Type 2 & other diabetes

Real‐world impact of once‐weekly subcutaneous semaglutide after 2 years of follow‐up: Results from a nationwide observational study in people with type 2 diabetes

Diabetes Obes MetabPublished Nationwide observational registry study

Authors' conclusion

People treated with semaglutide in routine clinical practice experienced clinically relevant and sustained improvements in glycaemic control after 180, 360, 540 and 720 days, irrespective of former GLP-1RA exposure, effects which were comparable with those observed in clinical studies. These results support the use of semaglutide in routine clinical practice for the long-term management of T2D.

Study context

Population
People with T2D in routine clinical practice who redeemed ≥1 semaglutide prescription and had 2 years of follow-up; on-treatment cohort median age 62.0 years, diabetes duration 10.8 years, baseline HbA1c 62.0 mmol/mol4,132 on-treatment
Participants
9,284 people
Exposure
Once-weekly subcutaneous semaglutide in GLP-1 RA-naïve vs GLP-1 RA-experienced people
Outcome
Mean change in HbA1c
Follow-up
720 days
Methodological detailsnational registries, real-world
  • National registries
  • Real-world

Main finding

As reported in the abstract

GroupValueP
GLP-1RA-naïvemean −12.6 (95% CI −13.6–-11.6) mmol/molP < 0.001
GLP-1RA-experiencedmean −5.6 (95% CI −6.2–-5.0) mmol/molP < 0.001

Value

GLP-1RA-naïvemean −12.6 (95% CI −13.6–-11.6) mmol/mol
GLP-1RA-experiencedmean −5.6 (95% CI −6.2–-5.0) mmol/mol

P

GLP-1RA-naïveP < 0.001
GLP-1RA-experiencedP < 0.001

Observational data: associations, not effects.

Further findings

HbA1c target ≤53 mmol/mol reached · up to 2 years

Original publication

Real‐world impact of once‐weekly subcutaneous semaglutide after 2 years of follow‐up: Results from a nationwide observational study in people with type 2 diabetes. Diabetes Obes Metab. Published 9 March 2023. doi:10.1111/dom.15031

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