DRUG UTILIZATION PATTERNS OF ANTIDIABETIC MEDICATIONS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

Authors

  • Dr. Fatheya Al-Awadi
  • Dr. Abdul Jabbar
  • Dr. Tarek Fiad
  • Dr. Mohamed Hassanein

Abstract

Type 2 Diabetes Mellitus (T2DM) is a major global health concern characterized by chronic hyperglycemia and longterm metabolic complications. Appropriate pharmacological management is essential for controlling blood glucose levels
and preventing disease progression. Drug utilization studies provide valuable insights into prescribing patterns and help
evaluate the rational use of antidiabetic medications in clinical practice. A retrospective observational study was
conducted in a tertiary care hospital to assess the utilization pattern of antidiabetic medications among patients with
T2DM. A total of 80 patient records were reviewed. Data were collected from medical records and prescription charts,
including demographic characteristics, duration of diabetes, type and number of medications prescribed, and therapy
patterns. Descriptive statistics were used to summarize the data. An independent sample t-test was performed to compare
medication use between male and female patients, and multiple linear regression analysis was conducted to identify
predictors of medication utilization. The majority of patients belonged to middle-aged and older age groups, with a
slightly higher proportion of male participants. Monotherapy and dual therapy were the most frequently used treatment
approaches, while triple therapy and insulin-based therapy were less common. Commonly recommended antidiabetic
medications were widely prescribed, indicating adherence to standard treatment practices. Statistical analysis showed
no significant difference in the number of medications prescribed between male and female patients. However, the
duration of diabetes was identified as a significant predictor of medication utilization. The study highlights current
prescribing patterns of antidiabetic medications in a tertiary care setting and emphasizes the importance of rational drug
use in diabetes management. Continuous monitoring of prescribing trends may help optimize therapeutic strategies and
improve patient outcomes.

Downloads

Download data is not yet available.

References

Adhikari, S., Shrestha, S., Shakya, R., & Koirala, N. (2017). Prevalance of chronic complications and drug utilization

pattern of type II diabetes mellitus. Mathews Journal of Diabetes & Obesity, 2(1), 1-8.

Alatorre, C., Fernández Landó, L., Yu, M., Brown, K., Montejano, L., Juneau, P., ... & Swindle, R. (2017). Treatment

patterns in patients with T2DM treated with glucagon‐like peptide‐1 receptor agonists: H igher adherence and

persistence with dulaglutide compared with once‐weekly exenatide and liraglutide. Diabetes, Obesity and

Metabolism, 19(7), 953-961.

Amaeze, O. U., Aderemi-Williams, R. I., Ayo-Vaughan, M. A., Ogundemuren, D. A., Ogunmola, D. S., & Anyika, E.

N. (2018). Herbal medicine use among T2DM patients in Nigeria: understanding the magnitude and predictors of

use. International journal of clinical pharmacy, 40(3), 580-588.

Datta‐Nemdharry, P., Thomson, A., Beynon, J., & Donegan, K. (2017). Patterns of anti‐diabetic medication use in

patients with T2DM in England and Wales. pharmacoepidemiology and drug safety, 26(2), 127-135.

Dehdari, L., & Dehdari, T. (2019). The determinants of anti-diabetic medication adherence based on the experiences

of patients with type 2 diabetes. Archives of Public Health, 77(1), 21.

Engler, C., Leo, M., Pfeifer, B., Juchum, M., Chen-Koenig, D., Poelzl, K., ... & Ebenbichler, C. (2020). Long-term

trends in the prescription of antidiabetic drugs: real-world evidence from the Diabetes Registry Tyrol 2012–2018. BMJ

open diabetes research & care, 8(1).

Federici, M. O., McQuillan, J., Biricolti, G., Losi, S., Lebrec, J., Richards, C., ... & Norrbacka, K. (2018). Utilization

patterns of glucagon-like peptide-1 receptor agonists in patients with T2DM in Italy: a retrospective cohort

study. Diabetes Therapy, 9(2), 789-801.

Ito, Y., Van Schyndle, J., Nishimura, T., Sugitani, T., & Kimura, T. (2019). Drug utilization patterns in patients with

diabetes initiating sodium glucose co-transporter-2 inhibitors (SGLT2i) in Japan: a multi-database study (2014–

. Diabetes Therapy, 10(6), 2233-2249.

Kumar, V., Topno, M., Gari, M., Bansal, M., Chakraborty, K., Lal, S., ... & Mahato, S. K. (2017). Evaluation of

prescribing pattern of antidiabetic drugs in medicine outpatient clinic of a tertiary care teaching hospital. Int J Basic

Clin Pharmacol, 6(12), 2843-7.

Losada, E., Soldevila, B., Ali, M. S., Martínez-Laguna, D., Nogués, X., Puig-Domingo, M., ... & Prieto-Alhambra, D.

(2018). Real-world antidiabetic drug use and fracture risk in 12,277 patients with T2DM: a nested case–control

study. Osteoporosis International, 29(9), 2079-2086.

