Efficacy of metformin combined with liraglutide on the glucose and lipid metabolism, vascular endothelial function, and oxidative stress of patients with T2DM and metabolic syndrome

This study evaluates the impact of metformin combined with liraglutide on the glucose and lipid metabolism, oxidative stress, and vascular endothelium of patients with type-2 diabetes mellitus (T2DM) and metabolic syndrome. Medical records of 78 patients with T2DM and metabolic syndrome, admitted to...

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Veröffentlicht in:Pakistan journal of medical sciences 2024-02, Vol.40 (1Part-I), p.26-30
1. Verfasser: Liu, Zaisheng
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description This study evaluates the impact of metformin combined with liraglutide on the glucose and lipid metabolism, oxidative stress, and vascular endothelium of patients with type-2 diabetes mellitus (T2DM) and metabolic syndrome. Medical records of 78 patients with T2DM and metabolic syndrome, admitted to Caoxian People's Hospital from July 2021 to July 2022, were retrospectively analysed. Thirty five patients were treated with metformin (control group), and 43 patients were treated with metformin combined with liraglutide (observation group). Indexes of glucose and lipid metabolism, function of vascular endothelium and the oxidative stress of both groups were compared before and after the treatment. There was a significant decrease in the levels of fasting plasma glucose (FPG), Glycosylated Hemoglobin A1c (HbA1c), triglyceride (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), systolic blood pressure (SBP), diastolic blood pressure (DBP) and waist circumference in both groups three months after the treatment, These indexes were significantly lower in the observation group compared to the control group (
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Medical records of 78 patients with T2DM and metabolic syndrome, admitted to Caoxian People's Hospital from July 2021 to July 2022, were retrospectively analysed. Thirty five patients were treated with metformin (control group), and 43 patients were treated with metformin combined with liraglutide (observation group). Indexes of glucose and lipid metabolism, function of vascular endothelium and the oxidative stress of both groups were compared before and after the treatment. There was a significant decrease in the levels of fasting plasma glucose (FPG), Glycosylated Hemoglobin A1c (HbA1c), triglyceride (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), systolic blood pressure (SBP), diastolic blood pressure (DBP) and waist circumference in both groups three months after the treatment, These indexes were significantly lower in the observation group compared to the control group ( &lt;0.05). High-density lipoprotein cholesterol (HDL-C) levels were higher in the observation group ( &lt;0.05). There was a significant improvement in the levels of nitric oxide (NO), endothelin-1 (ET-1), superoxide dismutase (SOD), and malondialdehyde (MDA) after the treatment, and these indexes were markedly better in the observation group compared to the control group (P&lt;0.05). Metformin combined with liraglutide treatment is associated with better outcomes than metformin alone in patients with T2DM and metabolic syndrome. Combined treatment results in improved glucose and lipid metabolism, vascular endothelial function, and oxidative stress index values.</description><identifier>ISSN: 1682-024X</identifier><identifier>EISSN: 1681-715X</identifier><identifier>DOI: 10.12669/pjms.40.1.7936</identifier><identifier>PMID: 38196473</identifier><language>eng</language><publisher>Pakistan: Knowledge Bylanes</publisher><subject>Antidiabetics ; Blood pressure ; Blood sugar ; Chronic diseases ; Complications and side effects ; Diabetes ; Endothelium ; Gender ; Glucagon ; Glucose ; Glucose metabolism ; High density lipoprotein ; Hypertension ; Insulin ; Lipids ; Liraglutide ; Mental health ; Metabolic disorders ; Metabolic syndrome ; Metformin ; Original ; Oxidative stress ; Physiological aspects ; Physiology ; Smooth muscle ; Type 2 diabetes</subject><ispartof>Pakistan journal of medical sciences, 2024-02, Vol.40 (1Part-I), p.26-30</ispartof><rights>Copyright: © Pakistan Journal of Medical Sciences.