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2型糖尿病患者的贫血风险及缓解策略:新型抗糖尿病药物的作用

Anemia risk and mitigation strategies in type 2 diabetic patients: The role of novel antidiabetic agents.

作者信息

Meliš Petra, Cigrovski Berkovic Maja

机构信息

Department for Endocrinology, Diabetes and Clinical Pharmacology, Clinical Hospital Dubrava, Zagreb 10000, Croatia.

Department for Sport and Exercise Medicine, University of Zagreb Faculty of Kinesiology, Zagreb 10000, Croatia.

出版信息

World J Diabetes. 2025 May 15;16(5):105549. doi: 10.4239/wjd.v16.i5.105549.

Abstract

Anemia is a common yet often overlooked complication in patients with type 2 diabetes mellitus (T2DM), particularly those with chronic kidney disease. It significantly impacts patients' quality of life, cardiovascular health, and treatment outcomes. Despite its high prevalence, current clinical guidelines lack specific recommendations for anemia prevention and management in T2DM, especially in the context of newer antidiabetic therapies. This review explores the potential of emerging antidiabetic medications, such as sodium-glucose cotransporter-2 inhibitors, glucagon-like peptide-1 receptor agonists (GLP-1 RAs), and combined GLP-1-RA/GIP to mitigate anemia risk. Early detection and management of anemia in T2DM patients are crucial for improving glycemic control, reducing cardiovascular morbidity, and enhancing overall treatment outcomes. This review underscores the need for further research to better understand the mechanisms by which these novel therapies influence anemia risk and to integrate these findings into clinical practice.

摘要

贫血是2型糖尿病(T2DM)患者中常见但常被忽视的并发症,尤其是那些患有慢性肾脏病的患者。它会显著影响患者的生活质量、心血管健康和治疗效果。尽管贫血患病率很高,但目前的临床指南缺乏针对T2DM患者贫血预防和管理的具体建议,特别是在新型抗糖尿病治疗的背景下。本综述探讨了新型抗糖尿病药物的潜力,如钠-葡萄糖协同转运蛋白2抑制剂、胰高血糖素样肽1受体激动剂(GLP-1 RAs)以及GLP-1-RA/GIP联合用药,以降低贫血风险。T2DM患者贫血的早期检测和管理对于改善血糖控制、降低心血管发病率和提高整体治疗效果至关重要。本综述强调需要进一步研究,以更好地理解这些新型疗法影响贫血风险的机制,并将这些研究结果应用于临床实践。

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