This represents a market share increase of 0.4 percentage points versus 2019. We can also look into all and more convenient delivery of various moieties and different combinations thereof. We, at our Capital Markets Day, said that we expected to at least double the obesity franchise. Sales growth was negatively impacted by fewer patients initiating treatment due to COVID-19. So there are no structural changes here in the second quarter compared to first quarter. So have a good rest of the day and stay safe out there. And then tied to that, should we assume similar trends moving forward? Please ensure that your iTunes is configured to get all the episodes, so that you dont miss any of the podcasts. Sales in the Diabetes and Obesity Care segment increased 14% at CER while that in the Biopharmaceuticals segment increased 16%. Q1 2020 Novo Nordisk A/S Earnings Call 05/06/2020 07:00 AM (EDT) NVO. Firstly, I wonder if you could give us an idea how much of those COVID savings have fallen through to the guidance and how much have been reinvested? It’s a very relevant question that we, of course, ask ourself as part of the learnings from COVID-19. Something that we’ve been looking at already for a while, but a trend that we believe will be accelerated in the years to come.Commercially, I would say, the commercial approach for us and many other pharmaceuticals is based on sales reps detailing GPs and having visits and doing sales calls. The U.S. GLP-1 market continues to grow around 30% in volume when measured quarter-over-quarter driven by once-weekly GLP-1 products. But that said, of course, there are other learnings that will take into account.So with that, thank you for attending the UBS virtual Novo Nordisk Q1 roadshow, and thank you for the interest in our company. And currently, we are also in the process of defining what of the – how and what are the better practices to anchor going forward.Our next question comes from the line of Michael Leuchten from UBS.So two questions. Revenues grew 16% year over year in DKK (up 14% at constant exchange rate [CER]) to $5.0 billion. It's Peter Verdult from Citi. But fundamentally, we start with the unemployment numbers in the U.S. and then clearly, there will be a negative impact from patients moving from commercial insurance to either uninsured or Medicaid insurance. Also, the way the FDA wants data analyzed is that if you have a lot of patient dropouts, missing data counts as placebo values, i.e., nonresponders. Now please turn to the next slide. We have not made any decisions on whether to pursue that or not. Second question is on the Rybelsus access, which is now at 70%. But there can be ups and downs to it. Based on the data we have at our hands, and we’ll, of course, I mean, disclose in the conferences and in major publications. Ozempic continues to increase its market share in the U.S. We note that Novo Nordisk faces stiff competition from Eli Lilly LLY and Sanofi SNY in the global insulin market. Novo Nordisk A/S Earnings Estimates and Actuals by Quarter
And given the movement of channel mix, that will also negatively impact 2021.Our next question comes from the line of Richard Vosser from JP Morgan.Just a couple of questions about high-dose sema. And so again, sort of more looking forward, given that we now have COVID to contend with, do you anticipate more slowing down of GDP growth impacting your business or potential for governments rebuilding balance sheets and they're facing debt mountain to have to reduce prices potentially a little bit more than you'd expected back then? So the 12% growth, we're looking at is above the 6% to 10% we talked about.
And then, secondly, around next steps for the PCSK9, what can we expect? Kind of both as it relates to kind of what might be perceived as increased investment in health care over the next few years, but also kind of and what it means for the social contract that the industry might have on a broad basis.
In the first six months of 2020, sales increased by 8% in Danish kroner and by 7% at constant exchange rates.
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