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      Glycemic Control and Body Weight Reduction with Once-Weekly Semaglutide in Colombian Adults with Type 2 Diabetes: Findings from the COLIBRI Study

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          Abstract

          Introduction

          Type 2 diabetes is a prevalent condition. The change in glucose control and body weight with the use of once-weekly semaglutide was evaluated in individuals with Type 2 diabetes in Colombia.

          Methods

          This was a real-world, multi-centre, single-arm study involving adults in Colombia with Type 2 diabetes treated with once-weekly subcutaneous semaglutide for approximately 26 weeks. The primary endpoint assessed the change in glycated hemoglobin (HbA1c) from baseline to end of study. Secondary endpoints included changes in body weight from baseline to end of study. The study also explored the proportion of participants achieving predefined HbA1c targets and weight-loss responses at the end of the study.

          Results

          Data from 225 patients across 11 centers were collected. Most patients were women (65%), and the mean age of the population was 57 years with a median HbA1c of 7.6% and a median body weight of 86 kg. After approximately 26 weeks, semaglutide was associated with a significant reduction in HbA1c of − 0.88 and a body weight reduction of − 4.04kg. The proportion of patients with HbA1c < 7% increased from 32 to 66% at end of study.

          Conclusion

          Patients treated with once-weekly semaglutide experienced a clinically significant reduction in HbA1c and body weight. These results are in line with previous clinical trials.

          Supplementary Information

          The online version contains supplementary material available at 10.1007/s13300-024-01586-7.

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          Most cited references23

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          IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045

          To provide global, regional, and country-level estimates of diabetes prevalence and health expenditures for 2021 and projections for 2045.
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            Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes

            Regulatory guidance specifies the need to establish cardiovascular safety of new diabetes therapies in patients with type 2 diabetes in order to rule out excess cardiovascular risk. The cardiovascular effects of semaglutide, a glucagon-like peptide 1 analogue with an extended half-life of approximately 1 week, in type 2 diabetes are unknown.
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              Effects of intensive glucose control on microvascular outcomes in patients with type 2 diabetes: a meta-analysis of individual participant data from randomised controlled trials.

              Intensive glucose control is understood to prevent complications in adults with type 2 diabetes. We aimed to more precisely estimate the effects of more intensive glucose control, compared with less intensive glucose control, on the risk of microvascular events.
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                Author and article information

                Contributors
                af.suarez12@uniandes.edu.co
                Journal
                Diabetes Ther
                Diabetes Ther
                Diabetes Therapy
                Springer Healthcare (Cheshire )
                1869-6953
                1869-6961
                30 April 2024
                30 April 2024
                June 2024
                : 15
                : 6
                : 1451-1460
                Affiliations
                [1 ]Universidad del Sinú, ( https://ror.org/013ys5k90) Cartagena, Colombia
                [2 ]Medisinu, Montería, Colombia
                [3 ]Universidad del Sinú, ( https://ror.org/013ys5k90) Montería, Colombia
                [4 ]SINAPSIS, Bucaramanga, Colombia
                [5 ]Facultad de Ciencias de La Salud, Universidad de Caldas, ( https://ror.org/049n68p64) Manizales, Colombia
                [6 ]Doctorate in Health Science, Universidad de Caldas, ( https://ror.org/049n68p64) Manizales, Colombia
                [7 ]Facultad de Ciencias de La Salud, Universidad Simón Bolívar, ( https://ror.org/02njbw696) Barranquilla, Colombia
                [8 ]Novo Nordisk Colombia, Calle 125 #19-24, Bogotá, Colombia
                [9 ]Novo Nordisk LATAM Regional Office, Bogotá, Colombia
                Author information
                http://orcid.org/0000-0002-4827-7960
                http://orcid.org/0009-0007-6840-7682
                http://orcid.org/0009-0009-4848-1089
                http://orcid.org/0000-0002-8006-915X
                http://orcid.org/0000-0002-1737-2201
                http://orcid.org/0000-0001-6003-4622
                http://orcid.org/0009-0004-6502-0819
                http://orcid.org/0009-0006-6247-6049
                Article
                1586
                10.1007/s13300-024-01586-7
                11096134
                38691323
                89aab2a6-e946-4b3e-bcd7-bf0704377911
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 7 February 2024
                : 9 April 2024
                Categories
                Original Research
                Custom metadata
                © Springer Healthcare Ltd., part of Springer Nature 2024

                Endocrinology & Diabetes
                diabetes mellitus,glucagon-like peptides,adults,colombia,body weight,real-world evidence,semaglutide

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