</rights><rights>COPYRIGHT 2024 Knowledge Bylanes</rights><rights>(c)2024 Pakistan Journal of Medical Sciences</rights><rights>Copyright: © Pakistan Journal of Medical Sciences 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10772425/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10772425/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38196473$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Zaisheng</creatorcontrib><title>Efficacy of metformin combined with liraglutide on the glucose and lipid metabolism, vascular endothelial function, and oxidative stress of patients with T2DM and metabolic syndrome</title><title>Pakistan journal of medical sciences</title><addtitle>Pak J Med Sci</addtitle><description>This study evaluates the impact of metformin combined with liraglutide on the glucose and lipid metabolism, oxidative stress, and vascular endothelium of patients with type-2 diabetes mellitus (T2DM) and metabolic syndrome. Medical records of 78 patients with T2DM and metabolic syndrome, admitted to Caoxian People's Hospital from July 2021 to July 2022, were retrospectively analysed. Thirty five patients were treated with metformin (control group), and 43 patients were treated with metformin combined with liraglutide (observation group). Indexes of glucose and lipid metabolism, function of vascular endothelium and the oxidative stress of both groups were compared before and after the treatment. There was a significant decrease in the levels of fasting plasma glucose (FPG), Glycosylated Hemoglobin A1c (HbA1c), triglyceride (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), systolic blood pressure (SBP), diastolic blood pressure (DBP) and waist circumference in both groups three months after the treatment, These indexes were significantly lower in the observation group compared to the control group ( &lt;0.05). High-density lipoprotein cholesterol (HDL-C) levels were higher in the observation group ( &lt;0.05). There was a significant improvement in the levels of nitric oxide (NO), endothelin-1 (ET-1), superoxide dismutase (SOD), and malondialdehyde (MDA) after the treatment, and these indexes were markedly better in the observation group compared to the control group (P&lt;0.05). Metformin combined with liraglutide treatment is associated with better outcomes than metformin alone in patients with T2DM and metabolic syndrome. Combined treatment results in improved glucose and lipid metabolism, vascular endothelial function, and oxidative stress index values.</description><subject>Antidiabetics</subject><subject>Blood pressure</subject><subject>Blood sugar</subject><subject>Chronic diseases</subject><subject>Complications and side effects</subject><subject>Diabetes</subject><subject>Endothelium</subject><subject>Gender</subject><subject>Glucagon</subject><subject>Glucose</subject><subject>Glucose metabolism</subject><subject>High density lipoprotein</subject><subject>Hypertension</subject><subject>Insulin</subject><subject>Lipids</subject><subject>Liraglutide</subject><subject>Mental health</subject><subject>Metabolic disorders</subject><subject>Metabolic syndrome</subject><subject>Metformin</subject><subject>Original</subject><subject>Oxidative stress</subject><subject>Physiological aspects</subject><subject>Physiology</subject><subject>Smooth muscle</subject><subject>Type 2 diabetes</subject><issn>1682-024X</issn><issn>1681-715X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptkstuEzEUhkcIREthzQ5ZQkIsmtS3ua2qqpSLVMSmSN1ZHs9x4shjB9sTyIPxfniStjQIeWGf4-__jy-nKF4TPCe0qtqz9WqIc56jed2y6klxTKqGzGpS3j7drekMU357VLyIcYUxr3hJnxdHrCFtxWt2XPy-0tooqbbIazRA0j4MxiHlh8446NFPk5bImiAXdkymB-QdSktAOVQ-ApKuz9tr009i2Xlr4nCKNjKq0cqAwPU-49ZIi_ToVDLene5E_pfpZTIbQDEFiHGqv84JcCnuq97QD1936L2zQnHr-uAHeFk809JGeHU3nxTfP17dXH6eXX_79OXy4nqmOGNpVhJoG0YAA9G9UqTlZS11WZUd1l2JVdNhUjJeSckZxRQ46esaSt5xrgBIx06K873veuwG6FU-XJBWrIMZZNgKL4043HFmKRZ-Iwiua8ppmR3e3zkE_2OEmMRgogJrpQM_RkFbwnCTq1cZffsPuvJjcPl-gjYtrTjhlP2lFtKCME77XFhNpuKirlmLs9NEzf9D5dHDYJR3oE3OHwjePRIsQdq0jH76c-_iIXi2B1XwMQbQD69BsNj1pJh6UvAciakns-LN40d84O-bkP0BkKjgOg</recordid><startdate>20240229</startdate><enddate>20240229</enddate><creator>Liu, Zaisheng</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><general>Professional