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α-Glucosidase Inhibitors for Patients With Type 2 Diabetes

Response to Hanefeld et al.

  1. Floris A. van de Laar, MD and
  2. Peter L. Lucassen, MD, PHD
  1. Department of General Practice, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands
  1. Address correspondence to Floris van de Laar, Radboud University Nijmegen Medical Centre, Department of General Practice, 229 HAG, P.O. Box 9101, 6500 HB Nijmegen, Netherlands. E-mail: f.vandelaar{at}hag.umcn.nl

Hanefeld et al. (1) assert that the conclusion (“no evidence for an effect on mortality or morbidity”) from our systematic review on the effects of α-glucosidase inhibitors for patients with type 2 diabetes was biased. Furthermore, they claim to have found evidence for such an effect based on their own meta-analysis. We disagree with both statements.

First, we would like to underline that the solid basis of our results is a systematic review and that meta-analyses were only applied when this was methodologically sound. The extensive search for all possible trials investigating α-glucosidase inhibitor monotherapy …

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