Adjunctive Sitagliptin Therapy in Postoperative Cardiac Surgery Patients: A Pilot Study

Autor: Marcia L. Brackbill, Ateequr Rahman, Jeffrey S. Sandy, M. Denton Stam, Arthur F. Harralson
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: International Journal of Endocrinology, Vol 2012 (2012)
Druh dokumentu: article
ISSN: 1687-8337
1687-8345
DOI: 10.1155/2012/810926
Popis: Aim. We aimed to determine if sitagliptin added to standard postoperative standardized sliding-scale insulin regimens improved blood glucose. Methods. A prospective, randomized, double-blind, placebo-controlled pilot study was conducted in diabetic cardiac surgery patients. Patients received sitagliptin or placebo after surgery for 4 days. The primary endpoint was to estimate the effect of adjunctive sitagliptin versus placebo on overall mean blood glucose in the 4-day period after surgery. Results. Sixty-two patients participated. Repeated measures tests indicated no significant difference between the groups in the overall mean blood glucose level with a mean of 147.2±4.8 mg/dL and 153.0±4.6 mg/dL for the test and the control group, respectively (P=0.388). Conclusions. Sitagliptin added to normal postoperative glucose management practices did not improve overall mean blood glucose control in diabetic patients in the postoperative setting.
Databáze: Directory of Open Access Journals