Alkhalifah M, Afsar H, Shams A, Blaibel D, Chandrabalan V, Pappachan JM. Semaglutide for the management of diabesity: The real-world experience. World J Methodol 2024; 14(3): 91832 [PMID: 39310241 DOI: 10.5662/wjm.v14.i3.91832]
Corresponding Author of This Article
Joseph M Pappachan, MD, FRCP, Academic Editor, Consultant Endocrinologist, Professor, Department of Endocrinology and Metabolism, Lancashire Teaching Hospitals NHS Trust, Sharoe Green Lane, Preston PR2 9HT, United Kingdom. drpappachan@yahoo.co.in
Research Domain of This Article
Endocrinology & Metabolism
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Methodol. Sep 20, 2024; 14(3): 91832 Published online Sep 20, 2024. doi: 10.5662/wjm.v14.i3.91832
Table 1 Baseline characteristics of 106 type 2 diabetes mellitus patients treated with semaglutide
Attributes
Male
Female
All
Reference value (if applicable)
Mean
(SD)
Mean
(SD)
Mean
(SD)
Patient age (years)
60.88
(10.04)
60.64
(12.43)
60.76
(11.18)
Systolic blood pressure (mm Hg)
140.43
(18.42)
136.79
(15.18)
138.86
(17.02)
Diastolic blood pressure (mm Hg)
80.32
(10.82)
71.32
(10.62)
76.45
(11.56)
Patient baseline weight (kg)
111.45
(21.07)
109.05
(28.63)
110.36
(24.56)
Patient baseline HbA1c (mmol/mol)
84.18
(22.20)
79.46
(19.40)
81.96
(20.96)
20-41 mmol/mol
Serum creatinine (μmol/L)
101.16
(53.98)
75.33
(37.18)
89.34
(48.52)
Male: 59-104 μmol/L; Female: 45-84 μmol/L
Urine ACR (mg/mmol)
21.96
(38.26)
28.74
(58.59)
24.97
(47.81)
Male: < 2.5 mg/mmol; Female: < 3.5 mg/mmol
Total cholesterol (mmol/L)
4.10
(1.47)
4.53
(1.16)
4.29
(1.35)
< 5.01 mmol/L
HDL (mmol/L)
1.07
(0.34)
1.16
(0.36)
1.11
(0.35)
> 1 mmol/L
Triglyceride (mmol/L)
4.82
(5.79)
5.02
(2.62)
4.89
(4.60)
< 2.3 mmol/L
ALT (U/L)
25.50
(15.04)
23.73
(11.17)
24.69
(13.33)
0-33 U/L
Table 2 Treatment patients received for type 2 diabetes mellitus before initiation of semaglutide therapy
Medication
Total patients
Percentage (%)
Metformin
74
69.8
SGLT2 inhibitors
55
51.9
Sulfonylureas
27
25.5
Pioglitazone
7
6.6
Meglitinides
1
0.9
DPP4 inhibitors
6
5.7
Insulin
74
69.8
Anti-obesity medications
1
0.9
Table 3 Patients’ glycated hemoglobin before and after treatment with semaglutide
Attributes
Male
Female
All
Reference value (if applicable)
Mean
(SD)
Mean
(SD)
Mean
(SD)
Patient baseline HbA1c (mmol/mol)
84.18
(22.20)
79.46
(19.40)
81.96
(20.96)
20-41 mmol/mol
HbA1c after 6 months (mmol/mol)
68.52
(21.06)
67.02
(15.66)
67.79
(18.53)
20-41 mmol/mol
HbA1c after 1 yr (mmol/mol)
71.42
(21.94)
63.27
(17.48)
66.91
(19.88)
20-41 mmol/mol
Latest HbA1c (mmol/mol)
72.98
(25.60)
68.2
(19.80)
70.73
(23.04)
20-41 mmol/mol
Table 4 Effect of semaglutide on glycemic control (glycated hemoglobin)
HbA1c
Mean
SD
df
Sig. (2-tailed) P value
HbA1c baseline to 6 month
12.31
17.926
47
0.000
HbA1c baseline to 1 yr
14.456
19.428
47
0.000
HbA1c baseline to latest
9.644
20.174
47
0.002
Table 5 Patient body weight before and after treatment with semaglutide
Attributes
Male
Female
All
Mean
(SD)
Mean
(SD)
Mean
(SD)
Patient baseline weight (kg)
111.45
(21.07)
109.05
(28.63)
110.36
(24.56)
Weight after 6 months (kg)
100.19
(20.98)
100.39
(38.57)
100.27
(29.13)
Weight after 1 year (kg)
102.10
(25.96)
98.07
(25.35)
99.86
(24.94)
Latest weight (kg)
101.74
(18.21)
90.21
(22.93)
96.82
(22.88)
Table 6 Daily insulin requirement before and after treatment with semaglutide
Attributes
Male
Female
All
Mean
(SD)
Mean
(SD)
Mean
(SD)
Daily insulin dose baseline (units)
106.00
(83.59)
81.89
(58.48)
95.02
(74.02)
Daily insulin dose latest (units)
92.2
(62.86)
62.14
(46.21)
76.45
(56.17)
Citation: Alkhalifah M, Afsar H, Shams A, Blaibel D, Chandrabalan V, Pappachan JM. Semaglutide for the management of diabesity: The real-world experience. World J Methodol 2024; 14(3): 91832