Effect of long-acting versus short-acting glucagon-like peptide-1 receptor agonists on improving body weight and related metabolic parameters in type 2 diabetes: A head-to-head meta-analysis

Oct 31, 2023Medicine

Comparing long-acting and short-acting GLP-1 drugs for weight loss and metabolism in type 2 diabetes

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Abstract

Twelve randomized controlled trials involving 2751 patients were analyzed to compare the effects of long-acting and short-acting GLP-1 receptor agonists.

  • Long-acting GLP-1 receptor agonists led to a greater reduction in body weight compared to short-acting ones.
  • A significant improvement in glycosylated hemoglobin (HbA1c) levels was observed with long-acting GLP-1 receptor agonists.
  • Fasting plasma glucose levels decreased more with long-acting GLP-1 receptor agonists than with short-acting counterparts.
  • Long-acting GLP-1 receptor agonists were associated with a greater reduction in total cholesterol and low-density lipoprotein (LDL) levels.
  • No significant treatment differences were found for triglycerides and high-density lipoprotein (HDL) levels.

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Key numbers

-0.65
Weight Loss Reduction
Mean difference in body weight from baseline.
-0.43
HbA1c Reduction
Mean difference in HbA1c levels.
-0.77
Fasting Plasma Glucose Reduction
Mean difference in fasting plasma glucose levels.

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