A meta‐analysis comparing clinical effects of short‐ or long‐acting GLP ‐1 receptor agonists versus insulin treatment from head‐to‐head studies in type 2 diabetic patients

Oct 8, 2016Diabetes, obesity & metabolism

Comparing short- and long-acting GLP-1 treatments with insulin in type 2 diabetes patients

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Abstract

GLP-1 receptor agonists (RAs) reduced HbA1c by 0.12% more effectively than insulin in patients with type 2 diabetes.

  • Basal insulin was more effective in lowering fasting plasma glucose by 1.8 mmol/L compared to GLP-1 RAs.
  • GLP-1 RAs led to a significant weight reduction of 3.71 kg, whereas insulin did not.
  • The occurrence of hypoglycaemic episodes was 34% lower in patients using GLP-1 RAs than those on insulin.
  • Systolic blood pressure decreased and heart rate increased with GLP-1 RAs.
  • GLP-1 RAs significantly lowered triglycerides and LDL cholesterol levels.
  • Long-acting GLP-1 RAs were more effective than short-acting ones in reducing HbA1c and fasting glucose.

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