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Diabetes Ther. 2021 Jul;12(7):1821-1837. doi: 10.1007/s13300-021-01054-6. Epub 2021 May 27.

The Burden of Type 2 Diabetes and the Value of Achieving Near Normoglycemia from the Patient Perspective.

Diabetes therapy : research, treatment and education of diabetes and related disorders

Heather Gelhorn, Zaneta Balantac, Shraddha Shinde, Vivian Thuyanh Thieu, Kristina S Boye

Affiliations

  1. Evidera Inc., 7101 Wisconsin Ave, Suite 1400, Bethesda, MD, USA. [email protected].
  2. Evidera Inc., 7101 Wisconsin Ave, Suite 1400, Bethesda, MD, USA.
  3. Eli Lilly and Company, Indianapolis, IN, USA.

PMID: 34043162 PMCID: PMC8155797 DOI: 10.1007/s13300-021-01054-6

Abstract

INTRODUCTION: Type 2 diabetes (T2D) is extremely burdensome to people with T2D and associated with impaired health-related quality of life. This study explores the impact of T2D and potentially relevant outcomes for new therapies using a unique approach to in-depth qualitative interviews where people with T2D are asked to think about their future with T2D.

METHODS: A cross-sectional qualitative interview study among people with T2D from the USA and UK. Interviews explored their treatment journey, perceptions of their future with T2D, and the value of achieving normoglycemia (explored through presentation of two vignettes with hypothetical medications that reduced hemoglobin A1c [HbA1c] levels < 7% and < 5.7%).

RESULTS: Patients with T2D (N = 50; US n = 25; UK n = 25) were 66.0% male, had a mean body mass index (BMI) of 30.8 ± 6.3 kg/m

CONCLUSIONS: People with T2D have a high disease burden, a broad range of unmet needs, and extremely varied experiences and expectations on the impacts of T2D on their lives and future. Many patients indicated that achieving near normoglycemia would substantially change their lives primarily in terms of their physical and emotional health.

Keywords: Diabetes; Disease burden; HbA1c; Normoglycemia; Type 2 diabetes; Unmet needs

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