Slide 1
Investor presentation First quarter of 2016
Shanghai – part of Cities Changing Diabetes
Investor presentation
Agenda Highlights and key events
Sales update
R&D update
Financials and outlook
First quarter of 2016
Slide 2
Investor presentation
First quarter of 2016
Slide 3
Forward-looking statements Novo Nordisk’s reports filed with or furnished to the US Securities and Exchange Commission (SEC), including the company’s Annual Report 2015 and Form 20-F, which are both filed with the SEC in February 2016 in continuation of the publication of the Annual Report 2015, and presentations made, written information released, or oral statements made, to the public in the future by or on behalf of Novo Nordisk, may contain forward-looking statements. Words such as ‘believe’, ‘expect’, ‘may’, ‘will’, ‘plan’, ‘strategy’, ‘prospect’, ‘foresee’, ‘estimate’, ‘project’, ‘anticipate’, ‘can’, ‘intend’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future operating or financial performance identify forward-looking statements. Examples of such forward-looking statements include, but are not limited to: • Statements of targets, plans, objectives or goals for future operations, including those related to Novo Nordisk’s products, product research, product development, product introductions and product approvals as well as cooperation in relation thereto • Statements containing projections of or targets for revenues, costs, income (or loss), earnings per share, capital expenditures, dividends, capital structure, net financials and other financial measures • Statements regarding future economic performance, future actions and outcome of contingencies such as legal proceedings, and • Statements regarding the assumptions underlying or relating to such statements. These statements are based on current plans, estimates and projections. By their very nature, forward-looking statements involve inherent risks and uncertainties, both general and specific. Novo Nordisk cautions that a number of important factors, including those described in this presentation, could cause actual results to differ materially from those contemplated in any forward-looking statements. Factors that may affect future results include, but are not limited to, global as well as local political and economic conditions, including interest rate and currency exchange rate fluctuations, delay or failure of projects related to research and/or development, unplanned loss of patents, interruptions of supplies and production, product recall, unexpected contract breaches or terminations, government-mandated or market-driven price decreases for Novo Nordisk’s products, introduction of competing products, reliance on information technology, Novo Nordisk’s ability to successfully market current and new products, exposure to product liability and legal proceedings and investigations, changes in governmental laws and related interpretation thereof, including on reimbursement, intellectual property protection and regulatory controls on testing, approval, manufacturing and marketing, perceived or actual failure to adhere to ethical marketing practices, investments in and divestitures of domestic and foreign companies, unexpected growth in costs and expenses, failure to recruit and retain the right employees, and failure to maintain a culture of compliance. Please also refer to the overview of risk factors in ‘Managing risks’ on p 42-43 of the Annual Report 2015. Unless required by law, Novo Nordisk is under no duty and undertakes no obligation to update or revise any forward-looking statement after the distribution of this presentation, whether as a result of new information, future events or otherwise.
Important drug information • •
Victoza® (liraglutide 1.2 mg & 1.8 mg) is approved for the management of type 2 diabetes only Saxenda® (liraglutide 3 mg) is approved in the US and EU for the treatment of obesity only
Investor presentation
First quarter of 2016
Slide 4
