Compliance to treatment and reaching of metabolic goals are better in OAD-treated diabetics than insulin-treated diabetics in the Turkish population

Abstract

We assessed the success rates of reaching glycated haemoglobin (HbA1c) goals in different treatment groups. Materials and methods: This was a single-centre, retrospective study including 2995 patients. The proportion of patients reaching their HbA1c goals, according to the International Diabetes Federation (IDF), American Association of Clinical Endocrinologists (AACE), and American Diabetes Association (ADA), were determined. Results: There were 4 different treatment groups: 1) diet group (n = 140), 2) oral antidiabetic drug (OAD) group (n = 1238), 3) insulin group (n = 765), and 4) insulin + OAD group (n = 812). According to the IDF and AACE criteria, the proportion of patients reaching HbA1c levels of ≤6.5% was 92% in group 1, and 1 year later it was 100%. In the OAD group the proportions were 61% and 69%, respectively. In the insulin group, the rate was 15% and 1 year later 33% of patients had reached their goals. In the insulin + OAD group, the rates were 10% and 21%, respectively (P < 0.05 for all). According to the ADA criteria, the rate of patients reaching HbA1c levels of =