Mata-Cases, M., Franch-Nadal, J., Real, J., Vlacho, B., Gómez-García, A., & Mauricio, D. (2021). Evaluation of

clinical and antidiabetic treatment characteristics of different sub-groups of patients with type 2 diabetes: data from a

Mediterranean population database. Primary Care Diabetes, 15(3), 588-595.

McKenzie, A. L., Hallberg, S. J., Creighton, B. C., Volk, B. M., Link, T. M., Abner, M. K., ... & Phinney, S. D. (2017).

A novel intervention including individualized nutritional recommendations reduces hemoglobin A1c level, medication

use, and weight in type 2 diabetes. JMIR diabetes, 2(1), e6981.

Montvida, O., Shaw, J., Atherton, J. J., Stringer, F., & Paul, S. K. (2018). Long-term trends in antidiabetes drug usage

in the US: real-world evidence in patients newly diagnosed with type 2 diabetes. Diabetes care, 41(1), 69-78.

Nicolucci, A., Charbonnel, B., Gomes, M. B., Khunti, K., Kosiborod, M., Shestakova, M. V., ... & Pocock, S. (2019).

Treatment patterns and associated factors in 14 668 people with type 2 diabetes initiating a second‐line therapy: results

from the global DISCOVER study programme. Diabetes, Obesity and Metabolism, 21(11), 2474-2485.

Overbeek, J. A., Heintjes, E. M., Prieto-Alhambra, D., Blin, P., Lassalle, R., Hall, G. C., ... & Herings, R. M. (2017).

T2DM treatment patterns across Europe: a population-based multi-database study. Clinical therapeutics, 39(4), 759-

Pantalone, K. M., Misra-Hebert, A. D., Hobbs, T. M., Ji, X., Kong, S. X., Milinovich, A., ... & Zimmerman, R. S.

(2018). Antidiabetic treatment patterns and specialty care utilization among patients with type 2 diabetes and

cardiovascular disease. Cardiovascular diabetology, 17(1), 54.

Radwan, H., Hasan, H., Hamadeh, R., Hashim, M., AbdulWahid, Z., Hassanzadeh Gerashi, M., ... & Naja, F. (2020).

Complementary and alternative medicine use among patients with type 2 diabetes living in the United Arab

Emirates. BMC complementary medicine and therapies, 20(1), 216.

Raphael, M., Vijayanarayana, K., Thunga, G., Rao, K. N., & Sreedharan, N. (2017). Utilization pattern of anti-diabetic

drugs in T2DM in tertiary care hospital. Research Journal of Pharmacy and Technology, 10(7), 2063-2068.

Raval, A. D., & Vyas, A. (2020). National trends in diabetes medication use in the United States: 2008 to 2015. Journal

of pharmacy practice, 33(4), 433-442.

Singla, R., Bindra, J., Singla, A., Gupta, Y., & Kalra, S. (2019). Drug prescription patterns and cost analysis of diabetes

therapy in India: audit of an endocrine practice. Indian journal of endocrinology and metabolism, 23(1), 40-45.

Sridhar, I., Padma, P., Ahmed, M. Z., & Siddiqua, S. A. (2021). Study on oral anti-diabetic drug utilization pattern in

diabetes mellitus type 2 patients at a tertiary care hospital. National Journal of Physiology, Pharmacy and

Pharmacology, 11(10), 1159-1159.

Tan, Y. Z., Cheen, M. H. H., Goh, S. Y., Bee, Y. M., Lim, P. S., Khee, G. Y., & Thumboo, J. (2019). Trends in

medication utilization, glycemic control and outcomes among type 2 diabetes patients in a tertiary referral center in

Singapore from 2007 to 2017. Journal of diabetes, 11(7), 573-581.

Wilkinson, S., Douglas, I., Stirnadel-Farrant, H., Fogarty, D., Pokrajac, A., Smeeth, L., & Tomlinson, L. (2018).

Changing use of antidiabetic drugs in the UK: trends in prescribing 2000–2017. BMJ open, 8(7), e022768.

Wium-Andersen, I. K., Osler, M., Jørgensen, M. B., Rungby, J., & Wium-Andersen, M. K. (2019). Antidiabetic

medication and risk of dementia in patients with type 2 diabetes: a nested case–control study. European journal of

endocrinology, 181(5), 499-507.

Xu, Y., Yang, Z., Lin, H., Shen, P., Wang, H., & Zhan, S. (2018). Long-term patterns of antidiabetic medication use in

patients with type 2 diabetes. Medical science monitor: international medical journal of experimental and clinical

research, 24, 8707.

Downloads

Published

2024-03-24

How to Cite

Al-Awadi, D. F., Jabbar, D. A., Fiad, D. T., & Hassanein, D. M. (2024). DRUG UTILIZATION PATTERNS OF ANTIDIABETIC MEDICATIONS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS. International Journal For Research In Biology & Pharmacy, 10(1), 01–08. Retrieved from https://ijrbp.com/index.php/bp/article/view/2481