2011
DOI: 10.18553/jmcp.2011.17.9.664
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Glycemic Control and Hypoglycemia in Veterans Health Administration Patients Converted from Glyburide to Glipizide

Abstract: • Sulfonylureas effectively reduce hemoglobin A1c by an expected 1.0%-2.0%. Maintaining glycemic control has been shown to lower morbidity secondary to microvascular complications including retinopathy, neuropathy, and nephropathy.• Glyburide is metabolized to active metabolites that may accumulate in patients with renal dysfunction and has been associated with a 2-fold incidence of hypoglycemia in elderly patients compared with glipizide.What is already known about this subject

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Cited by 14 publications
(17 citation statements)
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“…1 However, unlike the small increase in glycated hemoglobin A1c reported by Skoff et al (7.42% vs. 7.08%), we found no significant change in A1c levels after discontinuation of glyburide.…”
Section: ■■ Glycemic Control Was Unchanged In Veterans Health Adminiscontrasting
confidence: 99%
“…1 However, unlike the small increase in glycated hemoglobin A1c reported by Skoff et al (7.42% vs. 7.08%), we found no significant change in A1c levels after discontinuation of glyburide.…”
Section: ■■ Glycemic Control Was Unchanged In Veterans Health Adminiscontrasting
confidence: 99%
“…Concern about flax use in older people may come from vascular effects reported in rats consuming a diet consisting of 20% flaxseed, which showed a vasorelaxant effect in hypertensive rats. In that animal study, however, the response in hypertensive rats to flaxseed was greater than that of normotensive rats and the mechanism was blood pressure-independent (Skoff et al, 2011). Hallund et al (2008) previously investigated the effects of giving 543 mg of SDG to healthy post-menopausal women aged 61 AE 7 years and saw no significant change in body weight, SBP, or DBP.…”
Section: Discussionmentioning
confidence: 94%
“…This study has been described in detail elsewhere [24]. Briefly, data were collected through a multilevel, stratified, random survey of households that, on the basis of data from the 1999 national population census, are representative of the French population.…”
Section: Methodsmentioning
confidence: 99%
“…People who live in institutions (e.g. retirement homes, religious communities, prisons and hospitals), in mobile homes or who are homeless are not included, therefore almost 98% of the entire population is covered by the survey [24]. Using a combination of face-to-face interviews and self-administered questionnaires, the NHS includes data at both individual and household levels, including information about demographic and socioeconomic characteristics and health status, complementary insurance coverage and medical care consumption.…”
Section: Methodsmentioning
confidence: 99%