The lifestyle changes after initiating basal insulin in insulin naïve patients with type 2 diabetes: Results from the ORBIT study

Author Info

Dongshan ZHU Heng Zhang Jiachao Ji Juming Lu Linong Ji Puhong Zhang Weiping Jia Xian Li

Corresponding Author

Dongshan ZHU
Diabetes Research Program, The George Institute for Global Health at Peking University Health Science Center, Beijing, P. R. China

A B S T R A C T

Objectives: To evaluate the changes in diet, physical activity level and smoking status in insulin naïve patients with type 2 diabetes uncontrolled by oral antidiabetic drugs (OADs) after initiating basal insulins (BIs) for 6 months. Methods: Observational Registry of Basal Insulin Treatment (ORBIT) program is a 6-month, prospective study in China. Patients with type 2 diabetes uncontrolled on OADs (HbA1c ≥7%, 53 mmol/mol) and willing to initiate BI treatment were enrolled. Type and dose of BI were at the physician’s discretion and patients’ willingness. Interviews were conducted at baseline, month 3 and month 6. Daily diet consumption, frequency of physical activity and smoking status in past 7 days were collected. Patients who kept using BI during the 6 months were included for analysis. Results: Totally, 12 353 patients were included. Compared with the proportions at baseline, the proportion of patients with staple food of 0.4kg/day and above declined by 3%-4% at 6th -month, whist the proportion of patients with moderate consumption (0.3kg/day) increased by 9.3%. The proportion of patients with 0.4kg/day vegetables increased by 4.2% and those with 0.2kg/day declined by 3.4% at 6th -month. Proportion of patients with 0.2kg/day fruit and meat increased by 12.5% and 7.6% respectively at 6th -month. Also, at 6 th -month, patients spent more days participating physical activities weekly (5.8 vs. 5.3days), and both proportion of patients with smoking (20.0% vs. 22.9%) and number of cigarettes smoked per day (14.7 vs. 17.4) declined. Conclusions: Adding-on BIs therapy is associated with positive lifestyle change including healthier diet consumption, more physical activities and less smoking behaviours in patients with type 2 diabetes.

Article Info

Article Type

Original Article

Publication history

Received: Thu 02, May 2019
Accepted: Fri 14, Jun 2019
Published: Fri 28, Jun 2019

Copyright

© 2023 Dongshan ZHU. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JICOA.2019.02.04