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        <div id="content-top1">Page 3 - Diabete e Regioni</div>
        <div id="content-top2">P. 3</div>
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    <pre style="white-space:pre-line"><code>Ovviamente, questa raccolta dati ha dei limiti, come quello temporale, dal momento che Ã¨
stata eseguita nellâ€™ottobre 2018 ed alcune delle informazioni potrebbero essere cambiate. Inoltre, le
oggettive difficoltÃ  che sono state incontrate per raccogliere in breve tempo tali informazioni e,
successivamente, il tentativo di unificare i dati a livello regionale anche quando vi erano delle
importanti differenze tra una â€œAzienda Sanitariaâ€ e lâ€™altra, possono aver comportato qualche
imprecisione.

        Dâ€™altra parte, poter confrontare tra di loro le varie realtÃ  regionali su aspetti importanti di
accesso alle cure del diabete apre importanti scenari futuri in termini di studi di economia sanitaria e,
potenzialmente, di confronto tra tali diverse modalitÃ  e gli outcomes clinici raggiunti.

        Tali analisi sono tanto piÃ¹ necessarie nellâ€™ottica di identificare le migliori strategie per la
migliore cura con la minore spesa, obiettivo quanto mai ambizioso che anima le societÃ  scientifiche
che si occupano di diabete nonchÃ© le istituzioni come si Ã¨ recentemente visto a seguito della
pubblicazione dei costi per i presidi per i soggetti diabetici da parte dellâ€™autoritÃ  anticorruzione.

Gara Regionale

Tabella 2A- Farmaci ipoglicemizzanti orali e iniettivi: regioni che hanno espletato una gara
regionale

Farmaco               n % Regioni
Metformina            1/16 6.25 Umbria
Sulfaniluree          1/16 6.25 Umbria
Glinidi               1/16 6.25 Umbria
Glitazoni             2/16 12.50 Sicilia, Umbria
Acarbosio             1/16 6.25 Umbria
DPP4i                 9/16 56.25 Campania Basilicata, Lazio, Liguria, Piemonte

SGLT2i                                          Valle dâ€™Aosta, Sardegna, Sicilia, Toscana,
Dulaglutide                                     Trentino Alto Adige Veneto, Umbria
Exenatide b.i.d.      2/16 12.5 Sicilia, Umbria
Exenatide LAR         2/16 12.5 Sicilia, Umbria
Liraglutide           2/16 12.5 Sicilia, Umbria
Lixisenatide          2/16 12.5 Sicilia, Umbria
                      2/16 12.5 Sicilia, Umbria
                      2/16 12.5 Sicilia, Umbria

Tabella 2B- Insuline e associazioni GLP-1RAs+ insulina: regioni che hanno espletato una gara
regionale

Farmaco               n     %      Regioni
Insulina Lispro       5/16  31.25  Emilia Romagna, Liguria, Piemonte Valle
                                   dâ€™Aosta, Veneto, Umbria
Insulina Lispro U200  1/16  6.25   Umbria
Insulina Glulisina    1/16  6.25   Umbria
Insulina Aspart       1/16  6.25   Umbria
Insulina Fast-Aspart  1/15         Umbria
                            12.5   * farmaco non disponibile in Emilia Romagna
 Insulina Detemir     2/16         Sicilia, Umbria
SID 2019ï›™

                                                                                              3</code></pre>
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