Highlights – First quarter of 2016 Sales development • Sales increased by 9% in local currencies and 8% in Danish kroner • USA and International Operations grew by 12% and 15% in local currencies, respectively • Victoza® increased by 15% in local currencies and continues to drive the growth of the GLP-1 market • Biopharm increased by 15% in local currencies, driven by non-recurring rebate adjustments for Norditropin® in the US • New-generation insulin now accounts for 17% share of growth in local currencies Research and Development • Victoza® significantly reduces the risk of major adverse cardiovascular events in the LEADER trial • Tresiba® shows lower rate of hypoglycaemia than insulin glargine U100 in SWITCH trials in people with type 1 and 2 diabetes • Semaglutide significantly reduces the risk of major adverse cardiovascular events in the SUSTAIN 6 trial Financials • Adjusted operating profit1 increased by 10% in local currencies and 9% in Danish kroner • Diluted earnings per share decreased by 2% to 3.71 DKK per share, adjusted for the partial divestment of NNIT it increased by 23% • 2016 financial outlook: • Sales growth is still expected to be 5-9% measured in local currencies (around 3% lower as reported) • Adjusted operating profit growth is still expected to be 5-9% measured in local currencies (around 4% lower as reported)
1
Adjusted operating profit accounts for partial divestment of NNIT and out-licensing of assets for inflammatory disorders, both in 2015
Investor presentation
Slide 5
First quarter of 2016
USA is the main contributor to sales growth Sales as reported – First quarter of 2016
Local currencies
Pacific +7% Region China +1%
8%
13%
Europe +1%
Growth
Share of growth
12%
64%
1%
3%
15%
23%
Region China
3%
4%
Pacific2
7%
6%
Total sales
9%
100%
USA Europe
11% International Operations +3%
Growth analysis – First quarter of 2016
50%
USA +14%
18%
International Operations1
Sales of DKK 27.2 billion (+8%)
Note: New regional structure as of Q1 2016 1 Excludes Oceania 2 Comprises Japan, Korea, Canada and Oceania
Investor presentation
Slide 6
First quarter of 2016
Sales growth is driven by Victoza® and new-generation insulin Sales as reported – First quarter of 2016 Norditropin® +32%
Haemophilia +4%
Other +15%
Growth analysis – First quarter of 2016 Local currencies
Growth
Share of growth
136%
17%
Modern insulin
3%
15%
Human insulin
(3%)
(4%)
Victoza®
15%
27%
Other diabetes and obesity care2
16%
9%
Diabetes and obesity care
7%
64%
Haemophilia3
4%
4%
32%
27%
15%
5%
15%
36%
9%
100%
New-generation
4% 3% 9% 7%
11% 10%
77% 79%
Diabetes and obesity care +6%
insulin1
Norditropin® Other
biopharmaceuticals4
Biopharmaceuticals
Sales of DKK 27.2 billion (+8%)
Total Comprises and Primarily NovoNorm®, needles and Saxenda® Comprises NovoSeven®, NovoEight® and NovoThirteen® 4 Primarily Vagifem® and Activelle® 1 2
Note: Norditropin® Q1 sales growth is derived primarily from USA reflecting a positive non-recurring adjustment to rebates in the Medicaid patient segment
3
Tresiba®,
Ryzodeg®
Xultophy®
Investor presentation
Slide 7
First quarter of 2016
Victoza® maintains leadership in the faster growing US GLP-1 market
Thousands
US GLP-1 market development MAT GLP-1 TRx (000) 7,000
Growth rate
Total TRx
US GLP-1 market shares
MAT volume growth rate 35%
GLP-1 TRx market share 100%
6,000
30%
5,000
25%
4,000
20%
60%
3,000
15%
40%
2,000
10%
1,000
5%
0
0%
Mar 2013
Source: IMS NPA MAT, March 2016
Mar 2016
Victoza® albiglutide
exenatide dulaglutide
80% 54%
21% 20% 0%
16% Mar 2013
Source: IMS NPA MAT, March 2016
9% Mar 2016
Investor presentation
Slide 8
First quarter of 2016
Roll-out of new-generation insulin portfolio is progressing Key launch observations • Tresiba® launched in 43 countries with solid penetration in markets with similar reimbursement as insulin glargine • Ryzodeg® commercially launched in Mexico, India, Bangladesh, Japan and now Russia • Xultophy® launched in Switzerland, Germany, the United Kingdom, Sweden and now Hungary
Tresiba® value share of basal insulin segment in selected countries, excl US Switzerland Japan Mexico Spain
