during the study was recorded. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

Interventionparticipants (Number)
RSG in Addition to Background MET126
SU in Addition to Background MET276
RSG in Addition to Background SU168
MET in Addition to Background SU259

Model Adjusted Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within treatment groups) change from baseline in SBP and DBP was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

,,,
InterventionmmHg (millimeters of mercury) (Mean)
SBPDBP
MET in Addition to Background SU-0.6-2.3
RSG in Addition to Background MET-1.9-3.6
RSG in Addition to Background SU-2.3-3.6
SU in Addition to Background MET-2.2-3.4

Model Adjusted Mean Change From Baseline in Insulin and Pro-insulin at Month 60

Model adjusted (adjusted for any imbalances in the baseline values between within stratum treatment groups) change from baseline in insulin and pro-insulin was calculated as the value at Month 60 minus the Baseline value. (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment period

,,,
Interventionpicamoles/liter (pmol/L) (Mean)
Insulin, Adjusted Change from BaselinePro-insulin, Adjusted Change from Baseline
MET in Addition to Background SU-12.1-3.0
RSG in Addition to Background MET-18.6-2.4
RSG in Addition to Background SU-16.9-3.2
SU in Addition to Background MET3.74.2

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Total Cholesterol (TC), Low-density Lipoprotein (LDL) Cholesterol, High-density Lipoprotein (HDL) Cholesterol, Triglycerides, and Free Fatty Acids (FFAs) at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in TC, LDL cholesterol, HDL cholesterol, triglycerides, and FFAs was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

,,,
Interventionpercent change (Geometric Mean)
Total cholesterolHDL-cholesterolLDL-cholesterolTriglyceridesFree fatty acids
MET in Addition to Background SU-9.686.14-17.80-2.504.47
RSG in Addition to Background MET-5.499.95-12.70-7.97-16.46
RSG in Addition to Background SU-2.917.73-8.99-2.68-11.58
SU in Addition to Background MET-9.092.57-17.68-1.952.79

Model Adjusted Ratio to Baseline (Expressed as a Percentage) for Total Cholesterol (TC):High-density Lipoprotein (HDL) Cholesterol and Low-density Lipoprotein (LDL) Cholesterol:HDL Cholesterol Ratios at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in TC:HDL cholesterol and LDL cholesterol:HDL cholesterol was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment period

,,,
Interventionpercent change (Geometric Mean)
Total Cholesterol: HDL Cholesterol RatioLDL Cholesterol: HDL-Cholesterol Ratio
MET in Addition to Background SU-15.01-22.53
RSG in Addition to Background MET-14.20-20.89
RSG in Addition to Background SU-9.93-15.85
SU in Addition to Background MET-11.33-20.04

Model Adjusted Ratio to Baseline (Expressed as a Percentage) Homeostasis Model Assessment (HOMA) Beta Cell Function and Insulin Sensitivity at Month 60

The model adjusted (adjusted for any imbalances in the baseline [BL] values between within stratum treatment groups) ratio to BL in HOMA beta-cell function and insulin sensitivity was calculated as the ratio of the Month 60 value to the BL value and was expressed as percent change from BL. For each treatment group, the model-adjusted mean change from BL at Month 60 was determined on the log scale. This mean was then back transformed to give a geometric mean (GM) of the ratio of the Month 60 value to BL on the original scale. The GM was expressed as a percentage (100*[GM^-1]). (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment phase

,,,
Interventionpercent change (Geometric Mean)
Beta cell functionInsulin sensitivity
MET in Addition to Background SU12.4323.90
RSG in Addition to Background MET20.5442.57
RSG in Addition to Background SU32.3542.07
SU in Addition to Background MET19.28-3.45

Number of Bone Fracture Events With the Indicated Outcome: Main Study + Observational Follow-up Combined

"The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. The indicated fracture outcome was pre-specified in the CRF and included Unknown as a category. Fracture events with missing outcome data were reported as Data unavailable." (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionbone fracture events (Number)
Number of bone fracture eventsUnknownNormal healing with standard managementComplicationAdditional therapeutic measures requiredData unavailable
Combined MET/SU: Main Study and Observational Follow-up17451421395
Combined RSG: Main Study and Observational Follow-up2997250141612

Number of Bone Fracture Events With the Indicated Outcome: Observational Follow-up

"The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. The indicated fracture outcome was pre-specified in the CRF and included Unknown as a category. Fracture events with missing outcome data were reported as Data unavailable." (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionbone fracture events (Number)
Number of bone fracture eventsUnknownNormal healing with standard managementComplicationAdditional therapeutic measures requiredData unavailable
Combined MET/SU: Observational Follow-up41133421
Combined RSG: Observational Follow-up70151738

Number of HbA1c and Fasting Plasma Glucose (FPG) Responders at Month 60

Number of responders, i.e., participants meeting glycaemic targets (HbA1c less than or equal to 7 percent, FPG less than or equal to 7 mmol/L) (NCT00379769)
Timeframe: Baseline to Month 60 of the randomised dual therapy treatment period

,,,
Interventionparticipants (Number)
HbA1c RespondersFPG Responders
MET in Addition to Background SU180154
RSG in Addition to Background MET265300
RSG in Addition to Background SU235257
SU in Addition to Background MET208180

Number of Participants Who Died Due to the Indicated Cancer-related Event: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
Any cancer-related deathAny gastrointestinal eventPancreaticColon/rectalGastricLiverGall bladder/biliaryGastrointestinal event; not specifiedAny genitourinary eventRenalUterineProstateBladderOvarianLungAny hematologic eventSkin (melanoma)Skin (non-melanomatous)MetastasesBreastHead and neckAny neurologic eventEndocrineNot specified
Combined MET/SU: Main Study and Observational Follow-up723412113431153523211000432201
Combined RSG: Main Study and Observational Follow-up592546744062111113431221210

Number of Participants Who Died Due to the Indicated Cancer-related Event: Observational Follow-up

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
Any cancer-related deathAny gastrointestinal eventPancreaticColon/rectalGastricLiverGall bladder/biliaryGastrointestinal event; not specifiedAny genitourinary eventRenalUterineProstateBladderOvarianLungAny hematologic eventSkin (melanoma)Skin (non-melanomatous)MetastasesBreastHead and neckAny neurologic eventEndocrineNot specified
Combined MET/SU: Observational Follow-up24143612110000005000130100
Combined RSG: Observational Follow-up25103222102110004411111100

Number of Participants With a Bone Fracture Event - Overall and by Gender: Main Study and Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

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Interventionparticipants (Number)
Overall, n=2220, 2227Male, n=1142, 1152Female, n=1078, 1075
Combined MET/SU: Main Study and Observational Follow-up1516091
Combined RSG: Main Study and Observational Follow-up23882156

Number of Participants With a Bone Fracture Event - Overall and by Gender: Observational Follow-up

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

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Interventionparticipants (Number)
Overall, n=1280, 1250Male, n=665, 635Female, n=615, 615
Combined MET/SU: Observational Follow-up371126
Combined RSG: Observational Follow-up642539

Number of Participants With a Bone Fracture Event Reported as the Indicated Serious Adverse Event (by Higher Level Group Term) or Death: Main Study + Observational Follow-up Combined

The OFU was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the OFU. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

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Interventionparticipants (Number)
Any eventUpper limbDistal lower limbFemur/hipSpinalPelvicOther
Combined MET/SU: Main Study and Observational Follow-up57171611934
Combined RSG: Main Study and Observational Follow-up81412415707

Number of Participants With a Bone Fracture Event Reported as the Indicated Serious Adverse Event (by Higher Level Group Term) or Death: Observational Follow-up

