Evidence map›Paper›PMID 39649934›Full record

ReviewAnnals of medicine and surgery (2012)2024

Unlocking the potential of glucagon-like peptide-1 receptor agonists in revolutionizing type 2 diabetes management: a comprehensive review.

Nandan Joshi, Kanwal Mir Baloch, Shah Rukh, Abdul Moiz Khan, Fnu Muskan, Verkha Kumari, Hasher Khan, Mohd Zeeshan, Ghufran Azam, Saif Khalid and 4 more

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

14 authors.

Nandan JoshiDepartment of Internal Medicine, Surat Municipal Institute of Medical Education and Research, Surat, India.
Kanwal Mir BalochDepartment of Internal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.ORCID https://orcid.org/0009-0000-9837-7217
Shah RukhDepartment of Internal Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.ORCID https://orcid.org/0009-0001-0400-5023
Abdul Moiz KhanDepartment of Internal Medicine, Sahiwal Medical College, Sahiwal, Pakistan.ORCID https://orcid.org/0009-0002-7681-963X
Fnu MuskanDepartment of Internal Medicine, Khairpur Medical College, Khairpur, Pakistan.ORCID https://orcid.org/0009-0000-8173-9576
Verkha KumariDepartment of Internal Medicine, Liaquat National Hospital and Medical College, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-0196-3346
Hasher KhanDepartment of Internal Medicine, Dow Medical College, Karachi, Pakistan.ORCID https://orcid.org/0009-0004-6700-3019
Mohd ZeeshanDepartment of Internal Medicine, Career Institute of Medical Sciences and Hospital, Lucknow, India.ORCID https://orcid.org/0000-0001-8087-7133
Ghufran AzamDepartment of Internal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.ORCID https://orcid.org/0009-0001-0290-6610
Saif KhalidDepartment of Internal Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.ORCID https://orcid.org/0000-0002-4419-2273
Insa Binte AnwarDepartment of Internal Medicine, Liaquat National Hospital and Medical College, Karachi, Pakistan.ORCID https://orcid.org/0009-0004-7937-9320
Iqra Furqan AhmedDepartment of Internal Medicine, Liaquat National Hospital and Medical College, Karachi, Pakistan.ORCID https://orcid.org/0009-0006-1123-1228
Syeed Mahmud NishatDepartment of Internal Medicine, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh.ORCID https://orcid.org/0009-0004-8649-0828
Fenil GandhiDepartment of Family Medicine, PGY2, Lower Bucks Hospital, Bristol, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetes mellitus (DM) is a long-term metabolic disorder caused by inadequate production and resistance to insulin. The prevalence of DM is rapidly increasing, with type 2 diabetes (T2D) accounting for more than 90% of cases. Despite new treatments, many patients with T2D do not meet their glycemic targets due to clinical inertia. This review provides an overview of glucagon-like peptide 1 receptor agonists (GLP-1 RAs) in the management of T2D. The review synthesizes data from clinical trials and meta-analyses on the efficacy, safety, and cost-effectiveness of GLP-1 RAs. It also discusses the mechanisms of action, classification, and barriers to adherence and persistence in therapy. GLP-1 RAs improve glycemic control by lowering A1C levels and promoting weight loss. They have cardioprotective effects and may reduce endothelial inflammation, oxidative stress, and blood pressure. Adherence to GLP-1 RAs is better with once-weekly injections, though gastrointestinal side effects and cost can affect persistence. Semaglutide and liraglutide have shown significant weight reduction, with semaglutide being particularly effective. GLP-1 RAs are cost-effective due to reduced healthcare costs associated with fewer hospitalizations and lower mortality rates. Safety concerns include gastrointestinal issues, pancreatitis, and rare cases of diabetic retinopathy and thyroid C-cell tumors. For clinical practice, GLP-1 RAs represent a valuable option not only for glycemic control but also for weight management and cardiovascular protection. Incorporating GLP-1 RAs into treatment plans can improve patient outcomes, and optimizing dosing regimens and addressing barriers such as cost and side effects are crucial to enhancing patient adherence and long-term treatment success.

Indexed as

glucagon-like peptide-1 receptor agonistsglycemic controlinjectable glucagon-like peptide-1 receptor agoniststype 2 diabetesweight loss

Identifiers

PMID39649934
PMCPMC11623894

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.