Netherlands Sweden Denmark
UK Argentina Brazil
India Greece Italy
34%
35% 30%
25%
25%
28%
27%
20%
16%
15% 10%
7%
5%
15% 13% 13% 6%
8%
3%
4%
0% 0
4
8
12
16
20
24
Months from launch Note: Limited IMS coverage in India Source: IMS Monthly value figures, February 2016
28
32
36 36
Investor presentation
First quarter of 2016
Slide 9
Encouraging uptake of Tresiba® in the US Weekly US NBRx volume market shares Basal NBRx MS 50%
Tresiba®
Levemir® glargine U100
Tresiba® launched in the US
NN Total Basal glargine U300 45%
40% 30%
31% 22%
20%
16%
10%
8%
0% Jan 01-01-2016 2016 Note: The graph does not show NPH, which accounts for the residual market share Source: IMS weekly data, 1 April 2016, excludes Medicaid NBRx: New-to-brand prescription counts; MS: Market share
Apr 2016
• Full commercial launch in January 2016 following specialist engagement in Q4 2015 • Total Novo Nordisk new-to-brand prescription volume market share has increased by 3.4% in 2016 in the basal segment
• Tresiba® monthly volume market share has reached 1.4% • Tresiba® U200 accounts for around two-thirds of Tresiba® prescriptions • Wide formulary access has been obtained in both Part D and commercial channels
Source: IMS weekly data, 1 April 2016, excludes Medicaid
Investor presentation
First quarter of 2016
Slide 10
Victoza® significantly reduces the risk of major adverse cardiovascular events in the LEADER trial LEADER trial design
Headline results
Standard of care + liraglutide (0.6-1.8 mg once daily) 9,340 patients with T2DM
Standard of care + placebo (daily blinded injection)
0
Key milestones
3.5-5.0 years
Key inclusion criteria • Adults above 50 years with T2DM and established cardiovascular disease, or above 60 years with multiple cardiovascular risk factors • HbA1c 7.0% T2DM: Type 2 diabetes mellitus
• Non-inferiority as well as superiority demonstrated for primary end-point of major cardiovascular events (MACE), with a statistically significant reduction • Superior reduction in cardiovascular risk was derived from all three components of the end-point (CV death, MI, stroke) • Safety and tolerability profile of liraglutide in LEADER was generally consistent with previous liraglutide studies
• 13 June 2016: Presentation of LEADER results at the American Diabetes Association 2016 conference
• H2 2016: Submission of LEADER data to regulatory authorities as part of post-approval commitments MI: Myocardial infarct
Investor presentation
Slide 11
First quarter of 2016
Tresiba® shows lower rate of hypoglycaemia than insulin glargine U100 in SWITCH trials – filing expected Q3 2016 SWITCH 2 – type 2 diabetes
SWITCH 1 – type 1 diabetes Hypoglycaemic events per 100 PYE 3,000
Hypoglycaemic events per 100 PYE -30%* 300
-11%*
2,500 2,000 1,500
250 2,463
150 -36%*
500 429
0 Severe or BG confirmed symptomatic events
glargine U100
265
200
2,201
1,000
Tresiba®
277
-35%* 92
186
-46%
100 94
50 69
Severe or BG Severe events confirmed symptomatic nocturnal events
-42%*
55
0 Severe or BG confirmed symptomatic events
Severe or BG confirmed symptomatic nocturnal events
9
5
Severe events
Note: The prevalence of hypoglycaemia is measured during the maintenance period; Blood glucose confirmed hypoglycaemia is defined as by diabetes prevalence
• The only company with a full portfolio of novel insulin products
• 27%
market share in diabetes care and solid leadership position
• Semaglutide portfolio offers expansion opportunity with both injectable and oral administration
• 46%
insulin volume market share with leadership position across all regions
• Xultophy® supports promising outlook for insulin and GLP-1 combination therapy
• 45%
modern and new-generation insulin volume market share
• Saxenda® and multiple early stage development projects hold potential within obesity
• 64%
GLP-1 value market share with strong global leadership position
• Broad pipeline within haemophilia and growth hormone disorders
Source: IMS MAT February 2016 volume and value (DKK) figures