The OFU was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the OFU. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

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Interventionparticipants (Number)
Any eventUpper limbDistal lower limbFemur/hipSpinalPelvicOther
Combined MET/SU: Observational Follow-up21584311
Combined RSG: Observational Follow-up351796202

Number of Participants With Addition of Third Oral Agent/Switch to Insulin

The number of participants with addition of a third oral agent or switch to insulin from randomised dual combination treatment were recorded. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

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Interventionparticipants (Number)
Participants with an eventFirst Event - Triple TherapyFirst Event - Insulin
MET in Addition to Background SU1716165
RSG in Addition to Background MET29525738
RSG in Addition to Background SU34429649
SU in Addition to Background MET1837176

Number of Participants With Bone Fracture Events of the Indicated Cause: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

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Interventionparticipants (Number)
Any eventNon-traumatic eventTraumatic eventPathologicUnknownData unavailable
Combined MET/SU: Main Study and Observational Follow-up15155774193
Combined RSG: Main Study and Observational Follow-up2381131101209

Number of Participants With Bone Fracture Events of the Indicated Cause: Observational Follow-up

"The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. The indicated fracture outcome was pre-specified in the CRF and included Unknown as a category. Fracture events with missing outcome data were reported as Data unavailable." (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

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Interventionparticipants (Number)
Any eventNon-traumatic event,Traumatic eventPathologicUnknownData unavailable
Combined MET/SU: Observational Follow-up371417241
Combined RSG: Observational Follow-up643624113

Number of Participants With Cardiovascular Events and All-cause Deaths

Composites of participants with first cardiovascular (CV) hospitalisations and CV death or all-cause death and individual first events of acute myocardial infarction (MI) , stroke, congestive heart failure (CHF), CV death, and all-cause death. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

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Interventionparticipants (Number)
CV death, acute MI, strokeCV death, acute MI, stroke, unstable anginaCV death, acute MI, stroke, unstable angina, CHFAll-cause death,acuteMI,stroke,unstable angina,CHFAcute MI (fatal or non-fatal)Stroke (fatal or non-fatal)CHF (fatal or non-fatal)Death from CV causesDeath (all cause) during CV follow-upDeath (all-cause) including survival status
Combined MET/SU16518420626856632971139157
Combined RSG15417120425164466160111136

Number of Participants With CV/Microvascular Events

The number of participants with first cardiovascular or microvascular events (renal, foot, eye) were recorded. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

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Interventionparticipants (Number)
Participants with a CV/Microvascular eventParticipants with any microvascular eventParticipants with any eye eventParticipants with any foot eventParticipants with any renal event
Combined MET/SU3857852280
Combined RSG3635942190

Number of Participants With Potentially High Morbidity Fracture Events and Non-high Morbidity Fracture Events, in Participants With Prior Hand/Upper Arm/Foot Fractures (H/UA/FF): Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. The following bone fractures were grouped and were identified as potentially high morbidity bone fractures: hip, pelvis, upper leg, vertebral (lumbar spine, thoracic spine, cervical spine, spine - site unknown). (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

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Interventionparticipants (Number)
Any H/UA/FF event, overall, n=2220, 2227Any H/UA/FF event, male, n=1142, 1152Any H/UA/FF event, female, n=1078, 1075High morbidity fractures, overall, n=2220, 2227High morbidity fractures, male, n=1142, 1152High morbidity fractures, female, n=1078, 1075Non-high morbidity fractures, overall, n=2220, 222Non-high morbidity fractures, male, n=1142, 1152Non-high morbidity fractures, female, n=1078, 1075
Combined MET/SU: Main Study and Observational Follow-up461531101431
Combined RSG: Main Study and Observational Follow-up86285850515213

Number of Participants With Potentially High Morbidity Fractures: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date and that had the same Higher Level Group Term (HLGT) for fracture location, per participant. The following bone fractures were grouped and were identified as potentially high morbidity bone fractures: hip, pelvis, upper leg, vertebral (lumbar spine, thoracic spine, cervical spine, spine - site unknown). (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

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Interventionparticipants (Number)
Any event, overall, n=2220, 2227Any event, male, n=1142, 1152Any event, female, n=1078, 1075Hip, overall, n=2220, 2227Hip, male, n=1142, 1152Hip, female, n=1078, 1075Pelvis, overall, n=2220, 2227Pelvis, male, n=1142, 1152Pelvis, female, n=1078, 1075Upper leg, overall, n=2220, 2227Upper leg, male, n=1142, 1152Upper leg, female, n=1078, 1075Any vertebral event, overall, n=2220, 2227Any vertebral event, male, n=1142, 1152Any vertebral event, female, n=1078, 1075Lumbar spine, overall, n=2220, 2227Lumbar spine, male, n=1142, 1152Lumbar spine, female, n=1078, 1075Thoracic spine, overall, n=2220, 2227Thoracic spine, male, n=1142, 1152Thoracic spine, female, n=1078, 1075Cervical spine, overall, n=2220, 2227Cervical spine, male, n=1142, 1152Cervical spine, female, n=1078, 1075
Combined MET/SU: Main Study and Observational Follow-up3113187165416061385431844110
Combined RSG: Main Study and Observational Follow-up311021909000743166101055514101

Number of Participants With the Indicated Bone Fracture by Fracture Site: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

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Interventionparticipants (Number)
Any event, overall; n=2220, 2227Any event, male; n=1142, 1152Any event, female; n=1078, 1075Upper limb, any event, overall; n=2220, 2227Upper limb, any event, male; n=1142, 1152Upper limb, any event, female; n=1078, 1075Distal lower limb, any event, overall; n=2220, 222Distal lower limb, any event, male; n=1142, 1152Distal lower limb, any event, female; n=1078, 1075Femur/hip, any event, overall; n=2220, 2227Femur/hip, any event, male; n=1142, 1152Femur/hip, any event, female; n=1078, 1075Spinal, any event, overall; n=2220, 2227Spinal, any event, male; n=1142, 1152Spinal, any event, female; n=1078, 1075Pelvic, any event, overall; n=2220, 2227Pelvic, any event, male; n=1142, 1152Pelvic, any event, female; n=1078, 1075Unclassified, any event, overall; n=2220, 2227Unclassified, any event, male; n=1142, 1152Unclassified, any event, female; n=1078, 1075Other, any event, overall; n=2220, 2227Other, any event, male; n=1142, 1152Other, any event, female; n=1078, 1075
Combined MET/SU: Main Study and Observational Follow-up1516091702248401426131121495541000261610
Combined RSG: Main Study and Observational Follow-up2388215611632848831571641218711000110311813

Number of Participants With the Indicated Bone Fracture by Fracture Site: Observational Follow-up

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. A bone fracture event is defined as one or more fractured bones occurring on the same date that had the same Higher Level Group Term (HLGT) for fracture location, per participant. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

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Interventionparticipants (Number)
Any event, overall; n=1280, 1250Any event, male; n=665, 635Any event, female; n=615, 615Upper limb, any event, overall; n=1280, 1250Upper limb, any event, male; n=665, 635Upper limb, any event, female; n=615, 615Distal lower limb, any event, overall; n=1280,1250Distal lower limb, any event, male; n=665, 635Distal lower limb, any event, female; n=615, 615Femur/hip, any event, overall; n=1280, 1250Femur/hip, any event, male; n=665, 635Femur/hip, any event, female; n=615, 615Spinal, any event, overall; n=1280, 1250Spinal, any event, male; n=665, 635Spinal, any event, female; n=615, 615Pelvic, any event, overall; n=1280, 1250Pelvic, any event, male; n=665, 635Pelvic, any event, female; n=615, 615Unclassified, any event, overall; n=1280, 1250Unclassified, any event, male; n=665, 635Unclassified, any event, female; n=615, 615Other, any event, overall; n=1280, 1250Other, any event, male; n=665, 635Other, any event, female; n=615, 615
Combined MET/SU: Observational Follow-up371126153121349505541110000110
Combined RSG: Observational Follow-up6425393310231899615413000110642

