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DOC News    March 1, 2006
Volume 3 Number 3 p. 18
© 2006 American Diabetes Association

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Once-Daily Dose Improves Compliance

Compliance with diabetes drug therapy is much higher among patients taking a once-daily formulation of sulfonylureas, according to a study reported in the December 2005 issue of Diabetes, Obesity, and Metabolism.


Figure 1

The project included 105 patients with type 2 diabetes, 40–75 years of age, who had taken a sulfonylurea drug.

Participants were randomized to receive twice-daily doses of glibenclamide, while the rest took a once-daily dose of sustained-release gliclazide. They took the drug for 16 weeks, using a special tablet bottle equipped with a microprocessor to keep track of the date and time when medication is taken.

People prescribed the once-daily drug complied much more often, took the correct number of doses on more days, and missed doses less often than those on the twice-daily regimen. Those who took the once-daily drug also had better blood glucose results and lower glycated hemoglobin (A1C).

Kardas P: The DIACOM study (effect of DosIng frequency of oral Antidiabetic agents on the COMpliance and biochemical control of type 2 diabetes). Diabetes Obes Metab 7: 722–728, 2005[Medline].


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