Efficacy of glucagon‐like peptide‐1 receptor agonists compared to dipeptidyl peptidase‐4 inhibitors for the management of type 2 diabetes: A meta‐analysis of randomized clinical trials

Jan 25, 2018Diabetes, obesity & metabolism

How well GLP-1 receptor drugs work compared to DPP-4 inhibitors for managing type 2 diabetes: A review of clinical trials

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Abstract

A pooled analysis of 13 randomized controlled trials involving 4,330 participants showed that GLP-1 agonists provide a 0.41% greater reduction in glycated hemoglobin compared to DPP-4 inhibitors.

  • GLP-1 agonists resulted in an average weight loss of -2.15 kg compared to DPP-4 inhibitors.
  • Participants using GLP-1 agonists experienced higher rates of gastrointestinal side effects.
  • There was no increased risk of hypoglycemia associated with GLP-1 agonists compared to DPP-4 inhibitors.
  • Switching from a DPP-4 inhibitor to a GLP-1 agonist led to an additional reduction in HbA1c of -0.69%.
  • This switch also resulted in an average weight loss of -2.25 kg.

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