| خلاصه مقاله | Background and Aims:
To evaluate the effects of empagliflozin and sitagliptin along with metformin on the glycemic indices and cardiometabolic control of patients with type 2 diabetes mellitus(T2DM).
Material and Methods:
T2DM patients with a randomized, double-blind design and three arms including empagliflozin 10 mg (n=50) arm, sitagliptin 100 mg (n=50) arm, and metformin 1000 mg (n=50) arm were assessed. Glycosylated hemoglobin (HbA1c, %), fasting blood sugar (FBS)(mg/d), body weight (kg), Systolic blood pressure (SBP), Diastolic blood pressure(DBP), and lipid profile were assessed at the beginning of the study and following 12 weeks.
Results:
Empagliflozin resulted in a noticeable decrement of Hb A1c and FBS levels in comparison to the metformin group during 12 weeks of intervention (P= 0.027, P=0.037 respectively). A striking devaluation of body weight in the empagliflozin receiving group relative to the metformin receiving group was reported (P=0.044). TG levels were remarkably diminished in comparison with the metformin treatment group (P=0.041). Empagliflozin but not sitagliptin resulted in reductions of SBP and DBP relative to the metformin arm (P= 0.001, P=0.001).
Conclusion:
Empagliflozin 10 mg besides the metformin in T2DM patients has beneficial impacts on cardiometabolic factors through improvement of glycemic indices, SBP, DBP, TG, and weight. It is suggested that empagliflozin 10 mg adjacent to metformin was superior to sitagliptin for cardio metabolic factors in T2DM. More, investigations are necessary to approve and discover the mechanistic underlying pathways. |