A RETROSPECTIVE STUDY OF THE EFFECTIVENESS OF SGLT-2 INHIBITORS IN PATIENTS WITH UNCONTROLLED TYPE 2 DIABETES MELLITUS TREATED WITH NON-SGLT-2 INHIBITORS
DOI:
https://doi.org/10.69598/tbps.18.1.29-40Keywords:
type 2 diabetes mellitus, dapagliflozin, empagliflozin, FPG, HbA1CAbstract
Type 2 diabetes is the 5th highest chronic non-communicable disease in Thailand. Therefore, antidiabetic drugs were developed to increase the effectiveness in controlling blood sugar and to reduce the side effects. This study aimed to compare the efficacy of dapagliflozin and empagliflozin in reducing fasting plasma glucose (FPG), glycated hemoglobin (hemoglobin A1c; HbA1C), and body weight at 3, 6, 9, and 12 months in patients with type 2 diabetes. This retrospective study enrolled 900 type 2 diabetes patients at the Central Chest Institute of Thailand from October 2014 to October 2019. The patients were divided into three groups. The first group was treated with dapagliflozin. The second group was treated with empagliflozin. The third group was treated with non-SGLT-2 inhibitors. For the efficacy, we found that 18.18%, 18.71%, and 1.52% of the patients who were treated with dapagliflozin, empagliflozin, and non-SGLT-2 inhibitors, respectively, had a reduction in FPG at three months. For the efficacy, we found that 6.98%, 8.24%, and 1.41% of the patients who were treated with dapagliflozin, empagliflozin, and non-SGLT-2 inhibitors, respectively, had a reduction in HbA1C at three months. For the efficacy, we found that 1.50%, 1.84%, and 1.32% of the patients who were treated with dapagliflozin, empagliflozin, and non-SGLT-2 inhibitors, respectively, had a reduction in body weight at three months. We found that a reduction of FPG, HbA1C, and body weight were significantly lower in patients who were treated with SGLT-2 inhibitors than those who were treated with non-SGLT-2 inhibitors (p-value < 0.001).
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