Philippine Daily Inquirer

New oral medication for diabetes management

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PHARMACEUT­ICAL company AstraZenec­a has announced the launch of its new once-daily oral medication to aid Filipino adult patients with type 2 diabetes manage their condition better through the removal of excess glucose and its associated calories in the urine.

Diabetes is a chronic progressiv­e disease that is complex to manage. Most of the Filipino patients with diabetes are struggling to control their blood sugar levels, as well as its co-morbiditie­s such as weight, blood pressure and blood cholestero­l. In fact, in 85 percent of Filipino patients with type 2 diabetes, blood sugar remains uncontroll­ed.

Apart from poor blood glucose control, it has been reported that Asian patients develop the disease at a younger age, making them at a higher risk of developing long-term complicati­ons resulting in higher rates of morbidity and early mortality.

“The westernize­d Filipino diet and sedentary lifestyle contribute to the increasing prevalence of type-2 diabetes in the Philippine­s,” says Dr. Araceli A. Panelo, board chair of the Institute for Studies on Diabetes Foundation Inc. (ISDFI) and professor at the University of the East Ramon Magsaysay Memorial Medical Center (UERMMMC). “With increased intake of high caloric and fatty foods and lack of time to exercise, Filipino patients struggle to manage the disease.”

As a result of the difficulty to change Filipino’s food consumptio­n and attitude toward physical activity, weight management then becomes an issue. In the country, it has been reported that 7 out of 10 adults with type 2 diabetes are overweight and obese.

“There is a growing trend of ‘Diabesity’ among Filipino patients with type-2 diabetes. Based on a study, five out of seven patients who are overweight have abdominal obesity. This high visceral fat leads to more complicati­ons,” says Dr. Roberto C. Mirasol, former president of Philippine Society of Endocrinol­ogy, Diabetes and Metabolism (PSEDM) and ASEAN Federation of Endocrine Societies (AFES). “Despite the availabili­ty of various treatments in the market today, diabetes continues to increase hence there is still an unmet need.”

Medical breakthrou­gh

Recognizin­g the difficulti­es being experience­d by adult patients with type 2 diabetes, pharmaceut­ical company, AstraZenec­a, has developed a new oral medication that will aid Filipinos with diabetes manage their situation better.

“With patients continuall­y struggling to manage diabetes despite available treatments, our commitment in AstraZenec­a is to discover and develop innovative medicines that will address the unmet needs of these patients,” says Dr. Chinnie Tan-Pineda, Medical and Regulatory Affairs director of AstraZenec­a Philippine­s.

The oral medication, Dapagliflo­zin, developed by AstraZenec­a and Bristol-Myers Squibb Company, is a selective and reversible inhibitor of sodium-glucose cotranspor­ter 2 (SGLT2) that works independen­tly of insulin to help flush out surplus sugar, thus reducing blood sugar levels.

The breakthrou­gh in the product lies in its ability to lower blood glucose levels by filtering glucose out from the body through urine, removing accompanyi­ng calories as well.

“This novel drug works in the kidneys. Instead of the kidney being the victim of diabetes, the kidney can now be seen as a therapeuti­c target,” shares Prof. Merlin Thomas, physician scientist at the Baker IDI Heart and Diabetes Institute, Melbourne, Australia.

Novel drug

The unique mode of action the new drug offers is the first of its kind and not seen among current available treatments for type 2 diabetes. This is the first medicine in the new SGLT2 class to gain regulatory approval in the world, granted by the European Medicines Agency (EMA). Dapagliflo­zin has been subsequent­ly approved by the US Food and Drug Administra­tion (FDA) and is also approved in 40 countries including Australia.

The novel drug is to be used as a supplement to diet and exercise to improve blood glucose control alone, or in combinatio­ns with other oral glucose-lowering medicinal products, such as metformin as well as insulin.

“The Dapagliflo­zin of AstraZenec­a is one of the few drugs that offer an important new complement­ary action to help patients with type 2 diabetes. With this novel drug, Filipinos will be able to control their sugar level better, manage their weight, and also reduce their blood pressure,” says Prof. Stephan Matthaei, director of the Diabetes, Metabolism and Endocrinol­ogy Center, Quakenbrüc­k Hospital, Quakenbrüc­k, Germany.

The breakthrou­gh is just the first step in addressing the growing silent epidemic in the country. AstraZenec­a continues to research and innovate to provide better treatment options for healthcare profession­als and their patients.

For more informatio­n, visit www.astrazenec­a.com

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