Number of Participants With the Indicated Serious Adverse Event: Observational Follow-up

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
Any eventAnkle fractureProstate cancerLung neoplasm malignantBreast cancerBasal cell carcinomaPancreatic carcinomaColon cancerHumerus fractureUpper limb fractureMalignant melanomaUterine cancerGastric cancerWrist fractureHip fractureRadius fractureForearm fractureHepatic neoplasm malignantRectal cancerRenal cancerFoot fractureRenal cell carcinomaFemur fractureFemoral neck fractureLumbar vertebral fractureMetastases to boneMetastases to liverBladder cancerFallMetastases to central nervous systemRib fractureSquamous cell carcinomaAcute myocardial infarctionBrain neoplasmGastric neoplasmMetastases to lungPatella fractureDeathAbdominal painAcute myeloid leukaemiaAcute respiratory failureAnaemiaBenign salivary gland neoplasmBiliary colicBiliary neoplasmBone neoplasm malignantBronchial carcinomaCardiac failure acuteChest painChronic lymphocytic leukaemiaColon neoplasmContusionDrowningDysplasiaEndometrial cancer stage ILeukaemiaLower limb fractureLung squamous cell carcinoma stage unspecifiedLymphomaMalignant neoplasm of pleuraMetastases to skinMetastases to testicleMetastatic renal cell carcinomaOesophageal carcinomaOsteoarthritisPancreatic necrosisRectal cancer stage IISpinal fractureT-cell lymphomaUrinary tract infectionUterine leiomyosarcomaBiliary cancer metastaticCervix carcinomaChronic obstructive pulmonary diseaseComminuted fractureCraniocerebral injuryGastrointestinal neoplasmHepatic lesionJoint dislocationLaryngeal cancerLip neoplasm malignant stage unspecifiedLung neoplasmMetastases to lymph nodesMetastasisMusculoskeletal chest painMyocardial infarctionNon-Hodgkin's lymphomaPubis fracturePulmonary embolismRectal cancer recurrentRectal neoplasmSkin cancerSkin ulcerSmall cell lung cancer stage unspecifiedSternal fractureSubdural haemorrhageSudden deathThoracic vertebral fractureThyroid cancerVulval cancer
Combined MET/SU: Observational Follow-up76314633611230011222230122220000011111200000000000000000000000000000111011111111111111111111111111111
Combined RSG: Observational Follow-up99674244155324433222213211112222211111011111111111111111111111111111111100000000000000000000000000000

Number of Participants With the Indicated Type of Malignant Neoplasms/Cancer Events Reported as an SAE or Death by Location (Including Location of Special Interest): Main Study + Observational Follow-up Combined

The observational follow-up (OFU) was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the OFU. The neoplasms/cancer events of bladder, breast, colon, liver, pancreatic, prostate cancer, and melanoma were pre-specified as cancers of interest for the OFU. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
Any genitourinaryProstateRenalUterineBladderVaginal/vulvarOvarianAny gastrointestinalColon/rectal cancerColonGastricPancreaticLiverGall bladder/biliaryGastrointestinal; not specifiedAny hematologicLungSkin (non-melanomatous)Skin (melanomatous)MetastasesBreastHead and neckNeurologicEndocrineNot specifiedOther
Combined MET/SU: Main Study and Observational Follow-up5722916514623021516551615134182373613
Combined RSG: Main Study and Observational Follow-up572212118154822141354401219196121243300

Number of Participants With the Indicated Type of Malignant Neoplasms/Cancer Events Reported as an SAE or Death by Location (Including Location of Special Interest): Observational Follow-up

The observational follow-up (OFU) was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the OFU. The neoplasms/cancer events of bladder, breast, colon, liver, pancreatic, prostate cancer, and melanoma were pre-specified as cancers of interest for the OFU. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
Any genitourinaryProstateRenalUterineBladderVaginal/vulvarOvarianAny gastrointestinalColon/rectal cancerColonGastricPancreaticLiverGall bladder/biliaryGastrointestinal; not specifiedAny hematologicLungSkin (non-melanomatous)Skin (melanomatous)MetastasesBreastHead and neckNeurologicEndocrineNot specifiedOther
Combined MET/SU: Observational Follow-up8124010191171321116526711100
Combined RSG: Observational Follow-up1875420017525421066633221000

Number of Participants With the Indicated Type of Neoplasm/Cancer Event Reported as a Serious Adverse Event (SAE) or Death: Main Study + Observational Follow-up Combined

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the beginning of the main study through the end of the observational follow-up (up to 11.4 years)

,
Interventionparticipants (Number)
All neoplasms/cancer (N/C) (benign/malignant)Malignant (Mal.) N/CMal. N/C; excluding non-melanomatous skin cancers
Combined MET/SU: Main Study and Observational Follow-up215195186
Combined RSG: Main Study and Observational Follow-up196179164

Number of Participants With the Indicated Type of Neoplasm/Cancer Event Reported as a Serious Adverse Event (SAE) or Death: Observational Follow-up

The observational follow-up was designed to collect data concerning cancer and bone fractures in RECORD participants during a 4-year period after the end of the main RECORD study. At the end of the main study, all study medication was stopped. Participants were not provided with study medication in the observational follow-up; instead, anti-diabetic treatment was prescribed at the investigator's discretion. An SAE is defined as any event that is fatal; life threatening; disabling/incapacitating; results in hospitalization (excluding elective surgery or routine clinical procedures); prolongs a hospital stay; is associated with a congenital abnormality; cancer; is associated with an overdose. In addition, any event that the investigator regards as serious or that would suggest any significant hazard, contraindication, side effect, or precaution that may be associated with the study procedures should be reported as an SAE. (NCT00379769)
Timeframe: From the end of the RECORD study through the end of the observational follow-up (up to 4.0 years)

,
Interventionparticipants (Number)
All neoplasms/cancer (N/C) (benign/malignant)Malignant (Mal.) N/CMal. N/C; excluding non-melanomatous skin cancers
Combined MET/SU: Observational Follow-up515146
Combined RSG: Observational Follow-up605955

Total Number of Cardiovascular Hospitalisations and Cardiovascular Deaths

The total number of events for individual components of cardiovascular (CV) hospitalisations and cardiovascular deaths were recorded. MI, myocardial infarction. (NCT00379769)
Timeframe: Baseline through End of Study (up to 7.5 years)

,
InterventionNumber of events (Number)
CV deathsDeath due to acute MIDeath due to heart failureSudden deathDeath due to acute vascular eventsOther CV mortalityDeath of presumed CV causeCardiovascular hospitalisationHospitalisation for acute MIHospitalisation for unstable anginaHospitalisation for congestive heart failureHospitalisation for strokeHospitalisation for transient ischaemic attackHospitalisation for invasive CV procedureHospitalisation for amputation of extremitiesOther CV hospitalisations
Combined MET/SU711021210433490572836671011623153
Combined RSG60710816284836628695110996154

