Type 2 & other diabetes

Real world effectiveness of oral semaglutide: Focus on patients with type 2 diabetes older than 75 years

Diabetes Res Clin PractPublished Retrospective multicentre real-world observational study

Authors' conclusion

In our study, OS results efficacy in non-elderly and elderly patients, making it an effective treatment option also for very elderly type 2 diabetic patients.

Study context

Population
Patients with T2D starting oral semaglutide (OS) between October 2021 and December 2023 in seven diabetes centers18.7 % >75 yr
Participants
1,824 patients
Exposure
Before vs after oral semaglutide initiation, by age group
Outcome
Change in HbA1c and body weight, total sample
Follow-up
6 (T6) and 12 (T12) months

Main finding

As reported in the abstract

6 (T6) and 12 (T12) months

HbA1c reduction at T6 and at T12 (both p < 0.0001)

0.87 %

Body weight reduction at T6 (p < 0.0001)

2.78 Kg

Body weight reduction at T12 (p < 0.0001)

3.89 Kg

Observational data: associations, not effects.

Further findings

HbA1c and body weight in >75 yr · T6 and T12

Body weight change at T6 (p = 0.0003)
−1.57 Kg
Body weight change at T12 (p < 0.0001)
−2.74 Kg
Body weight reduction, p for interaction
0.005
HbA1c reduction at T6 (p < 0.0001)
HbA1c reduction at T12 (p = 0.0003)

Original publication

Real world effectiveness of oral semaglutide: Focus on patients with type 2 diabetes older than 75 years. Diabetes Res Clin Pract. Published 12 November 2024. doi:10.1016/j.diabres.2024.111928

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