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

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 sitagli...

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Main Authors: Marcia L. Brackbill, Ateequr Rahman, Jeffrey S. Sandy, M. Denton Stam, Arthur F. Harralson
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2012/810926
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author Marcia L. Brackbill
Ateequr Rahman
Jeffrey S. Sandy
M. Denton Stam
Arthur F. Harralson
author_facet Marcia L. Brackbill
Ateequr Rahman
Jeffrey S. Sandy
M. Denton Stam
Arthur F. Harralson
author_sort Marcia L. Brackbill
collection DOAJ
description 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.
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spelling doaj-art-78369883d6bc42739feeb05b7ebd05612025-02-03T01:30:50ZengWileyInternational Journal of Endocrinology1687-83371687-83452012-01-01201210.1155/2012/810926810926Adjunctive Sitagliptin Therapy in Postoperative Cardiac Surgery Patients: A Pilot StudyMarcia L. Brackbill0Ateequr Rahman1Jeffrey S. Sandy2M. Denton Stam3Arthur F. Harralson4Winchester Medical Center, Heart and Vascular Center, Winchester, VA 22601, USAWinchester Medical Center, Heart and Vascular Center, Winchester, VA 22601, USAWinchester Medical Center, Heart and Vascular Center, Winchester, VA 22601, USAWinchester Medical Center, Heart and Vascular Center, Winchester, VA 22601, USAWinchester Medical Center, Heart and Vascular Center, Winchester, VA 22601, USAAim. 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.http://dx.doi.org/10.1155/2012/810926
spellingShingle Marcia L. Brackbill
Ateequr Rahman
Jeffrey S. Sandy
M. Denton Stam
Arthur F. Harralson
Adjunctive Sitagliptin Therapy in Postoperative Cardiac Surgery Patients: A Pilot Study
International Journal of Endocrinology
title Adjunctive Sitagliptin Therapy in Postoperative Cardiac Surgery Patients: A Pilot Study
title_full Adjunctive Sitagliptin Therapy in Postoperative Cardiac Surgery Patients: A Pilot Study
title_fullStr Adjunctive Sitagliptin Therapy in Postoperative Cardiac Surgery Patients: A Pilot Study
title_full_unstemmed Adjunctive Sitagliptin Therapy in Postoperative Cardiac Surgery Patients: A Pilot Study
title_short Adjunctive Sitagliptin Therapy in Postoperative Cardiac Surgery Patients: A Pilot Study
title_sort adjunctive sitagliptin therapy in postoperative cardiac surgery patients a pilot study
url http://dx.doi.org/10.1155/2012/810926
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