Diabetes Obes Metab:钠-葡萄糖协同转运体-2抑制剂的短期和中期疗效分析!

2018-01-12 xing.T MedSci原创

由此可见,SGLT-2抑制剂具有良好的持久性效果,至少长达两年,显著优于DPP-4I。磺脲类药物在短期内有效,但长期效果欠佳。

钠-葡萄糖协同转运体-2(SGLT-2)抑制剂可减少肾小管对葡萄糖的重吸收,减少血液中的葡萄糖生产,而不刺激胰岛素的释放。近日,代谢内分泌疾病领域权威杂志Diabetes Obesity & Metabolism上发表了一篇荟萃分析文章。该荟萃分析旨在系统的收集随机试验中可用的数据,以明确SGLT-2抑制剂对血糖控制和体重指数的疗效时间。

研究人员纳入了所有的治疗持续时间至少为12周以及比较了2型糖尿病服用SGLT-2抑制剂与非SGLT-2抑制剂疗效的试验进行荟萃分析。该研究的主要的结局为SGLT-2抑制剂治疗12、24、52和104周后对糖化血红蛋白的影响,同时也收集了体重指数的数据。

在6项随机试验中,在治疗12、24、52和104周时糖化血红蛋白(HbA1c)下降率分别为0.63(0.57-0.68)、0.63(0.57-0.70)、0.66(0.57,0.74)和0.60(0.40-0.81)%。SGLT-2抑制剂显示出比二肽基肽酶-4抑制剂(DPP-4I)更有效。在治疗12周时,磺脲类药物似乎优于SGLT-2抑制剂,但在24周和52周并不如此;在104周,SGLT-2抑制剂比磺脲类药物降低糖化血红蛋白的效果更明显。SGLT-2抑制剂引起的体重减轻在安慰剂对照试验中表现出随治疗时间延长而逐渐增加。

由此可见,SGLT-2抑制剂具有良好的持久性效果,至少长达两年,显著优于DPP-4I。磺脲类药物在短期内有效,但长期效果欠佳。

原始出处:

Matteo Monami,et al. Short and medium-term efficacy of sodium glucose co-transporter-2 (SGLT-2) inhibitors: a meta-analysis of randomized clinical trials. Diabetes Obesity & Metabolism.2017. http://onlinelibrary.wiley.com/doi/10.1111/dom.13221/full

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13:31:18 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283041, encodeId=3b4d28304139, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Jan 29 02:10:41 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
    2018-05-06 jklm09
  5. 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encodeId=1b141e6047695, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Tue Jul 31 02:10:00 CST 2018, time=2018-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291098, encodeId=7ede29109831, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKdcWLjLTJBu3e8EwBibOSfO3CicIL8rP3NcFII6cPU1ibCPYbfRp7vXicxxSImo7pLR6Z8bEZB9BibZrA/0, createdBy=44b71653286, createdName=sunsmile 2017, createdTime=Mon Feb 26 13:31:18 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283041, encodeId=3b4d28304139, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Jan 29 02:10:41 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
    2018-02-06 一闲
  6. 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13:31:18 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283041, encodeId=3b4d28304139, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Jan 29 02:10:41 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=1647188, encodeId=de33164e18841, content=<a href='/topic/show?id=e9bae04003f' target=_blank style='color:#2F92EE;'>#疗效分析#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70400, encryptionId=e9bae04003f, topicName=疗效分析)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=219323401160, createdName=rebeccajiejie, createdTime=Mon Feb 05 01:10:00 CST 2018, time=2018-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1696304, encodeId=5801169630406, content=<a href='/topic/show?id=0107934e0a5' target=_blank style='color:#2F92EE;'>#转运#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93470, encryptionId=0107934e0a5, topicName=转运)], attachment=null, authenticateStatus=null, createdAvatar=null, 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13:31:18 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283041, encodeId=3b4d28304139, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Jan 29 02:10:41 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
  8. 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  9. 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encodeId=1b141e6047695, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Tue Jul 31 02:10:00 CST 2018, time=2018-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291098, encodeId=7ede29109831, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKdcWLjLTJBu3e8EwBibOSfO3CicIL8rP3NcFII6cPU1ibCPYbfRp7vXicxxSImo7pLR6Z8bEZB9BibZrA/0, createdBy=44b71653286, createdName=sunsmile 2017, createdTime=Mon Feb 26 13:31:18 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283041, encodeId=3b4d28304139, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Jan 29 02:10:41 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
    2018-02-26 sunsmile 2017

    学习了

    0

  10. 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13:31:18 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283041, encodeId=3b4d28304139, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Jan 29 02:10:41 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
    2018-01-29 1209e435m98(暂无昵称)

    学习了.谢谢分享

    0

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