Number of Participants With All-Cause Mortality

(NCT00006305)
Timeframe: five years

Interventionparticipants (Number)
Revascularization and Insulin Providing (IP)80
Revascularization and Insulin Sensitizing (IS)75
Medical Therapy and Insulin Providing (IP)80
Medical Therapy and Insulin Sensitizing (IS)81

Number of Participants With Death, Myocardial Infarction, or Stroke

(NCT00006305)
Timeframe: five years

Interventionparticipants (Number)
Revascularization and Insulin Providing (IP)145
Revascularization and Insulin Sensitizing (IS)121
Medical Therapy and Insulin Providing (IP)143
Medical Therapy and Insulin Sensitizing (IS)140

Reviews

9 reviews available for metformin and Apoplexy

ArticleYear
    Proceedings. Mathematical, physical, and engineering sciences, 2019, Volume: 475, Issue:2227

    Topics: Acetylcholine; Acinetobacter baumannii; Actinobacteria; Action Potentials; Adalimumab; Adaptation, P

2019
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Metformin monotherapy for adults with type 2 diabetes mellitus.
    The Cochrane database of systematic reviews, 2020, Jun-05, Volume: 6

    Topics: Adult; Carbamates; Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Pe

2020
Repurposing metformin to treat age-related neurodegenerative disorders and ischemic stroke.
    Life sciences, 2021, Jun-01, Volume: 274

    Topics: Aging; Animals; Brain Ischemia; Drug Repositioning; Humans; Hypoglycemic Agents; Metformin; Neurodeg

2021
Antidiabetic drugs and stroke risk. Current evidence.
    European journal of internal medicine, 2018, Volume: 48

    Topics: Blood Glucose; Diabetes Mellitus, Type 2; Glucagon-Like Peptides; Humans; Hypoglycemic Agents; Metfo

2018
The beneficial roles of metformin on the brain with cerebral ischaemia/reperfusion injury.
    Pharmacological research, 2019, Volume: 146

    Topics: Animals; Apoptosis; Brain; Brain Ischemia; Diabetes Mellitus; Humans; Hypoglycemic Agents; Metformin

2019
Neuropharmacological Actions of Metformin in Stroke.
    Current neuropharmacology, 2015, Volume: 13, Issue:3

    Topics: AMP-Activated Protein Kinases; Animals; Humans; Hypoglycemic Agents; Metformin; Microglia; Recovery

2015
Cardiovascular risk associated with the use of glitazones, metformin and sufonylureas: meta-analysis of published observational studies.
    BMC cardiovascular disorders, 2016, Jan-15, Volume: 16

    Topics: Cardiovascular Diseases; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Myocardi

2016
Intensive glucose control and cardiovascular outcomes in type 2 diabetes.
    Heart, lung & circulation, 2011, Volume: 20, Issue:10

    Topics: Age Factors; Blood Glucose; Clinical Trials as Topic; Diabetes Complications; Diabetes Mellitus, Typ

2011
Cardiovascular effects of treatment of type 2 diabetes with pioglitazone, metformin and gliclazide.
    International journal of clinical practice, 2004, Volume: 58, Issue:9

    Topics: Blood Pressure; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Double-Blind Method; Female; Glicl

2004

Trials

13 trials available for metformin and Apoplexy

ArticleYear
Safety, feasibility and efficacy of metformin and sitagliptin in patients with a TIA or minor ischaemic stroke and impaired glucose tolerance.
    BMJ open, 2021, 09-16, Volume: 11, Issue:9

    Topics: Blood Glucose; Brain Ischemia; Diabetes Mellitus, Type 2; Double-Blind Method; Drug Therapy, Combina

2021
The DANish randomized, double-blind, placebo controlled trial in patients with chronic HEART failure (DANHEART): A 2 × 2 factorial trial of hydralazine-isosorbide dinitrate in patients with chronic heart failure (H-HeFT) and metformin in patients with chr
    American heart journal, 2021, Volume: 231

    Topics: Aged; Chronic Disease; Denmark; Diabetes Mellitus; Double-Blind Method; Drug Combinations; Female; H

2021
Feasibility trial of metformin XR in people with pre-diabetes and stroke (MIPPS)-randomised open blinded endpoint controlled trial.
    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2021, Volume: 86

    Topics: Adult; Aged; Australia; Delayed-Action Preparations; Feasibility Studies; Female; Headache; Humans;

2021
Metformin use and cardiovascular events in patients with type 2 diabetes and chronic kidney disease.
    Diabetes, obesity & metabolism, 2019, Volume: 21, Issue:5

    Topics: Aged; Cardiovascular Diseases; Cause of Death; Darbepoetin alfa; Diabetes Mellitus, Type 2; Diabetic

2019
Neuro-Protective Role of Metformin in Patients with Acute Stroke and Type 2 Diabetes Mellitus via AMPK/Mammalian Target of Rapamycin (mTOR) Signaling Pathway and Oxidative Stress.
    Medical science monitor : international medical journal of experimental and clinical research, 2019, Mar-25, Volume: 25

    Topics: Adult; Aged; AMP-Activated Protein Kinases; Animals; Apoptosis; Cell Survival; Diabetes Mellitus, Ty

2019
Safety and feasibiLIty of Metformin in patients with Impaired glucose Tolerance and a recent TIA or minor ischemic stroke (LIMIT) trial - a multicenter, randomized, open-label phase II trial.
    International journal of stroke : official journal of the International Stroke Society, 2015, Volume: 10, Issue:1

    Topics: Blood Glucose; Female; Humans; Hypoglycemic Agents; Ischemic Attack, Transient; Male; Metformin; Mid

2015
Association of hypoglycemic treatment regimens with cardiovascular outcomes in overweight and obese subjects with type 2 diabetes: a substudy of the SCOUT trial.
    Diabetes care, 2013, Volume: 36, Issue:11

    Topics: Aged; Cardiovascular Diseases; Clinical Protocols; Cyclobutanes; Diabetes Mellitus, Type 2; Female;

2013
Rationale, design, and organization of a randomized, controlled Trial Evaluating Cardiovascular Outcomes with Sitagliptin (TECOS) in patients with type 2 diabetes and established cardiovascular disease.
    American heart journal, 2013, Volume: 166, Issue:6

    Topics: Aged; Aged, 80 and over; Angina, Unstable; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Doubl

2013
Metformin and sitAgliptin in patients with impAired glucose tolerance and a recent TIA or minor ischemic Stroke (MAAS): study protocol for a randomized controlled trial.
    Trials, 2015, Aug-05, Volume: 16

    Topics: Biomarkers; Blood Glucose; Clinical Protocols; Feasibility Studies; Glucose Intolerance; Glucose Tol

2015
Rosiglitazone evaluated for cardiovascular outcomes in oral agent combination therapy for type 2 diabetes (RECORD): a multicentre, randomised, open-label trial.
    Lancet (London, England), 2009, Jun-20, Volume: 373, Issue:9681

    Topics: Administration, Oral; Angina, Unstable; Body Weight; Cholesterol, HDL; Cholesterol, LDL; Diabetes Me

2009
A randomized trial of therapies for type 2 diabetes and coronary artery disease.
    The New England journal of medicine, 2009, Jun-11, Volume: 360, Issue:24

    Topics: Angioplasty, Balloon, Coronary; Combined Modality Therapy; Coronary Angiography; Coronary Artery Byp

2009
A randomized trial of therapies for type 2 diabetes and coronary artery disease.
    The New England journal of medicine, 2009, Jun-11, Volume: 360, Issue:24

    Topics: Angioplasty, Balloon, Coronary; Combined Modality Therapy; Coronary Angiography; Coronary Artery Byp

