The Impact of Sodium-Glucose Co-Transporter-2 Inhibition on Insulin Resistance and Inflammation in Patients with Type 2 Diabetes: A Retrospective Study
Liana Iordan,
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Sandra Lazăr,
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Romulus Timar
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et al.
Medicina,
Journal Year:
2025,
Volume and Issue:
61(2), P. 209 - 209
Published: Jan. 24, 2025
Background
and
Objectives:
Insulin
resistance
(IR)
is
a
key
factor
involved
in
the
development
of
type
2
diabetes
(T2D).
Besides
its
role
pathogenesis
T2D,
insulin
associated
with
impairment
glycemic
control,
reduced
achievement
targets,
increases
cardiovascular
risk
complications,
being
thus
negative
prognosis
factor.
Sodium-glucose
co-transporter-2
inhibitors
(SGLT2i)
are
therapies
for
T2D
which
demonstrated,
besides
improvements
biomarkers
traditionally
IR
inflammation.
This
study
aimed
to
evaluate
impact
SGLT2i
treatment
on
inflammation
patients
T2D.
Materials
Methods:
In
retrospective
study,
246
treated
median
5
years
were
evaluated
regarding
(estimated
glucose
disposal
rate—eGDR,
triglyceride/glucose
index,
triglyceride/HDLc
index)
(neutrophils
lymphocyte
ratio,
platelets
lymphocytes
ratio
C-reactive
protein)
before
after
intervention
SGLT2i.
Results:
After
treatment,
had
higher
eGDR
(6.07
vs.
5.24
mg/kg/min;
p
<
0.001),
lower
(3.34
3.52,
0.001)
index
(9.23
9.58;
0.001).
The
decreased
therapy:
protein
(3.07
mg/L
4.37
mg/L),
NLR
(0.68
0.72;
PLR
(115
122;
Intervention
also
improved
complications
risk:
HbA1c
(7.1%
8.4%;
body
mass
(30.0
31.5
kg/m2;
urinary
albumin
creatinine
(4.75
11.00
mg/g;
Conclusions:
Treatment
leads
decreases
These
mechanisms
may
partially
explain
additional
renal
reductions
therapy,
alongside
Language: Английский
Research Progress on Drug Therapy for IgA Nephropathy in Adults
力信 艾
No information about this author
Advances in Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
15(03), P. 35 - 41
Published: Jan. 1, 2025
Language: Английский
Effect of sodium-glucose co-transporter 2 inhibitor on contrast-induced acute kidney injury and prognosis in type 2 diabetes patients undergoing percutaneous coronary intervention
Frontiers in Medicine,
Journal Year:
2025,
Volume and Issue:
12
Published: March 5, 2025
Contrast-induced
acute
kidney
injury
(CIAKI)
is
a
common
and
serious
complication
following
contrast
administration
in
patients
undergoing
percutaneous
coronary
intervention
(PCI).
dapagliflozin,
sodium-glucose
co-transporter
2
inhibitor
(SGLT2i),
has
demonstrated
renal
protective
effects
various
clinical
settings.
However,
the
impact
of
dapagliflozin
on
incidence
CIAKI
with
type
diabetes
mellitus
(T2DM)
PCI
not
yet
fully
understood.
To
evaluate
long-term
prognosis
T2DM
PCI.
This
retrospective
cohort
study
included
who
underwent
at
Department
Cardiology,
Tianjin
University
Chest
Hospital,
from
January
2022
to
June
2023.
Patients
were
grouped
based
use
(dapagliflozin
vs.
no
dapagliflozin).
Renal
function
was
assessed
before
PCI,
48
h,
1
week
post-PCI,
measuring
serum
creatinine,
estimated
glomerular
filtration
rate,
cystatin
C,
neutrophil
gelatinase-associated
lipocalin.
All
followed
for
least
year.
The
primary
endpoint
incidence,
secondary
endpoints
including
changes
major
adverse
cardiovascular
events
(MACE).
occurred
less
frequently
group
compared
control
(5.8%
11.7%,
χ2
=
4.494,
p
0.033).
After
adjusting
confounders,
an
independent
predictor
reduced
risk
(OR
0.365,
95%
CI:
0.176-0.767,
0.008).
During
median
15-month
follow-up,
had
lower
MACE
(Log-rank
χ
6.719,
0.009).
Cox
regression
analysis
showed
that
(HR
0.484,
0.246-0.955,
0.036).
Chronic
can
reduces
improves
outcomes
These
findings
support
its
potential
as
adjunctive
therapy
mitigate
improve
this
high-risk
population.
Language: Английский
Safety of SGLT2 Inhibitors and Urinary Tract Infections in Clinical Practice—A Cross-Sectional Study
Medicina,
Journal Year:
2024,
Volume and Issue:
60(12), P. 1974 - 1974
Published: Dec. 1, 2024
Background
and
Objectives:
Type
2
diabetes
(T2DM)
affects
millions
across
the
globe,
generating
a
veritable
public
health
issue
through
quality-of-life-reducing
chronic
complications,
among
which
urinary
tract
infections
are
most
common.
A
shift
in
disease
managing
paradigm
from
glucose-centered
view
to
concept
of
cardio-reno-metabolic
has
uniquely
placed
SGLT2
inhibitors
as
viable
medication
for
complex
management
T2DM
its
comorbidities.
Some
concerns
have
been
raised
over
increased
likelihood
(UTIs)
associated
with
inhibitor
use.
The
current
study
aims
evaluate
risk
developing
if
patients
type
take
determine
those
factors
make
these
more
prone
develop
this
undesired
complication.
Materials
Methods:
cross-sectional,
noninterventional
evaluation
328
consecutively
admitted
Diabetes
Clinic
“Pius
Brinzeu”
County
Emergency
Hospital
Timisoara,
between
January
February
2024,
was
performed
by
examining
medical
charts
running
statistical
analyses
using
MedCalc
version
22.26.0.0.
Results:
There
no
difference
taking
other
glucose
lowering
medications
when
presence
UTIs.
Those
higher
HbA1c
or
BMI
showed
an
predisposition
contracting
UTI.
female
gender
also
further
sublot
revealed
that
not
only
could
be
predictor
UTI,
but
longer
duration
predisposing
factor.
Conclusions:
use
did
increase
infection
patient
population.
Language: Английский
The Prevalence and Characteristics of Anemia in Romanian Patients with Type 2 Diabetes: A Cross-Sectional Study
Laura Gaiţă,
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Bogdan Timar,
No information about this author
Sandra Lazăr
No information about this author
et al.
Journal of Clinical Medicine,
Journal Year:
2024,
Volume and Issue:
13(23), P. 7306 - 7306
Published: Dec. 1, 2024
Anemia
is
a
prevalent
comorbidity
of
diabetes,
and
although
various
mechanisms
have
been
shown
to
link
these
two
conditions,
their
interaction
has
not
sufficiently
explored.
Our
cross-sectional,
non-interventional
study
aimed
evaluate
the
prevalence
anemia
its
subtypes,
as
well
interactions,
in
patients
with
type
2
diabetes
(T2D).
Language: Английский