A National Physician Survey Examining Switching From Sulfonylureas or Insulin to Newer Diabetes Medications


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A National Physician Survey Examining Switching From Sulfonylureas or Insulin to Newer Diabetes Medications

This study was a national survey of U.S. physicians in generalmedicine, geriatrics, or endocrinology who were asked what medication change they would make for adults with type 2 diabetes taking sulfonylureas or insulin with an A1C below their individualized goal. Responding physicians switched the hypoglycemiacausing medication a median of 4 times (interquartile range 1-9) among 27 opportunities and selected dipeptidyl peptidase 4 inhibitors most often when switching. Sodium-glucose cotransporter 2 inhibitors were selected less frequently, including when indicated for cardiovascular and renal comorbidities, but significantly more often among physicians caring for a greater proportion of patients with private health insurance. Overcoming barriers to switching hypoglycemia-causing medications may help to reduce rates of hypoglycemia while targeting cardiovascular and renal comorbidities. © 2024 by the American Diabetes Association.

Authors : Pilla S.J.; Wang I.J.; Tang O.; Schoenborn N.L.; Boyd C.M.; Bancks M.P.; Mathioudakis N.N.; Maruthur N.M.

Source : American Diabetes Association Inc.

Article Information

Year 2025
Type Article
DOI 10.2337/cd24-0043
ISSN 08918929
Volume 43

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