Dual effects of dulaglutide on glycemic control and knee osteoarthritis pain in elderly patients with Type 2 diabetes

被引:2
作者
Samajdar, Shambo Samrat [1 ]
Bhaduri, Gaurab [2 ]
Ghoshal, Pradip Kumar [3 ]
Mukherjee, Shatavisa [4 ]
Pal, Jyotirmoy [5 ]
Chatterjee, Nandini [6 ]
Joshi, Shashank R. [7 ]
机构
[1] Therapeut Specialty Clin, Dept Diabet & Allergy Asthma, Kolkata, West Bengal, India
[2] Apollo Sugar Clin Kolkata, Dept Diabet & Endocrinol, Kolkata, West Bengal, India
[3] Santiniketan Med Coll, Dept Community Med, Bolpur, West Bengal, India
[4] Sch Trop Med, Dept Clin Pharmacol, Kolkata, West Bengal, India
[5] Coll Med & Sagore Dutta Hosp, Dept Med, Kolkata, West Bengal, India
[6] IPGMER & SSKM, Dept Med, Kolkata, West Bengal, India
[7] Joshi Clin, Dept Endocrinol, Mumbai, Maharashtra, India
关键词
dulaglutide; elderly patients; glycemic control; knee osteoarthritis; type 2 diabetes mellitus; MELLITUS; HAND; DIFFERENTIATION; ACTIVATION;
D O I
10.1080/17581869.2024.2402214
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Aim: This study aims to evaluate the dual benefits of dulaglutide in improving glycemic control and reducing knee OA pain. Patients & methods: Elderly T2DM patients diagnosed with bilateral knee OA on conventional OA treatment for at least 3 months were studied for their glycemic metrics, OA pain scores and NSAID consumption at baseline, 3 months and 6 months. Results: Significant improvements in glycemic control were observed, HbA1c decreased from 8.7% to 6.5% over 6 months. Pain scores, NSAID, body weight and BMI showed substantial reductions over time. Positive correlation (r = 0.73, p < 0.001) was found between glycemic control and pain reduction. Conclusion: Dulaglutide improves glycemic control, knee joint OA pain and weight management in elderly patients with T2DM. Plain Language Summary What is this article about?: We looked into how well dulaglutide works to both control blood sugar and reduce knee pain in people with type 2 Diabetes and osteoarthritis. This could be a useful treatment for older patients dealing with both conditions. What were the results?: The most relevant findings were: center dot Better Blood Sugar Control: After using dulaglutide for three and 6 months, there were noticeable improvements in blood sugar levels. center dot Less Knee Pain: People experienced less knee pain from osteoarthritis and used fewer painkillers. center dot Weight Loss: The average body weight and body mass index (BMI) decreased with this treatment. center dot Pain Relief Linked to Better Blood Sugar: As blood sugar levels improved, knee pain from osteoarthritis also lessened. What do the results of the study mean?: The results showed that elderly T2DM patients prescribed with dulaglutide would be able to achieve improved glycemic control, knee joint OA pain and weight management.
引用
收藏
页码:365 / 373
页数:9
相关论文
共 36 条
[1]   The Role of Glp-1 Receptor Agonists in Insulin Resistance with Concomitant Obesity Treatment in Polycystic Ovary Syndrome [J].
Bednarz, Krzysztof ;
Kowalczyk, Karolina ;
Cwynar, Marlena ;
Czapla, Dominika ;
Czarkowski, Wiktor ;
Kmita, Dominika ;
Nowak, Artur ;
Madej, Pawel .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2022, 23 (08)
[2]   ANTI-DEGRADATIVE AND PRO-CHONDROGENIC PROPERTIES OF LIRAGLUTIDE, A GLUCAGON-LIKE-PEPTIDE 1 RECEPTOR AGONIST: EVIDENCE FROM PRECLINICAL STUDIES AND IMPLICATION FOR OSTEOARTHRITIS [J].
Berenbaum, F. ;
Meurot, C. ;
Breton, J. ;
Sudre, L. ;
Bougault, C. ;
Rattenbach, R. ;
Martin, C. ;
Jacques, C. .
ANNALS OF THE RHEUMATIC DISEASES, 2020, 79 :235-235
[3]  
Bolen J., 2008, Morbidity and Mortality Weekly Report, V57, P486
[4]   Effect of dulaglutide 3.0 and 4.5 mg on weight in patients with type 2 diabetes: Exploratory analyses of AWARD-11 [J].
Bonora, Enzo ;
Frias, Juan P. ;
Tinahones, Francisco J. ;
Van, Joanna ;
Malik, Raleigh E. ;
Yu, Zhuoxin ;
Mody, Reema ;
Bethel, Angelyn ;
Kwan, Anita Y. M. ;
Cox, David A. .
DIABETES OBESITY & METABOLISM, 2021, 23 (10) :2242-2250
[5]   Dulaglutide: A Review in Type 2 Diabetes [J].
Burness, Celeste B. ;
Scott, Lesley J. .
BIODRUGS, 2015, 29 (06) :407-418
[6]  
Centers for Disease Control and Prevention (CDC), 2010, MMWR Morb Mortal Wkly Rep, V59, P1261
[7]   The Impact of Exercise Training Compared to Caloric Restriction on Hepatic and Peripheral Insulin Resistance in Obesity [J].
Coker, Robert H. ;
Williams, Rick H. ;
Yeo, Sophie E. ;
Kortebein, Patrick M. ;
Bodenner, Don L. ;
Kern, Philip A. ;
Evans, William J. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2009, 94 (11) :4258-4266
[8]   Visual Analogue Scale has higher assay sensitivity than WOMAC pain in detecting between-group differences in treatment effects: a meta-epidemiological study [J].
da Costa, B. R. ;
Saadat, P. ;
Basciani, R. M. ;
Agarwal, A. ;
Johnston, B. C. ;
Juni, P. .
OSTEOARTHRITIS AND CARTILAGE, 2021, 29 (03) :304-312
[9]   Obesity and inflammation: the linking mechanism and the complications [J].
Ellulu, Mohammed S. ;
Patimah, Ismail ;
Khaza'ai, Huzwah ;
Rahmat, Asmah ;
Abed, Yehia .
ARCHIVES OF MEDICAL SCIENCE, 2017, 13 (04) :851-863
[10]   Exendin-4 promotes proliferation and differentiation of MC3T3-E1 osteoblasts by MAPKs activation [J].
Feng, Yingyu ;
Su, Lei ;
Zhong, Xing ;
Wei, Guohong ;
Xiao, Haipeng ;
Li, Yanbing ;
Xiu, Lingling .
JOURNAL OF MOLECULAR ENDOCRINOLOGY, 2016, 56 (03) :189-199