People are under intense scrutiny for
selection for type 2 diabetes drug trials. This is often done to
help obtain the results desired and Big Pharma does this to obtain
positive results for drug approval from the FDA.
Young women of childbearing age are
usually excluded. Exclusion criteria for clinical trials of type 2
medications that affect women of childbearing potential are
frequently disproportionate to risk to the participant and fetus.
This data is shown from a study published in Diabetes Care.
Clinical trials often exclude women of
childbearing potential due to concerns about adverse fetal effects of
treatment. Because of the high prevalence of diabetes among pregnant
women, researchers examined the prevalence of fertility-related
exclusion criteria in clinical trials for type 2 diabetes
medications. They sought to determine whether these criteria are an
accurate representation of type 2 diabetes drug risk.
This is why many of the women who
develop diabetes while pregnant are put on insulin rather that any
oral medications.
The next group is young people under
the age of 18 to 20 years of age. This is mainly because of the
legal process of obtaining permission for testing. The other problem
is parents that pull the young from trials for capricious reasons.
Most researchers avoid this by excluding them from trials.
The elderly are also excluded from
trials because of other comorbid conditions that researchers do not
want to deal with. Most of the time, the age excluded is 65 and
older. However, people under the age of 65 are also excluded if they
have other comorbid conditions or diseases.
Read my blog here about elderly
discrimination and why it harms the elderly. Occasionally, a study
will use limited comorbid conditions for the elderly up to the age of
74. These trials are very limited and the comorbid conditions are
also limited.
This makes many clinical trials very
discriminatory and possibly harmful to the classes of people
mentioned above. Yet, when people in these classes are diagnosed
with type 2 diabetes, the doctors prescribe the medications to people
not in the clinical trials. They do this normally on the advice of
drug reps of the companies making the drugs. The doctors are often
unaware that these classes have been excluded from the drug trials
and may be causing harm to the very patients they want to help.
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