2009
A randomized trial of therapies for type 2 diabetes and coronary artery disease.
    The New England journal of medicine, 2009, Jun-11, Volume: 360, Issue:24

    Topics: Angioplasty, Balloon, Coronary; Combined Modality Therapy; Coronary Angiography; Coronary Artery Byp

2009
A randomized trial of therapies for type 2 diabetes and coronary artery disease.
    The New England journal of medicine, 2009, Jun-11, Volume: 360, Issue:24

    Topics: Angioplasty, Balloon, Coronary; Combined Modality Therapy; Coronary Angiography; Coronary Artery Byp

2009
A randomized trial of therapies for type 2 diabetes and coronary artery disease.
    The New England journal of medicine, 2009, Jun-11, Volume: 360, Issue:24

    Topics: Angioplasty, Balloon, Coronary; Combined Modality Therapy; Coronary Angiography; Coronary Artery Byp

2009
A randomized trial of therapies for type 2 diabetes and coronary artery disease.
    The New England journal of medicine, 2009, Jun-11, Volume: 360, Issue:24

    Topics: Angioplasty, Balloon, Coronary; Combined Modality Therapy; Coronary Angiography; Coronary Artery Byp

2009
A randomized trial of therapies for type 2 diabetes and coronary artery disease.
    The New England journal of medicine, 2009, Jun-11, Volume: 360, Issue:24

    Topics: Angioplasty, Balloon, Coronary; Combined Modality Therapy; Coronary Angiography; Coronary Artery Byp

2009
A randomized trial of therapies for type 2 diabetes and coronary artery disease.
    The New England journal of medicine, 2009, Jun-11, Volume: 360, Issue:24

    Topics: Angioplasty, Balloon, Coronary; Combined Modality Therapy; Coronary Angiography; Coronary Artery Byp

2009
A randomized trial of therapies for type 2 diabetes and coronary artery disease.
    The New England journal of medicine, 2009, Jun-11, Volume: 360, Issue:24

    Topics: Angioplasty, Balloon, Coronary; Combined Modality Therapy; Coronary Angiography; Coronary Artery Byp

2009
Impact of intensive lifestyle and metformin therapy on cardiovascular disease risk factors in the diabetes prevention program.
    Diabetes care, 2005, Volume: 28, Issue:4

    Topics: Cardiovascular Diseases; Diabetes Mellitus; Female; Glucose Intolerance; Humans; Hypertension; Hyper

2005
Impact of intensive lifestyle and metformin therapy on cardiovascular disease risk factors in the diabetes prevention program.
    Diabetes care, 2005, Volume: 28, Issue:4

    Topics: Cardiovascular Diseases; Diabetes Mellitus; Female; Glucose Intolerance; Humans; Hypertension; Hyper

2005
Impact of intensive lifestyle and metformin therapy on cardiovascular disease risk factors in the diabetes prevention program.
    Diabetes care, 2005, Volume: 28, Issue:4

    Topics: Cardiovascular Diseases; Diabetes Mellitus; Female; Glucose Intolerance; Humans; Hypertension; Hyper

2005
Impact of intensive lifestyle and metformin therapy on cardiovascular disease risk factors in the diabetes prevention program.
    Diabetes care, 2005, Volume: 28, Issue:4

    Topics: Cardiovascular Diseases; Diabetes Mellitus; Female; Glucose Intolerance; Humans; Hypertension; Hyper

2005
The impact of glucose lowering treatment on long-term prognosis in patients with type 2 diabetes and myocardial infarction: a report from the DIGAMI 2 trial.
    European heart journal, 2008, Volume: 29, Issue:2

    Topics: Aged; Blood Glucose; Diabetes Mellitus, Type 2; Epidemiologic Methods; Female; Humans; Hypoglycemic

2008

Other Studies

81 other studies available for metformin and Apoplexy

ArticleYear
Novel potent antiplatelet thrombotic agent derived from biguanide for ischemic stroke.
    European journal of medicinal chemistry, 2020, Aug-15, Volume: 200

    Topics: Administration, Oral; Animals; Biguanides; Brain Ischemia; Dose-Response Relationship, Drug; Male; M

2020
Prestroke Metformin Use on the 1-Year Prognosis of Intracerebral Hemorrhage Patients with Type 2 Diabetes.
    Oxidative medicine and cellular longevity, 2021, Volume: 2021

    Topics: Adult; Aged; Biomarkers; Blood Glucose; Cerebral Hemorrhage; Diabetes Mellitus, Type 2; Female; Foll

2021
Effects of co-administration of metformin and evogliptin on cerebral infarct volume in the diabetic rat.
    Experimental neurology, 2022, Volume: 348

    Topics: Animals; Brain Chemistry; Cerebral Infarction; Cerebrovascular Circulation; Diabetes Mellitus, Exper

2022
Metformin versus sulphonylureas for new onset atrial fibrillation and stroke in type 2 diabetes mellitus: a population-based study.
    Acta diabetologica, 2022, Volume: 59, Issue:5

    Topics: Atrial Fibrillation; Cohort Studies; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Male; M

2022
Cardiovascular Outcomes in Patients Initiating First-Line Treatment of Type 2 Diabetes With Sodium-Glucose Cotransporter-2 Inhibitors Versus Metformin : A Cohort Study.
    Annals of internal medicine, 2022, Volume: 175, Issue:7

    Topics: Adult; Aged; Cardiovascular Diseases; Cohort Studies; Diabetes Mellitus, Type 2; Female; Glucose; He

2022
Cardiovascular benefits of SGLT2 inhibitors in type 2 diabetes, interaction with metformin and role of erythrocytosis: a self-controlled case series study.
    Cardiovascular diabetology, 2022, 06-03, Volume: 21, Issue:1

    Topics: Cardiovascular Diseases; Diabetes Mellitus, Type 2; Heart Failure; Humans; Metformin; Polycythemia;

2022
Reduced microglia activation following metformin administration or microglia ablation is sufficient to prevent functional deficits in a mouse model of neonatal stroke.
    Journal of neuroinflammation, 2022, Jun-15, Volume: 19, Issue:1

    Topics: Animals; Animals, Newborn; Disease Models, Animal; Hypoxia; Hypoxia-Ischemia, Brain; Metformin; Mice

2022
The effect of chronic exposure to metformin in a new type-2 diabetic NONcNZO10/LtJ mouse model of stroke.
    Pharmacological reports : PR, 2022, Volume: 74, Issue:4

    Topics: AMP-Activated Protein Kinases; Animals; Diabetes Mellitus, Type 2; Disease Models, Animal; Humans; H

2022
Effect of metformin on outcome after acute ischemic stroke in patients with type 2 diabetes mellitus.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2022, Volume: 31, Issue:9

    Topics: Brain Ischemia; Diabetes Mellitus, Type 2; Humans; Ischemic Stroke; Metformin; Stroke; Treatment Out

2022
Association of glucose-lowering drugs with incident stroke and transient ischaemic attacks in primary care patients with type 2 diabetes: disease analyzer database.
    Acta diabetologica, 2022, Volume: 59, Issue:11

    Topics: Cholesterol; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Female; Glucagon-Like Pe

2022
Metformin treatment and acute ischemic stroke outcomes in patients with type 2 diabetes: a retrospective cohort study.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2023, Volume: 44, Issue:3

    Topics: Brain Ischemia; Diabetes Mellitus, Type 2; Humans; Ischemic Stroke; Metformin; Retrospective Studies

2023
Metformin treatment and acute ischemic stroke outcomes in patients with type 2 diabetes: a retrospective cohort study.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2023, Volume: 44, Issue:3