Investor presentation
Slide 19
First quarter of 2016
Investor contact information Share information Novo Nordisk’s B shares are listed on the stock exchange in Copenhagen under the symbol ‘NOVO B’. Its ADRs are listed on the New York Stock Exchange under the symbol ‘NVO’. For further company information, visit Novo Nordisk on the internet at: novonordisk.com
Upcoming events 18 May 2016 Thematic call on Sustainability
13 Jun 2016
Investor and analyst event in connection with ADA
05 Aug 2016 Financial statement for the first six months of 2016 28 Oct 2016
Financial statement for the first nine months of 2016
02 Feb 2017
Financial statement for 2016
Investor Relations contacts Novo Nordisk A/S Investor Relations Novo Allé, DK-2880 Bagsværd Peter Hugreffe Ankersen
+45 3075 9085
[email protected]
Daniel Bohsen
+45 3079 6376
[email protected]
Melanie Raouzeos
+45 3075 3479
[email protected]
+1 609 235 8567
[email protected]
In North America: Kasper Veje
Investor presentation
Appendix
1. Novo Nordisk at a glance 2. Diabetes 3. Biopharmaceuticals 4. Financials 5. Sustainability
First quarter of 2016
Slide 20
Investor presentation
Slide 21
First quarter of 2016
Novo Nordisk at a glance Global leader in diabetes care • A focused pharmaceutical company with leading positions in diabetes, haemophilia and growth hormone
Global insulin market leadership Global insulin market share: 46% Europe: Market share 46%
• Pursuit of double digit top line growth for diabetes
Pacific: Market share 48%
care franchise driven by diabetes pandemic • Significant growth opportunities fuelled by global presence and strong R&D pipeline • High barriers to entry in biologics • Operating profit growth targeting 10%
USA: Market share 38%
Region China: Market share 55% International Operations: Market share 54%
• Earnings conversion to cash targeting 90% • Cash generated returned to shareholders Global/regional headquarter Source: IMS MAT February, 2016 volume figures
Manufacturing
R&D facility
Investor presentation
First quarter of 2016
Slide 22
Novo Nordisk works with four strategic focus areas based on five core capabilities Strategic priorities
Expand leadership in DIABETES
Establish presence in OBESITY
Core capabilities Engineering, formulating, developing and delivering proteinbased treatments
Deep disease understanding
Efficient large-scale production of proteins
Pursue leadership in HAEMOPHILIA Expand leadership in GROWTH DISORDERS The Novo Nordisk Way
Planning and executing global launches of new products
Building and maintaining a leading position in emerging markets
Driving change to defeat diabetes and other serious chronic conditions
Investor presentation
Slide 23
First quarter of 2016
Novo Nordisk has leading positions in diabetes, haemophilia and growth disorders Diabetes DKK billion
Haemophilia
Market value Novo Nordisk value market share Global market position
500
#1
50%
DKK billion 70
40%
300
30%
40
200
20%
30
CAGR1 value: 17.1%
100 0
Feb 2011
CAGR for 5-year period Source: IMS MAT February, 2016 value figures 1
Feb 2016
50
20 10% 0%
#2
60
400
Growth disorders
Market value Novo Nordisk value market share Global market position
CAGR1 value: 4.6%
10 0
FY 2011
FY 2015
DKK billion
Market value Novo Nordisk value market share Global market position
40%
32
35%
28
30%
24
30%
25%
20
25%
20%
16
20%
15%
12
10%
8
5%
4
0%
0
Note: Annual sales figures for Haemophilia A, B and inhibitor segment 1 CAGR for 5-year period Source: Company reports
35%
CAGR1 value: 3.1%
15% 10% 5%
Feb 2011
CAGR for 5-year period Source: IMS MAT February, 2016 value figures 1
40%
#1
Feb 2016
0%
Investor presentation
Slide 24
First quarter of 2016
Double digit top line growth driven by diabetes pandemic Novo Nordisk reported quarterly sales by therapy DKK billion 30
Diabetes Atlas 7th Edition projects that 642 million people will have diabetes by 2040
Diabetes and obesity Haemophilia2 Norditropin® Other Reported sales CAGR1: 11.8%
700
20
7.2%
500
15
13.0%
400
8.4%
300
12.5%
200
25
10
600
