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Results of a trial reveal that a once-daily shot of Sanofi-Aventis’s
insulin drug Lantus appears to control blood sugar levels just as well as Eli
Lilly’s Humalog, administered three times a day.
“We conclude that (Lantus) provides a simple and effective
option that is more satisfactory to patients than is (Humalog) for early
initiation if insulin therapy,” Reinhard Bretzel of Justus-Liebig-Universitat in
Germany
and colleagues wrote in their study, according to Reuters.
The trial involved more than 400 men and women from Europe
and Australia
with type 2 diabetes that was poorly controlled by oral medication. The subjects
were randomly assigned to receive either Lantus or Humalog. The trial lasted 44
weeks.
Lantus reduced blood sugar levels to 7 percent from 8.7
percent while the average Humalog decrease was to 6.8 percent from 8.7 percent,
the study found. Maintaining strict blood sugar control (concentrations of less
than 7) is critical to avoid the complications of diabetes, which include
blindness, kidney failure and even amputations.
"This study just confirms that insulin is effective and there are good
reasons to use insulin if oral agents are not working. It's certainly not that
one is good and one is bad,” said Dr. Sue Kirkman, vice president of clinical
affairs at the American Diabetes Association.
Moreover, the participants in the trial were more satisfied with just one
shot per day instead of three. “Study participants taking (Lantus) reported
greater overall treatment satisfaction, with specific improvements in
convenience of treatment,” the researchers wrote.
The results are published in the March 29 edition of The Lancet.
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