Analysing the Shift in Prescribing Patterns: Sodium Glucose Co-transporter 2 Inhibitors, Dipeptidyl Peptidase 4 Inhibitors and Traditional Antidiabetic Drugs

India currently has around 77 million adults living with diabetes. Considering the growing impact of diabetes-related complications, we aimed to compare the real-world prescribing patterns of sodium-glucose cotransporter-2 inhibitors, dipeptidyl peptidase-4 inhibitors and traditional antidiabetics....

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Main Authors: Vini Pavithran, Pandiyan Balachandran, Chadappully Ismail Sajeeth, Athiappan Hariharan
Format: Article
Language:English
Published: Light House Polyclinic Mangalore 2025-04-01
Series:Online Journal of Health & Allied Sciences
Subjects:
Online Access:https://www.ojhas.org/issue93/2025-1-5.html
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author Vini Pavithran
Pandiyan Balachandran
Chadappully Ismail Sajeeth
Athiappan Hariharan
author_facet Vini Pavithran
Pandiyan Balachandran
Chadappully Ismail Sajeeth
Athiappan Hariharan
author_sort Vini Pavithran
collection DOAJ
description India currently has around 77 million adults living with diabetes. Considering the growing impact of diabetes-related complications, we aimed to compare the real-world prescribing patterns of sodium-glucose cotransporter-2 inhibitors, dipeptidyl peptidase-4 inhibitors and traditional antidiabetics. Using a cross-sectional study design, the prescribing pattern and factors influencing the utilisation of the antidiabetic drugs, categorised by the HbA1c status, were assessed using the chi-square test. Of 260 eligible adults with mean [SD] age, 63.7[12.4] years; 54.7% of male participants initiated treatment with sodium-glucose cotransporter-2 inhibitors (n=27) or a dipeptidyl peptidase-4 inhibitors (n=31). The use of newer antidiabetic agents has steadily increased, with a slightly higher initiation rate in those over 65 years (21.5%). No significant difference was observed based on age (p = 0.182) or gender (p = 0.9548). Prescriber speciality had a significant impact (p = 0.00038). Cardiologists showed the highest shift towards newer drugs (36.5%). Prescriptions of newer antidiabetics have shown an upward trend over time, indicating a shift in prescribing practices. However, this increase was limited. Further efforts are necessary to identify and address the barriers to underutilisation of these drugs.
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spelling doaj-art-bef719303b554db09b7317e88c1efeba2025-08-20T02:26:51ZengLight House Polyclinic MangaloreOnline Journal of Health & Allied Sciences0972-59972025-04-01241Analysing the Shift in Prescribing Patterns: Sodium Glucose Co-transporter 2 Inhibitors, Dipeptidyl Peptidase 4 Inhibitors and Traditional Antidiabetic DrugsVini Pavithran0Pandiyan Balachandran1Chadappully Ismail Sajeeth2Athiappan Hariharan3Research Scholar, Department of Pharmacy, Annamalai University, Annamalai Nagar, Tamil Nadu, India - 608002Assistant Professor, Department of Pharmacy, Annamalai University, Annamalai Nagar, Tamil Nadu, India - 608002Professor and HOD, Department of Pharmacy, Grace college of Pharmacy, Palakkad, Kerala, India - 678004Assistant Professor, Department of General Medicine, Karuna Medical College and Hospital, Palakkad, Kerala, India - 678103India currently has around 77 million adults living with diabetes. Considering the growing impact of diabetes-related complications, we aimed to compare the real-world prescribing patterns of sodium-glucose cotransporter-2 inhibitors, dipeptidyl peptidase-4 inhibitors and traditional antidiabetics. Using a cross-sectional study design, the prescribing pattern and factors influencing the utilisation of the antidiabetic drugs, categorised by the HbA1c status, were assessed using the chi-square test. Of 260 eligible adults with mean [SD] age, 63.7[12.4] years; 54.7% of male participants initiated treatment with sodium-glucose cotransporter-2 inhibitors (n=27) or a dipeptidyl peptidase-4 inhibitors (n=31). The use of newer antidiabetic agents has steadily increased, with a slightly higher initiation rate in those over 65 years (21.5%). No significant difference was observed based on age (p = 0.182) or gender (p = 0.9548). Prescriber speciality had a significant impact (p = 0.00038). Cardiologists showed the highest shift towards newer drugs (36.5%). Prescriptions of newer antidiabetics have shown an upward trend over time, indicating a shift in prescribing practices. However, this increase was limited. Further efforts are necessary to identify and address the barriers to underutilisation of these drugs.https://www.ojhas.org/issue93/2025-1-5.htmldipeptidyl peptidase inhibitorshba1cprescribing patternsodium glucose cotransporter 2 inhibitorstype 2 diabetes mellitus
spellingShingle Vini Pavithran
Pandiyan Balachandran
Chadappully Ismail Sajeeth
Athiappan Hariharan
Analysing the Shift in Prescribing Patterns: Sodium Glucose Co-transporter 2 Inhibitors, Dipeptidyl Peptidase 4 Inhibitors and Traditional Antidiabetic Drugs
Online Journal of Health & Allied Sciences
dipeptidyl peptidase inhibitors
hba1c
prescribing pattern
sodium glucose cotransporter 2 inhibitors
type 2 diabetes mellitus
title Analysing the Shift in Prescribing Patterns: Sodium Glucose Co-transporter 2 Inhibitors, Dipeptidyl Peptidase 4 Inhibitors and Traditional Antidiabetic Drugs
title_full Analysing the Shift in Prescribing Patterns: Sodium Glucose Co-transporter 2 Inhibitors, Dipeptidyl Peptidase 4 Inhibitors and Traditional Antidiabetic Drugs
title_fullStr Analysing the Shift in Prescribing Patterns: Sodium Glucose Co-transporter 2 Inhibitors, Dipeptidyl Peptidase 4 Inhibitors and Traditional Antidiabetic Drugs
title_full_unstemmed Analysing the Shift in Prescribing Patterns: Sodium Glucose Co-transporter 2 Inhibitors, Dipeptidyl Peptidase 4 Inhibitors and Traditional Antidiabetic Drugs
title_short Analysing the Shift in Prescribing Patterns: Sodium Glucose Co-transporter 2 Inhibitors, Dipeptidyl Peptidase 4 Inhibitors and Traditional Antidiabetic Drugs
title_sort analysing the shift in prescribing patterns sodium glucose co transporter 2 inhibitors dipeptidyl peptidase 4 inhibitors and traditional antidiabetic drugs
topic dipeptidyl peptidase inhibitors
hba1c
prescribing pattern
sodium glucose cotransporter 2 inhibitors
type 2 diabetes mellitus
url https://www.ojhas.org/issue93/2025-1-5.html
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