5 0
1 2
Million people
USA Region China
Europe Pacific International Operations 642
CAGR1: 7.0% 415
151
100 Q1 2006
Q1 2016
CAGR for 10-year period Haemophilia includes NovoSeven®, NovoThirteen® (as of Q1 2013) and NovoEight® (as of Q1 2014)
0
2000
2015
2040E
Note: 20-79 age group 1 CAGR for 15-year period Source: International Diabetes Federation: Diabetes Atlas 1st and 7th Edition, 2000 and 2015
Investor presentation
Slide 25
First quarter of 2016
Novo Nordisk has a strong leadership position within the growing diabetes care market Global diabetes care market by treatment class DKK billion
GLP-1
Insulin
Global diabetes care value market share OAD
400
Novo Nordisk
Sanofi
AstraZeneca
Novartis
30%
300 250
Injectables: CAGR1 20.1%
20%
CAGR1 18.5%
10%
Merck GSK 27%
Total market: CAGR1 15.2%
350
Eli Lilly Takeda
200 150 100 50 0
CAGR1 10.2% Feb 2006
CAGR for 10-year period Source: IMS Monthly MAT February, 2016 value figures
Feb 2016
0%
Feb 2006
1
Source: IMS Monthly MAT February, 2016 value figures
Feb 2016
Investor presentation
Slide 26
First quarter of 2016
Significant growth opportunities fuelled by strong R&D pipeline across all four strategic focus areas PHASE 1
PHASE 2
PHASE 3
SUBMITTED
APPROVED3
LAI287 – QW basal insulin
OI338GT – Oral insulin1
Semaglutide – QW GLP-1
Xultophy® (US)
Levemir®
OI320GT – Oral insulin
Semaglutide – QD GLP-1
OG217SC – Oral GLP-1
Faster-acting insulin aspart
NovoRapid®
NN9748 – PYY analogue
Anti-IL-21 and liraglutide
N8-GP – Long-acting rFVIII
N9-GP - Long-acting rFIX (EU)2
NovoMix®
NN1406 – Mealtime insulin
NN9709 – Dual agonist
Somapacitan – QW GH
G530L – Glucagon analogue
Semaglutide – QD GLP-1
Tresiba® Ryzodeg®
NN9838 – Amylin analogue
Xultophy® (EU)
NN9747 – PYY analogue
Victoza®
NN7415 – Concizumab
Saxenda® NovoSeven® NovoEight® NovoThirteen® Norditropin®
1 2 3
Diabetes
Haemophilia
Obesity
Growth disorders
Phase 2a proof-of-principle trial initiated in June 2015 Submitted to the to the European Medicines Agency in January 2016; Submission with the US Food and Drug Administration expected H1 2016 Approved in all triad markets (US, EU and Japan), unless noted
Investor presentation
Slide 27
First quarter of 2016
Growth opportunities supported by strong global presence in both sales and manufacturing Global manufacturing setup
FTEs in sales regions1 USA:
West Lebanon, NH, USA (~120)2
Europe:
~2,800
Kaluga, Russia (~200 FTEs)
Denmark (~9,400 FTEs)
~5,100 Biopharmaceutical API production
• • • •
Diabetes and biopharmaceutical API production Filling Moulding and assembly Packaging
• • •
Filling Assembly Packaging
Koriyama, Japan (~70 FTEs)
International Operations:
~5,300
Pacific:
~1,400
Region China: Total non-HQ/manufacturing FTEs:
1 2
~2,900 17,5001
Packaging
•
Clayton, NC, USA (~790 FTEs) • • • •
Diabetes API production Filling Assembly Packaging of above
Chartres, France (~1,100 FTEs) • • •
Filling Assembly Packaging
Montes Claros, Brazil (~910 FTEs) • • •
Filling Assembly Packaging
FTEs represent full-time employee equivalents in Novo Nordisk’s sales regions (excludes a.o. employees in headquarter, research sites and manufacturing sites) as of 31 March 2016 New Hampshire facility is currently under establishment
Tianjin, China (~1,000 FTEs) • • •
Filling Moulding and Assembly Packaging
Investor presentation
First quarter of 2016
High barriers to entry in biologics Novo Nordisk’s position is protected by patents and value chain setup Patent protection1
Unique value chain position
EU/US0
Research & Development
202922 2028/292
Manufacturing
2028/292
Commercialisation
exp 2015/1732
20234/2352
•
History of protein engineering
•
Highly efficient, flexible and capital intensive manufacturing
•
Global commercial footprint
2017/173 exp/exp
Research & Development • • •
Need to show comparability in PK/PD trials Strict regulatory requirements in EU and US Requirement for both drug and device offering
Manufacturing
2018/192
20173/173
Significant barriers to entry for biosimilar players
