Comparison of acarbose and voglibose in diabetes patients who are inadequately controlled with basal insulin treatment: Randomized, parallel, open-label, active-controlled study

Mi Young Lee, Dong Seop Choi, Moon Kyu Lee, Hyoung Woo Lee, Tae Sun Park, Doo Man Kim, Choon Hee Chung, Duk Kyu Kim, In Joo Kim, Hak Chul Jang, Yong Soo Park, Hyuk Sang Kwon, Seung Hun Lee, Hee Kang Shin

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Abstract

We studied the efficacy and safety of acarbose in comparison with voglibose in type 2 diabetes patients whose blood glucose levels were inadequately controlled with basal insulin alone or in combination with metformin (or a sulfonylurea). This study was a 24-week prospective, open-label, randomized, active-controlled multi-center study. Participants were randomized to receive either acarbose (n=59, 300 mg/day) or voglibose (n=62, 0.9 mg/day). The mean HbA1c at week 24 was significantly decreased approximately 0.7% from baseline in both acarbose (from 8.43%±0.71% to 7.71%±0.93%) and voglibose groups (from 8.38%±0.73% to 7.68%±0.94%). The mean fasting plasma glucose level and self-monitoring of blood glucose data from 1 hr before and after each meal were significantly decreased at week 24 in comparison to baseline in both groups. The levels 1 hr after dinner at week 24 were significantly decreased in the acarbose group (from 233.54±69.38 to 176.80±46.63 mg/dL) compared with the voglibose group (from 224.18±70.07 to 193.01±55.39 mg/dL). In conclusion, both acarbose and voglibose are efficacious and safe in patients with type 2 diabetes who are inadequately controlled with basal insulin. (ClinicalTrials.gov number, NCT00970528).

Original languageEnglish
Pages (from-to)90-97
Number of pages8
JournalJournal of Korean medical science
Volume29
Issue number1
DOIs
Publication statusPublished - 2014

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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    Lee, M. Y., Choi, D. S., Lee, M. K., Lee, H. W., Park, T. S., Kim, D. M., Chung, C. H., Kim, D. K., Kim, I. J., Jang, H. C., Park, Y. S., Kwon, H. S., Lee, S. H., & Shin, H. K. (2014). Comparison of acarbose and voglibose in diabetes patients who are inadequately controlled with basal insulin treatment: Randomized, parallel, open-label, active-controlled study. Journal of Korean medical science, 29(1), 90-97. https://doi.org/10.3346/jkms.2014.29.1.90