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度拉糖肽对2型糖尿病患者血糖和体重控制的影响。

The effect of Dulaglutide on glycemic and weight control in patients with type 2 diabetes.

作者信息

Ruda Alexandru Ioan, Ciobanu Dana Mihaela, Inceu Georgeta, Rusu Adriana, Roman Gabriela

机构信息

Faculty of Medicine, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Diabetes and Nutrition Diseases Department, Faculty of Medicine, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

出版信息

Med Pharm Rep. 2023 Jan;96(1):52-57. doi: 10.15386/mpr-2425. Epub 2023 Jan 25.

Abstract

BACKGROUND AND AIMS

The objectives of type 2 diabetes treatment are to achieve adequate long-term glycemic control and to reduce the risk associated with comorbidities and complications. Once-weekly Dulaglutide showed a reduction in cardiovascular risk associated with diabetes in addition to improved glycemic control and bodyweight reduction in several clinical trials. We aimed to investigate the effect of Dulaglutide 1.5 mg on glycemic and weight control in type 2 diabetes patients inadequately controlled by antihyperglycemic treatment in real-world clinical practice.

METHODS

We retrospectively reviewed the medical records of 50 patients with type 2 diabetes inadequately controlled by previous treatment and newly initiated on Dulaglutide. The data were collected at 6 months (n=50) and 12 months (n=40) after Dulaglutide therapy initiation.

RESULTS

Dulaglutide treatment resulted in significant improvement of glycated hemoglobin (-1.3 %; p<0.001) after 6 months and after 12 months (-2.0 %; p<0.001). Significant bodyweight reduction was found after 6 months (-2.0 kg; p=0.002) and 12 months (-3.5 kg; p=0.001) of Dulaglutide treatment initiation. In addition, a reduction in insulin dose was observed.

CONCLUSIONS

Our clinical data showed that Dulaglutide 1.5 mg significantly improved glycemic and bodyweight control at 6 and 12 months after treatment initiation in patients with type 2 diabetes inadequately controlled by previous antihyperglycemic treatment.

摘要

背景与目的

2型糖尿病治疗的目标是实现长期血糖的充分控制,并降低合并症和并发症相关风险。在多项临床试验中,每周一次的度拉糖肽除改善血糖控制和减轻体重外,还显示出降低糖尿病相关心血管风险的作用。我们旨在调查在现实临床实践中,1.5毫克度拉糖肽对经降糖治疗血糖控制不佳的2型糖尿病患者的血糖和体重控制效果。

方法

我们回顾性分析了50例经前期治疗血糖控制不佳且新开始使用度拉糖肽的2型糖尿病患者的病历。在开始度拉糖肽治疗后的6个月(n = 50)和12个月(n = 40)收集数据。

结果

度拉糖肽治疗6个月后糖化血红蛋白显著改善(-1.3%;p < 0.001),12个月后同样显著改善(-2.0%;p < 0.001)。开始度拉糖肽治疗6个月后体重显著减轻(-2.0千克;p = 0.002),12个月后体重进一步显著减轻(-3.5千克;p = 0.001)。此外,还观察到胰岛素剂量减少。

结论

我们的临床数据表明,对于经前期降糖治疗血糖控制不佳的2型糖尿病患者,1.5毫克度拉糖肽在治疗开始后的6个月和12个月可显著改善血糖和体重控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b62/9924803/1ee7dfc04358/cm-96-52f1.jpg

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