Evidence map›Paper›PMID 29110406›Full record

ArticleJournal of diabetes investigation2018

Switching from low-dose thiazide diuretics to sodium-glucose cotransporter 2 inhibitor improves various metabolic parameters without affecting blood pressure in patients with type 2 diabetes and hypertension.

Tomohiko Kimura, Junpei Sanada, Masashi Shimoda, Hidenori Hirukawa, Yoshiro Fushimi, Momoyo Nishioka, Tomoe Kinoshita, Seizo Okauchi, Atsushi Obata, Kenji Kohara and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Tomohiko KimuraDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.ORCID http://orcid.org/0000-0003-3986-9494
Junpei SanadaDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Masashi ShimodaDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Hidenori HirukawaDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.ORCID http://orcid.org/0000-0002-4826-2574
Yoshiro FushimiDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Momoyo NishiokaDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Tomoe KinoshitaDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Seizo OkauchiDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Atsushi ObataDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Kenji KoharaDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Fuminori TatsumiDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Shinji KameiDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Shuhei NakanishiDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Tomoatsu MuneDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Kohei KakuDepartment of General Internal Medicine 1, Kawasaki Hospital, Kawasaki Medical School, Okayama, Japan.
Hideaki KanetoDivision of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.ORCID http://orcid.org/0000-0001-7898-1943
Kawasaki Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionSodium-glucose cotransporter 2 (SGLT2) inhibitors function to increase urinary glucose excretion and improve glycemic control in individuals with type 2 diabetes mellitus. SGLT2 inhibitors, as well as diuretics, increase urinary volume, which leads to the reduction of blood pressure. The aim of the present study was to compare the effects of SGLT2 inhibitor and thiazide diuretic on blood pressure, metabolic parameters and body mass composition. MATERIALS AND

methodsA total of 31 participants were enrolled in the present study. We switched from thiazide diuretics to an SGLT2 inhibitor, ipragliflozin, in participants with type 2 diabetes and hypertension whose blood pressure was controlled with thiazide diuretics. Three months after the switch, we evaluated the effects of such switching on blood pressure, various metabolic parameters and body mass composition.

resultsThere was no significant difference in blood pressure from baseline to 3 months later. However, glycated hemoglobin, fasting plasma glucose and uric acid were significantly decreased after the switch. Body mass index and visceral fat area were also significantly reduced after the switch. Furthermore, urinary albumin excretion was also significantly decreased after the switch.

conclusionsSwitching from thiazide diuretic to an SGLT2 inhibitor, ipragliflozin, markedly improved various metabolic parameters and body mass composition without affecting blood pressure in participants with type 2 diabetes and hypertension.

Indexed as

Sodium-Glucose Transporter 2 InhibitorsAgedBlood PressureDiabetes Mellitus, Type 2FemaleGlucosidesHumansHypertensionHypoglycemic AgentsMaleMiddle AgedSodium Chloride Symporter InhibitorsSodium-Glucose Transporter 2ThiophenesTreatment OutcomeGlucosidesHypoglycemic AgentsipragliflozinSLC5A2 protein, humanSodium Chloride Symporter InhibitorsSodium-Glucose Transporter 2Sodium-Glucose Transporter 2 InhibitorsThiophenesHypertensionSodium-glucose cotransporter inhibitorThiazide diuretics

Identifiers

PMID29110406
PMCPMC6031496
OpenAlexW2768050609

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.