Comparison of inflammatory markers in type 2 diabetic patients treated with empagliflozin, metformin, and sulfonylurea

Background and aims: The present study aimed to compare the levels of the inflammatory biomarkers of fibrinogen and high-sensitivity C-reactive protein (hs-CRP) among type 2 diabetic patients treated with empagliflozin and other hypoglycemic drugs. Methods: This cross-sectional study was performed o...

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Main Authors: Pegah Mohaghegh, Mohammad Reza Rezvanfar, Farideh Jalali-Mashayekhi, Zahra Amerei, Mohammad Hosseinzadeh
Format: Article
Language:English
Published: Shahrekord University of Medical Sciences 2023-10-01
Series:Journal of Shahrekord University of Medical Sciences
Subjects:
Online Access:https://j.skums.ac.ir/PDF/jskums-25-189.pdf
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author Pegah Mohaghegh
Mohammad Reza Rezvanfar
Farideh Jalali-Mashayekhi
Zahra Amerei
Mohammad Hosseinzadeh
author_facet Pegah Mohaghegh
Mohammad Reza Rezvanfar
Farideh Jalali-Mashayekhi
Zahra Amerei
Mohammad Hosseinzadeh
author_sort Pegah Mohaghegh
collection DOAJ
description Background and aims: The present study aimed to compare the levels of the inflammatory biomarkers of fibrinogen and high-sensitivity C-reactive protein (hs-CRP) among type 2 diabetic patients treated with empagliflozin and other hypoglycemic drugs. Methods: This cross-sectional study was performed on 90 patients with type 2 diabetes (≥30 years) receiving empagliflozin, metformin, and sulfonylurea who were referred to the diabetes clinics affiliated with Arak University of Medical Sciences. After obtaining consent to participate in the study, the patients were categorized into the treatment groups of metformin, metformin+empagliflozin, or metformin+sulfonylurea, and their characteristics and hypoglycemic drugs were recorded in the information checklist. The data were analyzed in SPSS 16 statistical software. Results: The fibrinogen level was minimized in the metformin+empagliflozin group, although the three groups were not significantly different in this regard (P=0.382). Based on the results, the parameter was higher in the individuals with ischemic heart disease, while a lower level was found among those treated with a lipid-lowering agent. In terms of hs-CRP level, no statistically significant difference was observed among the three groups, although the metformin group had a lower level (P=0.522). Conclusion: The minimum fibrinogen and hs-CRP levels were related to the metformin+empagliflozin and metformin groups, respectively. Further, several factors such as comorbidities and other consumed drugs could affect the concentration of inflammatory factors. Thus, it is suggested that clinical trials should be conducted in this respect.
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spelling doaj.art-e014183f9c6345958367fdc2594a5a702023-12-19T08:14:34ZengShahrekord University of Medical SciencesJournal of Shahrekord University of Medical Sciences2717-00712023-10-0125418919310.34172/jsums.794jskums-794Comparison of inflammatory markers in type 2 diabetic patients treated with empagliflozin, metformin, and sulfonylureaPegah Mohaghegh0Mohammad Reza Rezvanfar1Farideh Jalali-Mashayekhi2Zahra Amerei3Mohammad Hosseinzadeh4Department of Community Medicine, School of Medicine, Arak University of Medical Sciences, Arak, IranDepartment of Internal Medicine, School of Medicine, Amir-Almomenin Hospital, Arak University of Medical Sciences, Arak, IranDepartment of Biochemistry and Genetic, School of Medicine, Arak University of Medical Sciences, Arak, IranStudents Research Committee, Arak University of Medical Sciences, Arak, IranDepartment of Biochemistry and Genetic, School of Medicine, Arak University of Medical Sciences, Arak, IranBackground and aims: The present study aimed to compare the levels of the inflammatory biomarkers of fibrinogen and high-sensitivity C-reactive protein (hs-CRP) among type 2 diabetic patients treated with empagliflozin and other hypoglycemic drugs. Methods: This cross-sectional study was performed on 90 patients with type 2 diabetes (≥30 years) receiving empagliflozin, metformin, and sulfonylurea who were referred to the diabetes clinics affiliated with Arak University of Medical Sciences. After obtaining consent to participate in the study, the patients were categorized into the treatment groups of metformin, metformin+empagliflozin, or metformin+sulfonylurea, and their characteristics and hypoglycemic drugs were recorded in the information checklist. The data were analyzed in SPSS 16 statistical software. Results: The fibrinogen level was minimized in the metformin+empagliflozin group, although the three groups were not significantly different in this regard (P=0.382). Based on the results, the parameter was higher in the individuals with ischemic heart disease, while a lower level was found among those treated with a lipid-lowering agent. In terms of hs-CRP level, no statistically significant difference was observed among the three groups, although the metformin group had a lower level (P=0.522). Conclusion: The minimum fibrinogen and hs-CRP levels were related to the metformin+empagliflozin and metformin groups, respectively. Further, several factors such as comorbidities and other consumed drugs could affect the concentration of inflammatory factors. Thus, it is suggested that clinical trials should be conducted in this respect.https://j.skums.ac.ir/PDF/jskums-25-189.pdfempagliflozinfibrinogenhigh-sensitivity c-reactive proteininflammatory factorssodium-dependent glucose cotransporter 2 inhibitortype 2 diabetes
spellingShingle Pegah Mohaghegh
Mohammad Reza Rezvanfar
Farideh Jalali-Mashayekhi
Zahra Amerei
Mohammad Hosseinzadeh
Comparison of inflammatory markers in type 2 diabetic patients treated with empagliflozin, metformin, and sulfonylurea
Journal of Shahrekord University of Medical Sciences
empagliflozin
fibrinogen
high-sensitivity c-reactive protein
inflammatory factors
sodium-dependent glucose cotransporter 2 inhibitor
type 2 diabetes
title Comparison of inflammatory markers in type 2 diabetic patients treated with empagliflozin, metformin, and sulfonylurea
title_full Comparison of inflammatory markers in type 2 diabetic patients treated with empagliflozin, metformin, and sulfonylurea
title_fullStr Comparison of inflammatory markers in type 2 diabetic patients treated with empagliflozin, metformin, and sulfonylurea
title_full_unstemmed Comparison of inflammatory markers in type 2 diabetic patients treated with empagliflozin, metformin, and sulfonylurea
title_short Comparison of inflammatory markers in type 2 diabetic patients treated with empagliflozin, metformin, and sulfonylurea
title_sort comparison of inflammatory markers in type 2 diabetic patients treated with empagliflozin metformin and sulfonylurea
topic empagliflozin
fibrinogen
high-sensitivity c-reactive protein
inflammatory factors
sodium-dependent glucose cotransporter 2 inhibitor
type 2 diabetes
url https://j.skums.ac.ir/PDF/jskums-25-189.pdf
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AT faridehjalalimashayekhi comparisonofinflammatorymarkersintype2diabeticpatientstreatedwithempagliflozinmetforminandsulfonylurea
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