    Topics: Brain Ischemia; Diabetes Mellitus, Type 2; Humans; Ischemic Stroke; Metformin; Retrospective Studies

2023
Metformin treatment and acute ischemic stroke outcomes in patients with type 2 diabetes: a retrospective cohort study.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2023, Volume: 44, Issue:3

    Topics: Brain Ischemia; Diabetes Mellitus, Type 2; Humans; Ischemic Stroke; Metformin; Retrospective Studies

2023
Metformin treatment and acute ischemic stroke outcomes in patients with type 2 diabetes: a retrospective cohort study.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2023, Volume: 44, Issue:3

    Topics: Brain Ischemia; Diabetes Mellitus, Type 2; Humans; Ischemic Stroke; Metformin; Retrospective Studies

2023
Cardiovascular and renal outcomes among patients with type 2 diabetes using SGLT2 inhibitors added to metformin: a population-based cohort study from the UK.
    BMJ open diabetes research & care, 2023, Volume: 11, Issue:1

    Topics: Cohort Studies; Diabetes Mellitus, Type 2; Humans; Ischemic Stroke; Metformin; Middle Aged; Myocardi

2023
Metformin enhances neural precursor cells migration and functional recovery after ischemic stroke in mice.
    Experimental brain research, 2023, Volume: 241, Issue:2

    Topics: Animals; Bromodeoxyuridine; Cell Differentiation; Infarction, Middle Cerebral Artery; Ischemic Strok

2023
The Effect of Metformin on Vitamin B12 Deficiency and Stroke.
    The Israel Medical Association journal : IMAJ, 2023, Volume: 25, Issue:2

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Ischemic Stroke; Metformin; Prospective Stud

2023
Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes diagnosed after metformin-triggered stroke-like episodes.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2023, Volume: 32, Issue:5

    Topics: Acidosis, Lactic; Adult; Hearing Loss, Sensorineural; Humans; Male; MELAS Syndrome; Metformin; Strok

2023
Letter to the Editor regarding "Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes diagnosed after metformin-triggered stroke-like episodes".
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2023, Volume: 32, Issue:6

    Topics: Acidosis, Lactic; Humans; Metformin; Mitochondrial Encephalomyopathies; Stroke

2023
In reply to the letter to the editor reading: Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes diagnosed after metformin-triggered stroke-like episodes.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2023, Volume: 32, Issue:6

    Topics: Acidosis, Lactic; Humans; Metformin; Reading; Stroke

2023
[Metformin use and risk of ischemic stroke in patients with type 2 diabetes: A cohort study].
    Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2023, Jun-18, Volume: 55, Issue:3

    Topics: Aged; Cohort Studies; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Ischemic Strok

2023
Metformin - Postmortem fatal and non-fatal reference concentrations in femoral blood and risk factors associated with fatal intoxications.
    Forensic science international, 2019, Volume: 303

    Topics: Accidents; Adult; Aged; Aged, 80 and over; Alcoholism; Cardiovascular Diseases; Case-Control Studies

2019
Age- and sex-dependent effects of metformin on neural precursor cells and cognitive recovery in a model of neonatal stroke.
    Science advances, 2019, Volume: 5, Issue:9

    Topics: Animals; Animals, Newborn; Cell Differentiation; Cell Movement; Cognition Disorders; Disease Models,

2019
[Intravenous thrombolysis after reversion of acenocoumarol anticoagulation. Report of one case].
    Revista medica de Chile, 2019, Volume: 147, Issue:7

    Topics: Acenocoumarol; Administration, Intravenous; Aged, 80 and over; Amlodipine; Humans; Infarction, Middl

2019
Association of prestroke metformin use, stroke severity, and thrombolysis outcome.
    Neurology, 2020, 07-28, Volume: 95, Issue:4

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Fibrinolytic Agents; Humans; Hypoglycemic Agents; Male; Met

2020
Reader Response: Association of Prestroke Metformin Use, Stroke Severity, and Thrombolysis Outcome.
    Neurology, 2021, 03-09, Volume: 96, Issue:10

    Topics: Humans; Metformin; Stroke; Thrombolytic Therapy

2021
Author Response: Association of Prestroke Metformin Use, Stroke Severity, and Thrombolysis Outcome.
    Neurology, 2021, 03-09, Volume: 96, Issue:10

    Topics: Humans; Metformin; Stroke; Thrombolytic Therapy

2021
Metformin prevents stroke damage in non-diabetic female mice with chronic kidney disease.
    Scientific reports, 2021, 04-02, Volume: 11, Issue:1

    Topics: Adenylate Kinase; Animals; Apoptosis; Body Weight; Brain Infarction; Enzyme Activation; Female; Gene

2021
The effects of dual-therapy intensification with insulin or dipeptidylpeptidase-4 inhibitor on cardiovascular events and all-cause mortality in patients with type 2 diabetes: A retrospective cohort study.
    Diabetes & vascular disease research, 2017, Volume: 14, Issue:4

    Topics: Adult; Aged; Cause of Death; Chi-Square Distribution; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidas

2017
Attenuation of Myeloid-Specific TGFβ Signaling Induces Inflammatory Cerebrovascular Disease and Stroke.
    Circulation research, 2017, Dec-08, Volume: 121, Issue:12

    Topics: Animals; Cell Line; Immunosuppressive Agents; Inflammation; Metformin; Methotrexate; Mice; Mice, Inb

2017
Non-insulin antidiabetic pharmacotherapy in patients with established cardiovascular disease: a position paper of the European Society of Cardiology Working Group on Cardiovascular Pharmacotherapy.
    European heart journal, 2018, 06-21, Volume: 39, Issue:24

    Topics: Cardiology; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors;

2018
Association Between Stroke Risk and Metformin Use in Hemodialysis Patients With Diabetes Mellitus: A Nested Case-Control Study.
    Journal of the American Heart Association, 2017, Nov-16, Volume: 6, Issue:11

    Topics: Case-Control Studies; Diabetes Mellitus, Type 2; Drug Therapy, Combination; Female; Humans; Hypoglyc

2017
Metformin Preconditioning of Human Induced Pluripotent Stem Cell-Derived Neural Stem Cells Promotes Their Engraftment and Improves Post-Stroke Regeneration and Recovery.
    Stem cells and development, 2018, 08-15, Volume: 27, Issue:16

    Topics: Animals; Brain; Cell Differentiation; Disease Models, Animal; Humans; Induced Pluripotent Stem Cells

2018
Impact of metformin use on the cardiovascular effects of dipeptidyl peptidase-4 inhibitors: An analysis of Medicare claims data from 2007 to 2015.
    Diabetes, obesity & metabolism, 2019, Volume: 21, Issue:4

    Topics: Aged; Cardiovascular Diseases; Case-Control Studies; Databases, Factual; Diabetes Mellitus, Type 2;

2019
Cardiovascular Corner: Low Lipids, Metformin, and Plant-Based Diets.
    JAMA, 2019, Jul-02, Volume: 322, Issue:1

    Topics: Cardiovascular Diseases; Diet, Vegetarian; Humans; Hypertrophy, Left Ventricular; Lipids; Metformin;

2019
Sulfonylureas as initial treatment for type 2 diabetes and the risk of adverse cardiovascular events: A population-based cohort study.
    British journal of clinical pharmacology, 2019, Volume: 85, Issue:10

    Topics: Aged; Aged, 80 and over; Brain Ischemia; Cardiovascular Diseases; Cohort Studies; Databases, Factual

2019
Relationship between metformin use, vitamin B12 deficiency, hyperhomocysteinemia and vascular complications in patients with type 2 diabetes.
    Endocrine journal, 2013, Volume: 60, Issue:12

