BACKGROUND Currently,the lack of comparative studies between weekly and daily formulations of glucagon-like peptide-1 receptor agonists(GLP-1RAs)for glucose excursion is worth investigation.AIM To investigate the effe...BACKGROUND Currently,the lack of comparative studies between weekly and daily formulations of glucagon-like peptide-1 receptor agonists(GLP-1RAs)for glucose excursion is worth investigation.AIM To investigate the effects of weekly and daily formulations of GLP-1RA on glucose excursion and inflammation in overweight and obese patients with type 2 diabetes.METHODS Seventy patients with type 2 diabetes mellitus who were treated at our hospital between January 2019 and January 2022 were enrolled in this retrospective analysis.All patients were treated with metformin.We evaluated changes in blood glucose levels and a series of important indicators in patients before and after treatment with either a weekly or daily preparation of GLP-1RA(group A;n=33 and group B;n=37).RESULTS The degree of decrease in the levels of fasting blood glucose,mean blood glucose,mean amplitude of glycemic excursions,total cholesterol,triglycerides,tumor necrosis factor-α,interleukin-6,and high-sensitivity C-reactive protein after treatment in group A was higher than that in group B(P<0.05),whereas the 2-h postprandial blood glucose levels decreased more so in group B than in group A(P<0.001).However,there were no statistically significant differences in the levels of glycated hemoglobin,standard deviation of blood glucose,coefficient of variation,absolute mean of daily differences,percentage of time with 3.9 mmol/L<glucose<10 mmol/L,and high-and low-density lipoproteins between the two groups(P>0.05).The incidence of adverse reactions was significantly lower in group A than in group B(P<0.05).CONCLUSION The effect of the weekly preparation of GLP-1RA in controlling blood glucose levels in the patients,suppressing inflammation,and reducing adverse reactions was significantly higher than that of the daily preparations,which is worthy of clinical promotion.展开更多
BACKGROUND The Zhejiang University(ZJU)index has been demonstrated to have notable value in predicting metabolic dysfunction-associated steatotic liver disease(MASLD)within Chinese populations.However,the correlation ...BACKGROUND The Zhejiang University(ZJU)index has been demonstrated to have notable value in predicting metabolic dysfunction-associated steatotic liver disease(MASLD)within Chinese populations.However,the correlation between the ZJU index and MASLD in type 2 diabetes mellitus(T2DM)patients remains to be elucidated.AIM To investigate the association between the ZJU index and MASLD among patients with T2DM.METHODS This cross-sectional study was conducted on hospitalised patients diagnosed with T2DM.Anthropometric measurements,laboratory data,and ultrasound results were initially collected from all patients.The ZJU index was subsequently calculated.Regression analysis was then used to explore risk factors affecting MASLD,and the optimal ZJU index cut-off value for diagnosing MASLD was determined using restricted cubic spline analysis.Finally,a new model for predicting MASLD in T2DM patients based on the ZJU index was constructed.This model was based on the risk factors identified by regression analysis,and the area under curve values were calculated.The validity and reliability of the models were then compared with each other.RESULTS A total of 688 patients with T2DM were included in this study.A significant positive correlation was identified between the ZJU index and the development of MASLD.Furthermore,the results of the restricted cubic spline analysis showed a non-linear association between ZJU index and MASLD.The ZJU value of 38.87 was identified as the key threshold for diagnosing MASLD.The new predictive model,which was developed by regression analysis,demonstrated a higher diagnostic value for MASLD and exhibited good accuracy in comparison with metabolic indices alone(area under curve=0.76,95%confidence interval:0.72-0.80).CONCLUSION The ZJU index has been shown to be linked to the risk of developing MASLD,and the new model constructed has been shown to possess good predictive value.展开更多
基金the Clinical Research and Cultivation Plan Project of the Second Affiliated Hospital of Anhui Medical University,No.2021LCYB17.
文摘BACKGROUND Currently,the lack of comparative studies between weekly and daily formulations of glucagon-like peptide-1 receptor agonists(GLP-1RAs)for glucose excursion is worth investigation.AIM To investigate the effects of weekly and daily formulations of GLP-1RA on glucose excursion and inflammation in overweight and obese patients with type 2 diabetes.METHODS Seventy patients with type 2 diabetes mellitus who were treated at our hospital between January 2019 and January 2022 were enrolled in this retrospective analysis.All patients were treated with metformin.We evaluated changes in blood glucose levels and a series of important indicators in patients before and after treatment with either a weekly or daily preparation of GLP-1RA(group A;n=33 and group B;n=37).RESULTS The degree of decrease in the levels of fasting blood glucose,mean blood glucose,mean amplitude of glycemic excursions,total cholesterol,triglycerides,tumor necrosis factor-α,interleukin-6,and high-sensitivity C-reactive protein after treatment in group A was higher than that in group B(P<0.05),whereas the 2-h postprandial blood glucose levels decreased more so in group B than in group A(P<0.001).However,there were no statistically significant differences in the levels of glycated hemoglobin,standard deviation of blood glucose,coefficient of variation,absolute mean of daily differences,percentage of time with 3.9 mmol/L<glucose<10 mmol/L,and high-and low-density lipoproteins between the two groups(P>0.05).The incidence of adverse reactions was significantly lower in group A than in group B(P<0.05).CONCLUSION The effect of the weekly preparation of GLP-1RA in controlling blood glucose levels in the patients,suppressing inflammation,and reducing adverse reactions was significantly higher than that of the daily preparations,which is worthy of clinical promotion.
基金Supported by Health Research Program of Anhui,No.AHWJ2023BAc10010Clinical and Translational Research Project of Anhui Province,No.202427b10020078。
文摘BACKGROUND The Zhejiang University(ZJU)index has been demonstrated to have notable value in predicting metabolic dysfunction-associated steatotic liver disease(MASLD)within Chinese populations.However,the correlation between the ZJU index and MASLD in type 2 diabetes mellitus(T2DM)patients remains to be elucidated.AIM To investigate the association between the ZJU index and MASLD among patients with T2DM.METHODS This cross-sectional study was conducted on hospitalised patients diagnosed with T2DM.Anthropometric measurements,laboratory data,and ultrasound results were initially collected from all patients.The ZJU index was subsequently calculated.Regression analysis was then used to explore risk factors affecting MASLD,and the optimal ZJU index cut-off value for diagnosing MASLD was determined using restricted cubic spline analysis.Finally,a new model for predicting MASLD in T2DM patients based on the ZJU index was constructed.This model was based on the risk factors identified by regression analysis,and the area under curve values were calculated.The validity and reliability of the models were then compared with each other.RESULTS A total of 688 patients with T2DM were included in this study.A significant positive correlation was identified between the ZJU index and the development of MASLD.Furthermore,the results of the restricted cubic spline analysis showed a non-linear association between ZJU index and MASLD.The ZJU value of 38.87 was identified as the key threshold for diagnosing MASLD.The new predictive model,which was developed by regression analysis,demonstrated a higher diagnostic value for MASLD and exhibited good accuracy in comparison with metabolic indices alone(area under curve=0.76,95%confidence interval:0.72-0.80).CONCLUSION The ZJU index has been shown to be linked to the risk of developing MASLD,and the new model constructed has been shown to possess good predictive value.
