DRUG UTILIZATION PATTERNS OF ANTIDIABETIC MEDICATIONS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS
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
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
How to Cite
Issue
Section
License
Copyright (c) 2024 International Journal For Research In Biology & Pharmacy

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
In consideration of the journal, Green Publication taking action in reviewing and editing our manuscript, the authors undersigned hereby transfer, assign, or otherwise convey all copyright ownership to the Editorial Office of the Green Publication in the event that such work is published in the journal. Such conveyance covers any product that may derive from the published journal, whether print or electronic. Green Publication shall have the right to register copyright to the Article in its name as claimant, whether separately
or as part of the journal issue or other medium in which the Article is included.
By signing this Agreement, the author(s), and in the case of a Work Made For Hire, the employer, jointly and severally represent and warrant that the Article is original with the author(s) and does not infringe any copyright or violate any other right of any third parties, and that the Article has not been published elsewhere, and is not being considered for publication elsewhere in any form, except as provided herein. Each author’s signature should appear below. The signing author(s) (and, in



