Independent glucose and weight-reducing effects of Liraglutide in a real-world population of type 2 diabetic outpatients

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• 作者：Gian Paolo Fadini (1)
  Natalino Simioni (2)
  Vera Frison (2)
  Michela Dal Pos (2)
  Michela Bettio (2)
  Paola Rocchini (2)
  Angelo Avogaro (1)
  
• 关键词：GLP ; 1 ; Incretin ; Metabolic syndrome ; Obesity ; Therapy
• 刊名：Acta Diabetologica
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：50
• 期：6
• 页码：943-949
• 全文大小：
• 作者单位：Gian Paolo Fadini (1)
  Natalino Simioni (2)
  Vera Frison (2)
  Michela Dal Pos (2)
  Michela Bettio (2)
  Paola Rocchini (2)
  Angelo Avogaro (1)
  
  1. Department of Medicine, University Hospital of Padova, Via Giustiniani, 2, 35100, Padua, Italy
  2. Division of General Medicine, Diabetology Service, ULSS15 Veneto Region, Cittadella, Italy
  
• ISSN：1432-5233

文摘

The GLP-1 receptor agonist Liraglutide is effective in reducing HbA1c in type 2 diabetic (T2D) patients. In addition, treatment with Liraglutide is associated with significant weight loss. In this study, we analyzed the inter-relationships between glycemic and weight effects of Liraglutide treatment in a population of type 2 diabetic outpatients. T2D patients initiating Liraglutide therapy since September 2010 to July 2012 at 3 outpatient clinics were enrolled and followed-up. We collected baseline information about anthropometric data, cardiovascular risk factors, diabetes duration, prevalence of complications and history of anti-diabetic medications. We collected HbA1c and body weight at baseline and every 4months. A total of 166 patients were included, who were on average 56.68.9 (meanSD) years old and had a baseline HbA1c of 8.71.3% and BMI 36.36.4kg/m2. Mean follow-up was 9.44.2months (range 46). Patients lost on average 1.51.3% HbA1c and 4.05.0kg body weight. Most patients (73.5%) improved HbA1c and loosed weight. Significant independent determinants of HbA1c drop were baseline HbA1c (r=0.673; p<0.001) and previous insulin therapy (r=0.251; p<0.001). The only independent determinant of weight loss was baseline BMI (r=0.429; p<0.001). Drop in HbA1c was unrelated to baseline BMI or weight loss. Weight loss was unrelated to baseline HbA1c or drop in HbA1c. Glycemic improvement and weight reduction obtained with Liraglutide treatment in T2D patients in a real-world setting are independent and possibly mediated by different mechanisms.