Multicenter, Retrospective, observational study to evaluate the real-world use and effectiveness of a fixed-ratio combination of insulin degludec/liraglutide (IDegLira) in the Pakistani population with Type-2 diabetes (T2D)

Authors

DOI:

https://doi.org/10.12669/pjms.41.5.11002

Keywords:

Diabetes mellitus type 2, Premix insulin, IDeglira, HbA1C

Abstract

Objective: To evaluate the real-world use and effectiveness of a fixed-ratio combination of insulin degludec/liraglutide (IDegLira) in the Pakistani population with type II diabetes (T2D).

Methods: This multicenter, retrospective study collected real-world data from various public & private hospitals, and primary care clinics in Pakistan. The total duration of clinical data collection was six months (April and September 2022) from 183 diabetic patients across different centers in Pakistan. Patients who had received IDegLira in combination with basal/premixed insulin, OHAs, or both regimes (basal/premixed insulin and OHAs) for the treatment of Type-II diabetes (T2D) in the Pakistani population were analyzed.

Results: After receiving IDegLira therapy for six months, mean HbA1c was reduced by -1.1%, mean body weight reduced by 1.2 kg, fasting blood glucose levels (mg/dl): 164.7 (±36.2) to 134.4 (±32.9)] and random blood sugar (mg/dl): 240.1 (±71.4) to 207.6 (±77.8)]. The mean IDegLira dose steps were 19.9 (±6.7) at initiation and 23.5 (±7.9) at follow-up. Overall, adverse events reported were generally related to gastrointestinal, and few were related to headache, fatigue, and hypoglycemia events.

Conclusion: The values of HbA1c and body weight decreased for the patients after using iDeglira for six months. Therefore, the medicine had a positive impact on the outcome of the study.

doi: https://doi.org/10.12669/pjms.41.5.11002

How to cite this: Raja UY, Wahab MU, Randhawa FA, Hussain A, Raza A, Mahar SA, et al. Multicenter, Retrospective, observational study to evaluate the real-world use and effectiveness of a fixed-ratio combination of insulin degludec/liraglutide (IDegLira) in the Pakistani population with Type-2 diabetes (T2D). Pak J Med Sci. 2025;41(5):1494-1498. doi: https://doi.org/10.12669/pjms.41.5.11002

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Umar Yousaf Raja, Shifa International Hospitals Ltd., Islamabad – Pakistan

Consultant Endocrinologist

Muhammad Umar Wahab, UUDF/UDFC, umar diabetes and foot care centre office 1, first floor, executive complex, g-8 markaz Islamabad– Pakistan

Diabetologist

Fawad Ahmad Randhawa, Hameed Lateef Hospital, Lahore– Pakistan

Consultant Endocrinologist and Diabetologist

Arshad Hussain, North-West General Hospital, Peshawar, Khyber Pakhtunkhwa– Pakistan

Consultant Endocrinologist 

Syed Abbas Raza, National Hospital, Lahore, Pakistan

Consultant endocrinologist

Saeed Ahmed Mahar, Mahar Medical Clinic, Karachi– Pakistan

Professor of Medicine and a Consultant Endocrinologist and Diabetologist

Osama Ishtiaq, Shifa International Hospitals Ltd., Islamabad – Pakistan

Consultant Endocrinologist and diabetologist

Tejhmal Rehman, Shifa International Hospitals Ltd., Islamabad – Pakistan

Associate Consultant Endocrinologist

Faisal Masood Qureshi, Al-Khaliq Hospital, Multan– Pakistan

Consultant endocrinologist

Ibrar Ahmed, Lady Reading Hospital, Peshawar

Department of Diabetes and Endocrine,

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Published

2025-05-03

How to Cite

Raja, U. Y. ., Wahab, M. U. ., Randhawa, F. A. ., Hussain, A., Raza, S. A., Mahar, S. A. ., … Ahmed, I. (2025). Multicenter, Retrospective, observational study to evaluate the real-world use and effectiveness of a fixed-ratio combination of insulin degludec/liraglutide (IDegLira) in the Pakistani population with Type-2 diabetes (T2D). Pakistan Journal of Medical Sciences, 41(5), 1494–1498. https://doi.org/10.12669/pjms.41.5.11002

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