Renyuan Li1*, Xu Wen1*, Sihui Luo1, Haixia Xu1, Guoyu Tong2, Longyi Zeng1, Dalong Zhu2

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Renyuan Li1*, Xu Wen1*, Sihui Luo1, Haixia Xu1, Guoyu Tong2, Longyi Zeng1, Dalong Zhu2

Acta Diabetologica

Effect of Exenatide, Insulin and Pioglitazone on Bone Metabolism in Patients with Newly

Diagnosed Type 2 Diabetes

Renyuan Li1*, Xu Wen1*, Sihui Luo1, Haixia Xu1, Guoyu Tong2, Longyi Zeng1, Dalong Zhu2, Jianping Weng1 From the 1Department of Endocrinology and Metabolism, Guangdong Provincial Key Laboratory of Diabetology, the Third Affiliated Hospital of Sun Yat-Sen University Guangzhou, China; 2Department of Endocrinology, Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, China;

* These authors contributed equally.

Correspondence:

Dr. Jianping Weng

Department of Endocrinology and Metabolism, Guangdong Provincial Key Laboratory of Diabetology

The Third Affiliated Hospital of Sun Yat-sen University

No. 600 Tianhe Road

Guangzhou, 510630

China

Tel: +86 2085253162

Fax: +862085252107

Email: [email protected] Supplementary data

Supplementary Table 1. Titration scheme of insulin dosage for patients in insulin group

Fasting / pre-dinner glucose (mmol/L) Dosage titration <4.4 -2 U 4.4–7.0 No titration 7.0–8.0 +2 U 8.0–10.0 +4 U >10.0 +6 U Supplementary Table 2. Adverse events Exenatide Insulin Pioglitazone Adverse event (n = 20) (n = 21) (n = 21)

Nausea 7 (35.0) 1 (4.8) 0

Dizziness 5 (25.0) 1 (4.8) 2 (9.5)

Vomiting 1 (5.0) 0 0

Abdominal distension 4(20.0) 0 0

Appetite loss 2 (10.0) 0 0

Diarrhea 3 (15.0) 0 1 (4.8)

Upper respiratory tract infection 3 (15.0) 5 (23.8) 2 (9.5)

Edema 0 0 2 (9.5)

Numbness 0 1 (4.8) 1 (4.8)

Fatigue 1 (5.0) 0 1 (4.8)

Injection-site reaction 3 (15.0) 2 (9.5) 0

Palpitations 0 0 1 (4.8)

Constipation 2 (10.0) 0 0

Headache 3(15.0) 0 1 (4.8)

Blurred vision 1 (5.0) 1 (4.8) 2 (9.5)

Arthralgia 0 1 (4.8) 2 (9.5)

Chest tightness 0 0 1 (4.8)

Rash 0 2 (9.5) 1 (4.8) Bone fracture 0 0 0

Skelalgia 2 (10.0) 1 (4.8) 0

Toothache 2 (10.0) 0 0

Weight gain 0 0 0

Allergy 0 1 (4.8) 0

Data are n (%) of intention-to-treat population

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