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

dc.contributor.authorLopes, António Cabral
dc.contributor.authorLourenço, Olga
dc.contributor.authorMorgado, Manuel Augusto Nunes Vicente Passos
dc.date.accessioned2024-12-11T09:42:02Z
dc.date.available2024-12-11T09:42:02Z
dc.date.issued2024
dc.description.abstractAbstract 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLopes AC, Lourenço O, Morgado M. SGLT2i and GLP1RA effects in patients followed in a hospital diabetology consultation. Expert Rev Clin Pharmacol. 2024 Nov;17(11):1081-1088. doi: 10.1080/17512433.2024.2421872pt_PT
dc.identifier.doi10.1080/17512433.2024.2421872pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.6/14947
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectCardiovascular riskpt_PT
dc.subjectGLP1 RApt_PT
dc.subjectHbA1cpt_PT
dc.subjectObesitypt_PT
dc.subjectRenal functionpt_PT
dc.subjectSGLT2ipt_PT
dc.titleSGLT2i and GLP1RA effects in patients followed in a hospital diabetology consultationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1088pt_PT
oaire.citation.issue11pt_PT
oaire.citation.startPage1081pt_PT
oaire.citation.titleExpert Review of Clinical Pharmacologypt_PT
oaire.citation.volume17pt_PT
person.familyNameLourenço
person.familyNameNunes Vicente Passos Morgado
person.givenNameOlga Maria Marques
person.givenNameManuel Augusto
person.identifierAAG-4910-2021
person.identifier.ciencia-id6618-1C4C-D1B7
person.identifier.ciencia-id7617-9FDC-2D9D
person.identifier.orcid0000-0002-8401-5976
person.identifier.orcid0000-0003-2112-2835
person.identifier.scopus-author-id55955252600
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationc890c74a-abc1-4910-aa70-f0da7b4ad902
relation.isAuthorOfPublication7c614887-225f-44d4-b467-3cc34e44a98b
relation.isAuthorOfPublication.latestForDiscoveryc890c74a-abc1-4910-aa70-f0da7b4ad902

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