A narrative review on tirzepatide’s therapeutic potential in glycemic control and cardioprotection

Jan 7, 2026Annals of medicine and surgery (2012)

Tirzepatide's potential to improve blood sugar control and heart health

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Abstract

Tirzepatide reduced glycated hemoglobin () by up to 2.5% and body weight by more than 20%.

  • Tirzepatide is a new dual receptor agonist for treating type 2 diabetes and obesity.
  • It improved cardiovascular risk factors, including blood pressure and lipid levels.
  • Patients with heart failure with preserved ejection fraction and obstructive sleep apnea experienced reductions in the apnea-hypopnea index and hospitalizations for heart failure.
  • The safety profile aligns with other GLP-1 receptor agonists, though gastrointestinal issues and potential thyroid cancer signals require monitoring.
  • Ethical concerns exist regarding off-label use and weight regain after stopping the medication.

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Key numbers

2.46%
Reduction
Reduction achieved with tirzepatide 15 mg vs. semaglutide 1 mg.
11.2 kg
Weight Loss
Average weight loss with tirzepatide 15 mg in SURPASS-2.
38%
Cardiovascular Event Reduction
Relative risk reduction in heart failure hospitalizations with tirzepatide.

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