Comparison of the effectiveness and safety of GLP-1 receptor agonists for type 2 diabetes mellitus patients with overweight/obesity: A systematic review and network meta-analysis

Jan 19, 2025Diabetes research and clinical practice

Effectiveness and safety of GLP-1 drugs for overweight or obese people with type 2 diabetes

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Abstract

A total of 15,126 patients were analyzed across 41 randomized controlled trials evaluating Glucagon-like peptide-1 receptor agonists for type 2 diabetes with overweight/obesity.

  • Tirzepatide was effective in lowering blood glucose levels compared to placebo, with a reduction in glycated hemoglobin of -1.64 and fasting blood glucose of -2.10.
  • Patients experienced significant weight loss with Tirzepatide, showing a decrease in weight of -9.89 and a reduction in BMI of -3.85 compared to placebo.
  • No widespread improvements were noted in lipid levels, blood pressure, or pancreatic function with GLP-1 receptor agonists.
  • Adverse reactions were significant but overall deemed acceptable for GLP-1 receptor agonists.
  • Conclusions about efficacy and safety should be interpreted cautiously due to limitations in the number and quality of studies.

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