Type 2 & other diabetes

Effectiveness of GLP ‐ 1RA according to different type 2 diabetes phenotypes: A retrospective study

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

This study adds to the emerging evidence against the hard clustering approach to T2D phenotyping in terms of response to treatment and time to treatment failure, particularly with GLP-1RA.

Study context

Population
Individuals with T2D on GLP-1 RA attending the Endocrinology Unit, University Hospital Policlinico Consorziale, Bari, Italy, 01 January 2014–31 August 2024; phenotypes assigned by the Bello-Chavolla algorithm
Participants
181 individuals
Exposure
GLP-1 RA effectiveness across T2D phenotypes
Outcome
Difference in HbA1c change from baseline among phenotypes
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

HbA1c change from baseline

SIDD

−2.6

unspecified 1.9 · %

P < 0.0001

Observational data: associations, not effects.

Further findings

Time to treatment failure (HbA1c >7.0%)

HR (95% CI)P value
SIDD3.69 (1.37–9.94)P < 0.01
  • Time to treatment failure (HbA1c >7.0%): faster treatment failure with SIDD; effect disappeared after adjustment for baseline HbA1c

Predictors of HbA1c reduction

Baseline HbA1c was the strongest predictor of HbA1c reduction

Original publication

Effectiveness of GLP ‐ 1RA according to different type 2 diabetes phenotypes: A retrospective study. Diabetes Obes Metab. Published 11 August 2025. doi:10.1111/dom.70005

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.