Medical Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240229</creationdate><title>Efficacy of metformin combined with liraglutide on the glucose and lipid metabolism, vascular endothelial function, and oxidative stress of patients with T2DM and metabolic syndrome</title><author>Liu, Zaisheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-51e9831e0e1fdcc19457af565b0fb50c8b015346aa43202e41d77e54b44cee1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Antidiabetics</topic><topic>Blood pressure</topic><topic>Blood sugar</topic><topic>Chronic diseases</topic><topic>Complications and side effects</topic><topic>Diabetes</topic><topic>Endothelium</topic><topic>Gender</topic><topic>Glucagon</topic><topic>Glucose</topic><topic>Glucose metabolism</topic><topic>High density lipoprotein</topic><topic>Hypertension</topic><topic>Insulin</topic><topic>Lipids</topic><topic>Liraglutide</topic><topic>Mental health</topic><topic>Metabolic disorders</topic><topic>Metabolic syndrome</topic><topic>Metformin</topic><topic>Original</topic><topic>Oxidative stress</topic><topic>Physiological aspects</topic><topic>Physiology</topic><topic>Smooth muscle</topic><topic>Type 2 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Zaisheng</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Medical records of 78 patients with T2DM and metabolic syndrome, admitted to Caoxian People's Hospital from July 2021 to July 2022, were retrospectively analysed. Thirty five patients were treated with metformin (control group), and 43 patients were treated with metformin combined with liraglutide (observation group). Indexes of glucose and lipid metabolism, function of vascular endothelium and the oxidative stress of both groups were compared before and after the treatment. There was a significant decrease in the levels of fasting plasma glucose (FPG), Glycosylated Hemoglobin A1c (HbA1c), triglyceride (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), systolic blood pressure (SBP), diastolic blood pressure (DBP) and waist circumference in both groups three months after the treatment, These indexes were significantly lower in the observation group compared to the control group ( &lt;0.05). High-density lipoprotein cholesterol (HDL-C) levels were higher in the observation group ( &lt;0.05). There was a significant improvement in the levels of nitric oxide (NO), endothelin-1 (ET-1), superoxide dismutase (SOD), and malondialdehyde (MDA) after the treatment, and these indexes were markedly better in the observation group compared to the control group (P&lt;0.05). Metformin combined with liraglutide treatment is associated with better outcomes than metformin alone in patients with T2DM and metabolic syndrome. Combined treatment results in improved glucose and lipid metabolism, vascular endothelial function, and oxidative stress index values.</abstract><cop>Pakistan</cop><pub>Knowledge Bylanes</pub><pmid>38196473</pmid><doi>10.12669/pjms.40.1.7936</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Antidiabetics
Blood pressure
Blood sugar
Chronic diseases
Complications and side effects
Diabetes
Endothelium
Gender
Glucagon
Glucose
Glucose metabolism
High density lipoprotein
Hypertension
Insulin
Lipids
Liraglutide
Mental health
Metabolic disorders
Metabolic syndrome
Metformin
Original
Oxidative stress
Physiological aspects
Physiology
Smooth muscle
Type 2 diabetes
title Efficacy of metformin combined with liraglutide on the glucose and lipid metabolism, vascular endothelial function, and oxidative stress of patients with T2DM and metabolic syndrome
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