{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:18:33Z","timestamp":1777724313513,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T00:00:00Z","timestamp":1396310400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to assess the efficacy of early intensive diabetes therapy with either insulin plus metformin (INS) or triple oral therapy (TOT) with metformin, glyburide, and pioglitazone on glycemic control and A-cell function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Fifty-eight treatment-naive newly diagnosed patients with type 2 diabetes underwent a 3-month lead-in treatment period with insulin and metformin, then were randomized to INS or TOT for 6 years. \u03b2-Cell function was measured using mixed-meal challenge test. \u03b2-Cell function remained stable throughout the 6-year study in both groups, as measured by the C-peptide area under the curve (AUC; P = 0.13), the AUC C-peptide\/AUC glucose ( P = 0.9), and by the disposition index ( P = 0.8). Excellent glycemic control was maintained in both groups (end-of-study hemoglobin\n                      <jats:sub>A1c,<\/jats:sub>\n                      7.3% [SD, 1.7%] INS vs 6.4% [1.4%] TOT; P = 0.4). There were 8 treatment failures (confirmed hemoglobin\n                      <jats:sub>A1c<\/jats:sub>\n                      , 98%) in INS and 6 in TOT ( P = 0.93). The predictors of treatment failure included higher fasting glucose ( P = 0.008), fasting C-peptide ( P = 0.008), systolic blood pressure ( P = 0.004), and lower insulin sensitivity ( P = 0.04) at randomization.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early intensive treatment at the time of type 2 diabetes diagnosis\u2014initial short-term insulin treatment followed by either insulin-based or intensive oral hypoglycemic\u2013based therapy\u2014stabilizes \u03b2-cell function for at least 6 years. Treatment failure was independent of intervention and was associated with worse disease pathology at baseline.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2310\/jim.0000000000000068","type":"journal-article","created":{"date-parts":[[2016,5,11]],"date-time":"2016-05-11T09:10:57Z","timestamp":1462957857000},"page":"676-686","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Intensive Therapy in Newly Diagnosed Type 2 Diabetes: Results of a 6-Year Randomized Trial"],"prefix":"10.1177","volume":"62","author":[{"given":"Lindsay B.","family":"Harrison","sequence":"first","affiliation":[{"name":"Divisions of Endocrinology, Diabetes, and Metabolism, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beverley","family":"Adams-Huet","sequence":"additional","affiliation":[{"name":"Biostatistics, Department of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX."},{"name":"Mineral Metabolism, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xilong","family":"Li","sequence":"additional","affiliation":[{"name":"Biostatistics, Department of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Raskin","sequence":"additional","affiliation":[{"name":"Divisions of Endocrinology, Diabetes, and Metabolism, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ildiko","family":"Lingvay","sequence":"additional","affiliation":[{"name":"Divisions of Endocrinology, Diabetes, and Metabolism, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX."},{"name":"Department of Clinical Sciences, UT Southwestern Medical 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