Efficacy of SGLT2 inhibitors as additional treatment in Japanese type 2 diabetic patients: second or third choice?

Abstract Objectives Due to the increase of type 2 diabetes (T2D), the number of patients in treatment with multiple anti-diabetic agents is increased. According to the recent recommendation of treatment guidelines, sodium-glucose cotransporter 2 (SGLT2) inhibitors would be used as additional treatme...

Full description

Bibliographic Details
Main Authors: Makoto Fujiwara, Masaru Shimizu, Yuko Maejima, Kenju Shimomura
Format: Article
Language:English
Published: BMC 2022-03-01
Series:BMC Research Notes
Subjects:
Online Access:https://doi.org/10.1186/s13104-022-06010-6
_version_ 1811311653137940480
author Makoto Fujiwara
Masaru Shimizu
Yuko Maejima
Kenju Shimomura
author_facet Makoto Fujiwara
Masaru Shimizu
Yuko Maejima
Kenju Shimomura
author_sort Makoto Fujiwara
collection DOAJ
description Abstract Objectives Due to the increase of type 2 diabetes (T2D), the number of patients in treatment with multiple anti-diabetic agents is increased. According to the recent recommendation of treatment guidelines, sodium-glucose cotransporter 2 (SGLT2) inhibitors would be used as additional treatment to the currently administered anti-diabetic drugs for poorly controlled T2D patients. Here, we assessed the efficacy of SGLT2 inhibitors added to the current treatment with metformin, dipeptidyl peptidase-4 (DPP4) inhibitors, or both in Japanese T2D patients. Results Japanese T2D subjects with poor glucose control, who were treated with metformin (n = 10), DPP4 inhibitors (n = 11), or both (n = 28) and who were in need of additional treatment, were recruited. HbA1c levels before and 6 months after addition of SGLT2 inhibitor treatment were used to compare the effectiveness. The HbA1c levels after addition of SGLT2 inhibitors significantly decreased in all groups. The change in HbA1c levels (delta HbA1c) showed no significant difference between the three groups. The present data indicated that addition of SGLT2 inhibitors to metformin and/or DPP4 inhibitors is equally effective in the treatment of Japanese T2D patients.
first_indexed 2024-04-13T10:22:37Z
format Article
id doaj.art-234d8ac6a58d434491dd260102086da1
institution Directory Open Access Journal
issn 1756-0500
language English
last_indexed 2024-04-13T10:22:37Z
publishDate 2022-03-01
publisher BMC
record_format Article
series BMC Research Notes
spelling doaj.art-234d8ac6a58d434491dd260102086da12022-12-22T02:50:27ZengBMCBMC Research Notes1756-05002022-03-011511410.1186/s13104-022-06010-6Efficacy of SGLT2 inhibitors as additional treatment in Japanese type 2 diabetic patients: second or third choice?Makoto Fujiwara0Masaru Shimizu1Yuko Maejima2Kenju Shimomura3Department of Diabetes, Endocrinology and Metabolism, Tsukuba Medical CenterDepartment of Bioregulation and Pharmacological Medicine, Fukushima Medical University School of MedicineDepartment of Bioregulation and Pharmacological Medicine, Fukushima Medical University School of MedicineDepartment of Bioregulation and Pharmacological Medicine, Fukushima Medical University School of MedicineAbstract Objectives Due to the increase of type 2 diabetes (T2D), the number of patients in treatment with multiple anti-diabetic agents is increased. According to the recent recommendation of treatment guidelines, sodium-glucose cotransporter 2 (SGLT2) inhibitors would be used as additional treatment to the currently administered anti-diabetic drugs for poorly controlled T2D patients. Here, we assessed the efficacy of SGLT2 inhibitors added to the current treatment with metformin, dipeptidyl peptidase-4 (DPP4) inhibitors, or both in Japanese T2D patients. Results Japanese T2D subjects with poor glucose control, who were treated with metformin (n = 10), DPP4 inhibitors (n = 11), or both (n = 28) and who were in need of additional treatment, were recruited. HbA1c levels before and 6 months after addition of SGLT2 inhibitor treatment were used to compare the effectiveness. The HbA1c levels after addition of SGLT2 inhibitors significantly decreased in all groups. The change in HbA1c levels (delta HbA1c) showed no significant difference between the three groups. The present data indicated that addition of SGLT2 inhibitors to metformin and/or DPP4 inhibitors is equally effective in the treatment of Japanese T2D patients.https://doi.org/10.1186/s13104-022-06010-6SGLT2 inhibitorsHbA1cMetforminDPP4 inhibitor
spellingShingle Makoto Fujiwara
Masaru Shimizu
Yuko Maejima
Kenju Shimomura
Efficacy of SGLT2 inhibitors as additional treatment in Japanese type 2 diabetic patients: second or third choice?
BMC Research Notes
SGLT2 inhibitors
HbA1c
Metformin
DPP4 inhibitor
title Efficacy of SGLT2 inhibitors as additional treatment in Japanese type 2 diabetic patients: second or third choice?
title_full Efficacy of SGLT2 inhibitors as additional treatment in Japanese type 2 diabetic patients: second or third choice?
title_fullStr Efficacy of SGLT2 inhibitors as additional treatment in Japanese type 2 diabetic patients: second or third choice?
title_full_unstemmed Efficacy of SGLT2 inhibitors as additional treatment in Japanese type 2 diabetic patients: second or third choice?
title_short Efficacy of SGLT2 inhibitors as additional treatment in Japanese type 2 diabetic patients: second or third choice?
title_sort efficacy of sglt2 inhibitors as additional treatment in japanese type 2 diabetic patients second or third choice
topic SGLT2 inhibitors
HbA1c
Metformin
DPP4 inhibitor
url https://doi.org/10.1186/s13104-022-06010-6
work_keys_str_mv AT makotofujiwara efficacyofsglt2inhibitorsasadditionaltreatmentinjapanesetype2diabeticpatientssecondorthirdchoice
AT masarushimizu efficacyofsglt2inhibitorsasadditionaltreatmentinjapanesetype2diabeticpatientssecondorthirdchoice
AT yukomaejima efficacyofsglt2inhibitorsasadditionaltreatmentinjapanesetype2diabeticpatientssecondorthirdchoice
AT kenjushimomura efficacyofsglt2inhibitorsasadditionaltreatmentinjapanesetype2diabeticpatientssecondorthirdchoice