Evidence map›Paper›PMID 30944827›Full record

ArticleJournal of diabetes research2019

Predictors of Effectiveness of Glucagon-Like Peptide-1 Receptor Agonist Therapy in Patients with Type 2 Diabetes and Obesity.

Alina Yu Babenko, Daria A Savitskaya, Yulia A Kononova, Aleksandra Yu Trofimova, Anna V Simanenkova, Elena Yu Vasilyeva, Evgeny V Shlyakhto

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 31 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

7 authors at 1 institution in 1 country.

Alina Yu BabenkoAlmazov National Medical Research Centre, 2 Akkuratova Street, St. Petersburg, 197341, Russia.ORCID 0000-0002-0559-697X
Daria A SavitskayaAlmazov National Medical Research Centre, 2 Akkuratova Street, St. Petersburg, 197341, Russia.ORCID 0000-0002-0434-7808
Yulia A KononovaAlmazov National Medical Research Centre, 2 Akkuratova Street, St. Petersburg, 197341, Russia.ORCID 0000-0002-6531-767X
Aleksandra Yu TrofimovaAlmazov National Medical Research Centre, 2 Akkuratova Street, St. Petersburg, 197341, Russia.
Anna V SimanenkovaAlmazov National Medical Research Centre, 2 Akkuratova Street, St. Petersburg, 197341, Russia.ORCID 0000-0003-3300-1280
Elena Yu VasilyevaAlmazov National Medical Research Centre, 2 Akkuratova Street, St. Petersburg, 197341, Russia.ORCID 0000-0002-2115-8873
Evgeny V ShlyakhtoAlmazov National Medical Research Centre, 2 Akkuratova Street, St. Petersburg, 197341, Russia.
Federal Almazov North-West Medical Research Centre · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleIt is well known that diabetes mellitus (DM) exacerbates the mechanisms underlying atherosclerosis. Currently, glucagon-like peptide-1 receptor agonists (aGLP-1) have one of the most prominent cardioprotective effects among the antidiabetic agents. However, the treatment with aGLP-1 is effective only in 50-70% of the cases. Taking into account the high cost of these medications, discovery of the predictors of optimal response to treatment is required. PURPOSE: To identify the predictors of the greater impact of aGLP-1 on HbA1c levels, weight reduction, and improvement in lipid profile.

methodsThe study group consisted of 40 patients with type 2 DM (T2DM) and obesity who were treated with aGLP-1. The follow-up period was 24 weeks. Patients' evaluation was conducted at baseline and after 24 weeks. In addition, it included the assessment of the hormones involved in glucose and lipid metabolism and appetite regulation.

resultsPatients who have initially higher BMI (body mass index), glycemia, and triglycerides (TG) had better improvement in these parameters undergoing aGLP-1 treatment. In patients with a BMI loss ≥ 5%, GLP-1 and fasting ghrelin levels were higher and ghrelin level in postnutritional status was lower. The HbA1c levels decreased more intensively in participants with higher GLP-1 levels. TG responders had lower baseline fasting glucose-dependent insulinotropic peptide (GIP) and postprandial ghrelin levels.

conclusionThe evaluation of the glycemic control, lipid profile, and GLP-1, GIP, and ghrelin levels are useable for estimating the expected efficacy of aGLP-1.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsAdultAgedAtherosclerosisBiguanidesBlood GlucoseBlood PressureBody Mass IndexDiabetes Mellitus, Type 2FemaleGhrelinGlucagon-Like Peptide-1 ReceptorGlycated HemoglobinHumansHypoglycemic AgentsInsulinBiguanidesBlood GlucoseGhrelinGLP1R protein, humanGlucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsGlycated HemoglobinHypoglycemic AgentsInsulinLipidsSulfonylurea CompoundsTriglycerides

Identifiers

PMID30944827
PMCPMC6421820
OpenAlexW2919951965

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.