SGLT2i and GLP1RA effects in patients followed in a hospital diabetology consultation.

IF 3.6 3区医学 Q2 PHARMACOLOGY & PHARMACY

Expert Review of Clinical Pharmacology Pub Date : 2024-11-01 Epub Date: 2024-10-27 DOI:10.1080/17512433.2024.2421872

António Cabral Lopes, Olga Lourenço, Manuel Morgado

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引用次数: 0

Abstract

Background: We aimed to investigate the effects of sodium-glucose cotransporter 2 inhibitors (SGLT2i) and glucagon-like peptide-1 receptor agonists (GLP1RA) in patients with type 2 diabetes mellitus (T2DM) in clinical practice.

Research design and methods: A total of 340 patients were included. Data on age, gender, antidiabetic medications, and bioanalytical parameters were collected at baseline and one year later. Were analyzed estimated glomerular filtration rate (eGFR), blood sodium and potassium levels, blood pressure, weight, cardiovascular risk, and glycated hemoglobin (HbA1c).

Results: Patients treated with SGLT2i exhibited a significant improvement in eGFR at the endpoint compared to baseline (p = 0.006). Both treatment groups experienced reductions in systolic blood pressure at the endpoint; especially patients treated with SGLT2i (p = 0.0002). GLP1RA treatment resulted in a statistically significant weight reduction from baseline to endpoint (p < 0.0001), with a higher percentage of patients achieving ≥ 5% weight loss compared to the non-GLP1RA group (33.6% vs. 19.8%). Both SGLT2i and GLP1RA treatments significantly reduced cardiovascular risk scores (p = 0.004 and p = 0.002, respectively). Additionally, both treatments were associated with a significant reduction in HbA1c levels at the endpoint (p = 0.010 and p = 0.002, respectively).

Conclusions: Our findings suggest that SGLT2i and GLP1RA offer beneficial effects in patients with T2DM.

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SGLT2i 和 GLP1RA 对医院糖尿病咨询随访患者的影响。

背景：我们旨在研究钠-葡萄糖共转运体 2 抑制剂（SGLT2i）和胰高血糖素样肽-1 受体激动剂（GLP1RA）在临床实践中对 2 型糖尿病（T2DM）患者的影响：共纳入 340 例患者。研究设计和方法：共纳入 340 名患者，收集基线和一年后的年龄、性别、抗糖尿病药物和生物分析参数数据。对估计肾小球滤过率（eGFR）、血钠和血钾水平、血压、体重、心血管风险和糖化血红蛋白（HbA1c）进行了分析：结果：接受 SGLT2i 治疗的患者在终点时的 eGFR 与基线相比有显著改善（p = 0.006）。两个治疗组在终点时收缩压都有所下降，尤其是接受 SGLT2i 治疗的患者（p = 0.0002）。GLP1RA 治疗使患者体重从基线到终点均有显著下降（分别为 p = 0.004 和 p = 0.002）。此外，两种治疗方法在终点都能显著降低 HbA1c 水平（分别为 p = 0.010 和 p = 0.002）：我们的研究结果表明，SGLT2i 和 GLP1RA 可为 T2DM 患者带来益处。

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来源期刊

Expert Review of Clinical Pharmacology PHARMACOLOGY & PHARMACY-

CiteScore

7.30

自引率

2.30%

发文量

127

期刊介绍： Advances in drug development technologies are yielding innovative new therapies, from potentially lifesaving medicines to lifestyle products. In recent years, however, the cost of developing new drugs has soared, and concerns over drug resistance and pharmacoeconomics have come to the fore. Adverse reactions experienced at the clinical trial level serve as a constant reminder of the importance of rigorous safety and toxicity testing. Furthermore the advent of pharmacogenomics and ‘individualized’ approaches to therapy will demand a fresh approach to drug evaluation and healthcare delivery. Clinical Pharmacology provides an essential role in integrating the expertise of all of the specialists and players who are active in meeting such challenges in modern biomedical practice.