    Topics: Aged; Coronary Disease; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Diabetic Retinopathy; Diet

2013
All-cause mortality and cardiovascular effects associated with the DPP-IV inhibitor sitagliptin compared with metformin, a retrospective cohort study on the Danish population.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:3

    Topics: Denmark; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Dipeptidyl-Peptidase IV Inhibitors; Femal

2014
Metformin-inclusive therapy reduces the risk of stroke in patients with diabetes: a 4-year follow-up study.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2014, Volume: 23, Issue:2

    Topics: Administration, Oral; Aged; Chi-Square Distribution; Comorbidity; Diabetes Mellitus, Type 2; Diabeti

2014
Modeling effects of SGLT-2 inhibitor dapagliflozin treatment versus standard diabetes therapy on cardiovascular and microvascular outcomes.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:7

    Topics: Amputation, Surgical; Benzhydryl Compounds; Blood Glucose; Blood Pressure; Body Weight; Cardiovascul

2014
Second-line agents for glycemic control for type 2 diabetes: are newer agents better?
    Diabetes care, 2014, Volume: 37, Issue:5

    Topics: Amputation, Surgical; Blood Glucose; Coronary Artery Disease; Diabetes Complications; Diabetes Melli

2014
Improvement of functional recovery by chronic metformin treatment is associated with enhanced alternative activation of microglia/macrophages and increased angiogenesis and neurogenesis following experimental stroke.
    Brain, behavior, and immunity, 2014, Volume: 40

    Topics: AMP-Activated Protein Kinases; Angiogenesis Inducing Agents; Animals; Brain; Brain Ischemia; Infarct

2014
Chronic metformin treatment improves post-stroke angiogenesis and recovery after experimental stroke.
    The European journal of neuroscience, 2014, Volume: 39, Issue:12

    Topics: AMP-Activated Protein Kinases; Animals; Apomorphine; Brain; Disease Models, Animal; Dopamine Agonist

2014
Association between first-line monotherapy with sulphonylurea versus metformin and risk of all-cause mortality and cardiovascular events: a retrospective, observational study.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:10

    Topics: Contraindications; Diabetes Mellitus, Type 2; Drug Administration Schedule; Female; Follow-Up Studie

2014
Combination therapy with metformin plus sulphonylureas versus metformin plus DPP-4 inhibitors: association with major adverse cardiovascular events and all-cause mortality.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:10

    Topics: Blood Glucose; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Drug Therapy, Combinat

2014
Cardiovascular safety of combination therapies with incretin-based drugs and metformin compared with a combination of metformin and sulphonylurea in type 2 diabetes mellitus--a retrospective nationwide study.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:10

    Topics: Blood Glucose; Body Weight; Denmark; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors;

2014
Effects of fasting blood glucose levels and blood pressure and treatment of diabetes and hypertension on the incidence of cardiovascular disease: a study of 740 patients with incident Type 2 diabetes with up to 30 years' follow-up.
    Diabetic medicine : a journal of the British Diabetic Association, 2014, Volume: 31, Issue:9

    Topics: Aged; Aged, 80 and over; Antihypertensive Agents; Blood Glucose; Blood Pressure; Diabetes Mellitus,

2014
Association between intensification of metformin treatment with insulin vs sulfonylureas and cardiovascular events and all-cause mortality among patients with diabetes.
    JAMA, 2014, Jun-11, Volume: 311, Issue:22

    Topics: Adult; Aged; Diabetes Complications; Diabetes Mellitus; Female; Glycated Hemoglobin; Humans; Hypogly

2014
Can people with type 2 diabetes live longer than those without? A comparison of mortality in people initiated with metformin or sulphonylurea monotherapy and matched, non-diabetic controls.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:11

    Topics: Contraindications; Diabetes Mellitus, Type 2; Drug Administration Schedule; Female; Humans; Hypoglyc

2014
Sulfonylurea use and incident cardiovascular disease among patients with type 2 diabetes: prospective cohort study among women.
    Diabetes care, 2014, Volume: 37, Issue:11

    Topics: Aged; Cardiovascular Diseases; Cohort Studies; Diabetes Complications; Diabetes Mellitus, Type 2; Fe

2014
Chronic Metformin Preconditioning Provides Neuroprotection via Suppression of NF-κB-Mediated Inflammatory Pathway in Rats with Permanent Cerebral Ischemia.
    Molecular neurobiology, 2015, Volume: 52, Issue:1

    Topics: Acute Disease; Animals; Astrocytes; Brain; Brain Ischemia; Calcium-Binding Proteins; Cytokines; Glia

2015
[Effects of sulfonylureas on patients with type 2 diabetes and acute nonlacunar ischemic stroke].
    Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition, 2014, Volume: 45, Issue:5

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Insulin; Metformin; Stroke; Sulfonylurea Com

2014
[Diabetes can even prolong life?].
    MMW Fortschritte der Medizin, 2014, Oct-09, Volume: 156, Issue:17

    Topics: Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Male; Metformin; Myocardial Infarcti

2014
Metformin in combination with various insulin secretagogues in type 2 diabetes and associated risk of cardiovascular morbidity and mortality--a retrospective nationwide study.
    Diabetes research and clinical practice, 2015, Volume: 107, Issue:1

    Topics: Aged; Carbamates; Cardiovascular Diseases; Denmark; Diabetes Mellitus, Type 2; Drug Therapy, Combina

2015
Metformin treatment in the period after stroke prevents nitrative stress and restores angiogenic signaling in the brain in diabetes.
    Diabetes, 2015, Volume: 64, Issue:5

    Topics: Animals; Apoptosis; Brain; Diabetes Mellitus; Metformin; Neovascularization, Physiologic; p38 Mitoge

2015
The combination of DPP-4 inhibitors versus sulfonylureas with metformin after failure of first-line treatment in the risk for major cardiovascular events and death.
    Canadian journal of diabetes, 2015, Volume: 39, Issue:5

    Topics: Aged; Blood Glucose; Cardiovascular Diseases; Cohort Studies; Diabetes Mellitus, Type 2; Dipeptidyl-

2015
Stroke mimicking relapse in a patient with CLIPPERS syndrome.
    Acta neurologica Belgica, 2015, Volume: 115, Issue:4

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Anticholesteremic Agents; Aspirin; Brain Stem; Encephalomye

2015
Differential cardiovascular outcomes after dipeptidyl peptidase-4 inhibitor, sulfonylurea, and pioglitazone therapy, all in combination with metformin, for type 2 diabetes: a population-based cohort study.
    PloS one, 2015, Volume: 10, Issue:5

    Topics: Adult; Aged; Cardiovascular Diseases; Cardiovascular System; Cohort Studies; Diabetes Mellitus, Type

2015
Case-control study of second-line therapies for type 2 diabetes in combination with metformin and the comparative risks of myocardial infarction and stroke.
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:12

    Topics: Aged; Case-Control Studies; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Diabetic Cardiomyopath

2015
Prior treatment with dipeptidyl peptidase 4 inhibitors is associated with better functional outcome and lower in-hospital mortality in patients with type 2 diabetes mellitus admitted with acute ischaemic stroke.
    Diabetes & vascular disease research, 2015, Volume: 12, Issue:6

    Topics: Aged; Aged, 80 and over; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Female; Hosp

2015
Effect of metformin monotherapy on cardiovascular diseases and mortality: a retrospective cohort study on Chinese type 2 diabetes mellitus patients.
    Cardiovascular diabetology, 2015, Oct-09, Volume: 14

