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New findings from A. Ramachandran and co-researchers in the area of diabetes described



December 31st, 2007

   2007 DEC 31 -- According to recent research published in the journal Diabetes Care, "In the Indian Diabetes Prevention Programme (IDPP), a 3-year randomized, controlled trial, lifestyle modification (LSM) and metformin helped to prevent type 2 diabetes in subjects with impaired glucose tolerance (IGT). The direct medical costs and cost-effectiveness of the interventions relative to the control group are reported here."

   "Relative effectiveness and costs of interventions (LSM, metformin, and LSM and metformin) in the IDPP were estimated from the health care system perspective. Costs of intervention considered were only the direct medical costs. Direct nonmedical, indirect, and research costs were excluded. The cost-effectiveness of interventions was measured as the amount spent to prevent one case of diabetes within the 3-year trial period. The direct medical cost to identify one subject With IGT was Indian rupees (INR) 5,278 ($117). Direct medical costs of interventions over the 3-year trial period were INR 2,739 ($61) per subject in the control group, INR 10,136 ($225) with LSM, INR 9,881 ($220) with metformin, and INR 12,144 ($270) with LSM and metformin. The number of individuals needed to treat to prevent a case of diabetes was 6.4 with LSM, 6.9 with metformin, and 6.5 with LSM and metformin. Cost-effectiveness to prevent one case of diabetes with LSM was INR 47,341 ($1,052), with metformin INR 49,280 ($1,095), and with LSM and metformin INR 61,133 ($1,359). Both LSM and metformin were cost-effective interventions for preventing diabetes among high risk-individuals in India and perhaps may be useful in other developing countries as well," wrote A. Ramachandran and colleagues.

   The researchers concluded: "The long-term cost-effectiveness of the interventions needs to be assessed."

   Ramachandran and colleagues published their study in Diabetes Care (Cost-effectiveness of the interventions in the primary prevention of diabetes among Asian Indians - Within-trial results of the Indian diabetes prevention programme (IDPP). Diabetes Care, 2007;30(10):2548-2552).

   For additional information, contact A. Ramachandran, Dr. A Ramachandrans Diabetes Hospital, India Diabetes Research Foundation, 28 Marshalls Rd., Egmore, Madras 600008, Tamil Nadu, India.

   The publisher's contact information for the journal Diabetes Care is: American Diabetes Association, 1701 N Beauregard St., Alexandria, VA 22311-1717, USA.

   Keywords: India, Madras, Clinical Trial Research, Diabetes Care, Hypoglycemic Agent, Metformin, Non-insulin Dependent Diabetes Mellitus, Type 2 Diabetes Mellitus.

   This article was prepared by Biotech Business Week editors from staff and other reports. Copyright 2007, Biotech Business Week via NewsRx.com.

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