New Straits Times

KEY FINDING OF STUDY

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DISCOVER, a study of patients with type 2 diabetes who are starting secondline glucose-lowering therapy, saw the participat­ion of 334 patients from the nation. The study aimed to improve understand­ing of type 2 diabetes management and its efficacy, reduce the risk of complicati­ons from diabetes and improve quality of life for patients. A key finding of the study is that type 2 diabetes patients in the country on average experience a 3.3-year lag in treatment. They continue taking firstline medication (medication prescribed when they were first diagnosed) for as long as 3.3 years despite the medication being ineffectiv­e in managing their diabetes, before commencing on second-line treatment (the next option if first-line does not work).

Accessibil­ity was found to be a key factor in prescribin­g treatment, with sulphonylu­rea (a widely available type of drug accessible to 98.8 per cent of patients) added to metformin (the commonly used first-line medication for diabetics) as a second-line treatment.

Often, diabetic patients, especially those on first-line treatment, do not regularly monitor their HbA1c levels, mistakenly believing that their glucose level is in control, as they are taking the prescribed medication.

The Discover study recorded evidence that diabetic patients here have a relatively high rate of potential complicati­ons. With diabetes being a risk factor in so many diseases, it is important to manage these risks effectivel­y, such as by choosing the right diabetes medication.

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