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Journal of Diabetes Research
Volume 2014 (2014), Article ID 294017, 6 pages
http://dx.doi.org/10.1155/2014/294017
Clinical Study

Comparison of Metformin and Repaglinide Monotherapy in the Treatment of New Onset Type 2 Diabetes Mellitus in China

1Department of Endocrinology and Metabolism, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, China
2Department of Endocrinology and Metabolism, Shanghai Gongli Hospital, Shanghai, China

Received 11 December 2013; Revised 18 January 2014; Accepted 27 January 2014; Published 4 March 2014

Academic Editor: Amar Abderrahmani

Copyright © 2014 J. Ma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. This study was designed to compare the effects of metformin and repaglinide on the fasting plasma glucose (FPG) and glycated haemoglobin (HbA1c) in newly diagnosed type 2 diabetes in China. Methods. A total of 107 newly diagnosed type 2 diabetic patients (46 women and 61 men) participated in the study. All patients received 3-month treatment of metformin or repaglinide. Fasting blood glucose and HbA1c were determined at baseline and at the end of the 3-month of treatment. Results. FPG and HbA1c decreased in both metformin and repaglinide groups after 3 months treatment (. The reduction of HbA1c was significantly greater in the repaglinide group . Metformin decreases fasting insulin concentration and HOMA-IR , and repaglinide improves HOMA- . Triglycerides (TG) were reduced in both groups in metformin group; in repaglinide group), but total cholesterol (TC) and low-density lipoprotein (LDL) were decreased only after metformin treatment . Conclusions. Both repaglinide and metformin were effective in glycaemic control in new onset patients with type 2 diabetes in China. Repaglinide had no effect on insulin sensitivity, but it improved -cell function.