List is not exhaustive of all marketed Novo Nordisk products. 2 Protected by patents on the individual compounds insulin degludec and liraglutide as listed. 3 Formulation patent expiration year 4 Assuming paediatric extension 5 Saxenda patent identical to the Victoza® patent Source: Novo Nordisk
• •
Significant economies of scale with incumbents Significant up-front CAPEX requirements with slow return on investment
Commercialisation • • •
Large and fragmented target audience Cost pressure from payers On-going conversion to next generation drugs and slow market dynamics
1
PK: Pharmacokinetic, PD: Pharmacodynamic; CAPEX: Capital expenditure
Slide 28
Investor presentation
Diabetes and obesity
First quarter of 2016
Slide 29
Investor presentation
Slide 30
First quarter of 2016
Diabetes – the inability to manage blood sugar levels appropriately Facts about diabetes
Insulin secretion profile
Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces1
Type 1 diabetes: Complete insulin deficiency due to destruction of beta-cells in the pancreas Type 2 diabetes: Characterised by some degree of insulin resistance and insulin deficiency
60 Insulin (µ U/ mL)
Primary classifications2:
70
50 40 3 0 20 10 0 6:00
10:00
14:00
18:00
22:00
2:00
6:00 Time of day
Breakfast Diabetes fact sheet N˚312, WHO, October 2013 2 Polonsky et al. J Clin Invest 1988;81:442–48 1
Lunch
Dinner
Investor presentation
Slide 31
First quarter of 2016
Insulin – a hormone enabling blood sugar to enter cells Insulin enables glucose to become energy
The aim of insulin therapy is to recreate normal blood insulin profile 70
• Facilitates uptake of blood sugar into cells
Fat cell
Insulin (µ U/ mL)
60
• Inhibits glucose release from the liver
Liver
Short-lived, rapidly generated meal-related peaks (prandial)
50 40 3 0 20
Sustained Insulin profile (basal)
10
Pancreas Muscle
0 6:00
10:00
14:00
18:00
22:00
2:00
6:00 Time of day
Breakfast Polonsky et al. J Clin Invest 1988;81:442–48
Lunch
Dinner
Investor presentation
Slide 32
First quarter of 2016
Diabetes pandemic is fuelled by growing rates of obesity US CDC data on obesity and diabetes prevalence among adults 1994
2000
2013
Obesity prevalence (BMI ≥30 kg/m2)
No Data
26.0%
No Data
9.0%
Diabetes prevalence
CDC: Centers for Disease Control and Prevention Source: CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes
Investor presentation
Slide 33
First quarter of 2016
Poor diagnosis rates, lack of access to optimal treatment and poor glycaemic control remain global problems Diagnosis and optimal treatment remains a challenge – the rule of halves
The worldwide challenge of glycaemic control: Mean HbA1C in type 2 diabetes
100% All people with diabetes
Canada US Latin America
Germany Greece Italy Poland Portugal Romania Spain Sweden Turkey UK
50% 50% are diagnosed
50% have access to care
China India Japan Korea Russia
7.31 7.2%2 7.6%3
25% 12%
50% get decent care 50% 50%reach reachtarget target
7.2-9.5%4 7.3-9.3%4 7.3–7.7%5 7.9–8.7%6 7.2-9.5%4
6.7-9.2%7 7.1–9.7%7,8,4 7.7-8.3%4 7.3-8.9%4 7.9-9.7%7 7.9-9.9%7 7.6-9.2%8 7.4-8.7%7 7.6-10.6%7 7.4-8.7%9
Harris et al. Diabetes Res Clin Pract 2005;70:90–7; 2 Hoerger et.al. Diabetes Care 2008;31:81–6; 3 Lopez Stewart et al. Rev Panam Salud Publica 2007;22:12–20; 4 Valensi et al. Int J Clin Pract 2009;63(3):522-31; 5 Arai et al. J Diabetes Investig. 2012 Aug 20;3(4):396-401; 6 Ko et al. Diab Med 2007;24:55–62; 7 Oguz et al. Curr Med Res Opin 2013;29:911–20; 8 Liebl et al. Diab Ther 2012;3:e1–10; 9 Blak et al. Diab Med 2012;29:e13-20 1
Investor presentation
Slide 34
First quarter of 2016
UKPDS: Tight glycaemic control reduces risk of micro- and macrovascular complications Risk reduction by lowering HbA1c by 1%-point
Incidence risk (%)
0
Diabetesrelated death
Myocardial Microvascular infarction complications
Peripheral vascular disease
Relative risk reduction of intensive vs. conventional treatment (%) SU/Insulin SU/Insulin treated patients
–10 –14%
–20 –21%* –30 –40 –50
UKPDS 10 year follow-up: Legacy effect of tight glycaemic control
–37%* *p