Determinants of response to the glucagon-like peptide-1 receptor agonists in a type 2 diabetes population in the real-world.
Prim Care Diabetes
; 16(6): 810-817, 2022 12.
Article
em En
| MEDLINE
| ID: mdl-36336605
ABSTRACT
AIMS:
To identify clinical predictors associated with a response in terms of glycemic control and weight loss in patients with type 2 diabetes treated with glucagon-like peptide-1 receptor agonists (GLP-1RAs).METHODS:
A retrospective observational study was performed with real-world databases in primary care. Patients with type 2 diabetes-initiated treatment with GLP-1RAs during the study period, and response to GLP-1RAs were determined six months from treatment initiation. An optimal glycated hemoglobin (HbA1c) or weight response was defined as a reduction of ≥ 1% or ≥ 3%, respectively. A "great" response was defined as both an optimal HbA1c and weight response. Bivariate and multivariate analyses with intention-to-treat were performed.RESULTS:
A sample of 2944 patients with type 2 diabetes was recruited. Higher HbA1c at baseline was the main clinical predictor of an optimal HbA1c response (odds ratio [OR] 2.30, 95% confidence interval [CI] 1.96-2.71 in men and OR 2.03, 95% CI 1.76-2.33 in women). Treatment without insulin at baseline was associated with a greater weight reduction in men (OR 2.50, 95% CI 1.41-4.44). Older age and a higher weight at baseline were related with this in women (OR 1.02, 95% CI 1.00-1.05 and OR 1.01, 95% CI 1.00-1.02, respectively).CONCLUSIONS:
A high HbA1c at baseline and previous non-insulin therapy were the main predictors of a greater response (optimal HbA1c and weight response) to GLP1ra in both men and women. This may aid in treatment decision-making before initiating treatment with GLP-1RAs.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Diabetes Mellitus Tipo 2
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Prim Care Diabetes
Ano de publicação:
2022
Tipo de documento:
Article