    Topics: Aged; Asian People; Cardiovascular Diseases; Cohort Studies; Coronary Disease; Diabetes Mellitus, Ty

2015
Effects on Clinical Outcomes of Adding Dipeptidyl Peptidase-4 Inhibitors Versus Sulfonylureas to Metformin Therapy in Patients With Type 2 Diabetes Mellitus.
    Annals of internal medicine, 2015, Nov-03, Volume: 163, Issue:9

    Topics: Cardiovascular Diseases; Cause of Death; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibito

2015
Case-control study of oral glucose-lowering drugs in combination with long-acting insulin and the risks of incident myocardial infarction and incident stroke.
    Pharmacoepidemiology and drug safety, 2016, Volume: 25, Issue:2

    Topics: Administration, Oral; Adult; Aged; Blood Glucose; Case-Control Studies; Drug Therapy, Combination; F

2016
Impact of Metformin on the Severity and Outcomes of Acute Ischemic Stroke in Patients with Type 2 Diabetes Mellitus.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2016, Volume: 25, Issue:2

    Topics: Activities of Daily Living; Aged; Aged, 80 and over; Brain Ischemia; Diabetes Mellitus, Type 2; Fema

2016
Comparative cardiovascular safety of glucagon-like peptide-1 receptor agonists versus other antidiabetic drugs in routine care: a cohort study.
    Diabetes, obesity & metabolism, 2016, Volume: 18, Issue:8

    Topics: Adult; Angina, Unstable; Cardiovascular Diseases; Cohort Studies; Databases, Factual; Diabetes Melli

2016
Comparative risk of major cardiovascular events associated with second-line antidiabetic treatments: a retrospective cohort study using UK primary care data linked to hospitalization and mortality records.
    Diabetes, obesity & metabolism, 2016, Volume: 18, Issue:9

    Topics: Acute Coronary Syndrome; Aged; Angina, Unstable; Cardiovascular Diseases; Cohort Studies; Diabetes M

2016
Identifying the independent effect of HbA
    Diabetic medicine : a journal of the British Diabetic Association, 2016, Volume: 33, Issue:12

    Topics: Aged; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Drug Substitution; Female; Glycated Hemoglob

2016
Pre-stroke Metformin Treatment is Neuroprotective Involving AMPK Reduction.
    Neurochemical research, 2016, Volume: 41, Issue:10

    Topics: AMP-Activated Protein Kinases; Animals; Apoptosis; Disease Models, Animal; Infarction, Middle Cerebr

2016
Comparative cardiovascular risks of dipeptidyl peptidase 4 inhibitors with other second- and third-line antidiabetic drugs in patients with type 2 diabetes.
    British journal of clinical pharmacology, 2017, Volume: 83, Issue:7

    Topics: Adult; Aged; Cardiovascular System; Cohort Studies; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase

2017
Involvement of arterial baroreflex and nicotinic acetylcholine receptor α7 subunit pathway in the protection of metformin against stroke in stroke-prone spontaneously hypertensive rats.
    European journal of pharmacology, 2017, Mar-05, Volume: 798

    Topics: alpha7 Nicotinic Acetylcholine Receptor; Animals; Arteries; Baroreflex; Brain Ischemia; Cytokines; D

2017
All-Cause and Cardiovascular Mortality following Treatment with Metformin or Glyburide in Patients with Type 2 Diabetes Mellitus.
    Archives of Iranian medicine, 2017, Volume: 20, Issue:3

    Topics: Aged; Cardiovascular Diseases; Cause of Death; Cohort Studies; Coronary Angiography; Coronary Artery

2017
Thiazolidinediones and clinical outcomes in type 2 diabetes.
    Lancet (London, England), 2009, Jun-20, Volume: 373, Issue:9681

    Topics: Cholesterol, LDL; Diabetes Mellitus, Type 2; Drug Therapy, Combination; Hospitalization; Humans; Hyd

2009
[Revascularization in patients with type 2 diabetes and coronary artery disease: BARI 2D (Bypass Angioplasty Revascularization Investigation 2 Diabetes) Study Group].
    Der Internist, 2010, Volume: 51, Issue:5

    Topics: Angioplasty, Balloon, Coronary; Combined Modality Therapy; Coronary Angiography; Coronary Artery Byp

2010
Effects of metformin in experimental stroke.
    Stroke, 2010, Volume: 41, Issue:11

    Topics: AMP-Activated Protein Kinases; Animals; Dose-Response Relationship, Drug; Hypoglycemic Agents; Incid

2010
Mortality and cardiovascular risk associated with different insulin secretagogues compared with metformin in type 2 diabetes, with or without a previous myocardial infarction: a nationwide study.
    European heart journal, 2011, Volume: 32, Issue:15

    Topics: Adult; Aged; Cause of Death; Denmark; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Humans; Hypo

2011
Type of preadmission antidiabetic treatment and outcome among patients with ischemic stroke: a nationwide follow-up study.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2012, Volume: 21, Issue:8

    Topics: Aged; Aged, 80 and over; Brain Ischemia; Denmark; Diabetes Mellitus, Type 2; Female; Follow-Up Studi

2012
Metformin-associated lactic acidosis in Chinese patients with type II diabetes.
    Pharmacology, 2011, Volume: 88, Issue:5-6

    Topics: Acidosis, Lactic; Adult; Aged; Aged, 80 and over; Amylases; Asian People; China; Creatinine; Diabete

2011
Risk of death and cardiovascular outcomes with thiazolidinediones: a study with the general practice research database and secondary care data.
    PloS one, 2011, Volume: 6, Issue:12

    Topics: Acute Coronary Syndrome; Aged; Aged, 80 and over; Cardiovascular Diseases; Cohort Studies; Databases

2011
Viewpoint: Central adjudication of myocardial infarction in outcome-driven clinical trials--common patterns in TRITON, RECORD, and PLATO?
    Thrombosis and haemostasis, 2012, Volume: 108, Issue:3

    Topics: Acute Coronary Syndrome; Adenosine; Cardiovascular Diseases; Clinical Trials, Phase III as Topic; Co

2012
Comparative effectiveness of sulfonylurea and metformin monotherapy on cardiovascular events in type 2 diabetes mellitus: a cohort study.
    Annals of internal medicine, 2012, Nov-06, Volume: 157, Issue:9

    Topics: Aged; Cause of Death; Diabetes Mellitus, Type 2; Female; Hospitalization; Humans; Hypoglycemic Agent

2012
Summaries for patients. How do older diabetes drugs compare in their effects on heart and blood vessel disease?
    Annals of internal medicine, 2012, Nov-06, Volume: 157, Issue:9

    Topics: Aged; Cause of Death; Diabetes Mellitus, Type 2; Female; Hospitalization; Humans; Hypoglycemic Agent

2012
[Stroke is not equal to stroke. Keep track of the causes].
    MMW Fortschritte der Medizin, 2003, Volume: 145 Suppl 1

    Topics: Adult; Antihypertensive Agents; Aspirin; Carotid Artery, Common; Carotid Artery, External; Carotid S

2003
[Pioglitazone protects the type-2-diabetes patient from myocardial infarction and stroke].
    MMW Fortschritte der Medizin, 2007, Aug-02, Volume: 149, Issue:31-32

    Topics: Cholesterol, HDL; Diabetes Complications; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Drug Th

2007
Increased mortality in Type II diabetic patients using sulphonylurea and metformin in combination: a population-based observational study.
    Diabetologia, 2000, Volume: 43, Issue:5

    Topics: Blood Glucose; Cause of Death; Diabetes Mellitus, Type 2; Drug Therapy, Combination; Glycated Hemogl

2000