Effects of semaglutide on cardiovascular risk factors and eating behaviors in type 2 diabetes
Open accessAbstract
AIMS: Aim of the present study was to evaluate the impact of once-weekly semaglutide on different end-points indicative of metabolic control, cardiovascular risk, dietary behavior, and treatment satisfaction in T2DM. METHODS: This was a retrospective observational study conducted in a diabetes clinic. Changes in HbA1c, fasting blood glucose (FBG), weight, blood pressure, lipid profile, and number of antihypertensive drugs at 32 weeks (T1) after the first prescription of semaglutide (T0) were analyzed. Furthermore, at T1 patients were asked to fill-in the Diabetes Treatment Satisfaction Questionnaire (DTSQ) and the Control of Eating Questionnaire (COEQ). RESULTS: Overall, 104 patients were identified (mean age 63.6 ± 10.4 years, 58.7% men, diabetes duration 12.7 ± 8.7 years). After 32 weeks of treatment with semaglutide, HbA1c levels were reduced by 1.38%, FBG by - 56.53 mg/dl, weight by 6.03 kg. Systolic and diastolic blood pressure, total, HDL-, LDL-, and non -HDL cholesterol, and triglycerides significantly improved. The number of glucose-lowering and antihypertensive drugs also decreased. At T1, DTSQ score was 32.23 ± 1.44, whereas COEQ indicated low levels of hunger and good control of eating. CONCLUSIONS: The study documented benefits of semaglutide on metabolic control and multiple CV risk factors, simplification of therapeutic schemes and high satisfaction with diabetes treatment, and eating behaviors indicative of healthy diet and reduced food intake.
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HDL levels might improve with a longer duration of treatment.
“HDL levels, despite showing overall absolute improvements, did not reach statistical significance, suggesting this variable might improve with a longer duration of treatment.40”
From The Effect of Semaglutide on Antipsychotic-Induced Weight Gain and Other Metabolic Parameters, among a Cohort of Inpatients (2026) · cites this paper as [40]
The Results (Table 2; page unavailable) report that HDL cholesterol increased significantly after 32 weeks of semaglutide treatment (p = 0.0006). This contradicts the citing sentence’s premise that the improvement did not reach statistical significance; the paper does not present a longer treatment duration as necessary for HDL improvement. (LLM, conf=0.90)
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References 38 · Cited by 29
Research works printed but not linked: 1
- [18]Blundell J Finlayson G Axelsen M Flint A Gibbons C Kvist T Hjerpsted JB Effects of once-weekly semaglutide on appetite, energy intake, control of eating, food preference and body weight in subjects with obesity Diabetes Obes Metab 2017 19 1242 1251 10.1111/dom.12932 28266779 PMC5573908 · DOI · Paper page
- Authors
- Di Folco, U., Vallecorsa, N., Nardone, M. R., Pantano, A. L., & Tubili, C.
- Affiliations
- Azienda Ospedaliera San Camillo-Forlanini (IT)
- ORCID
- Di Folco, Ugo
- Venue
- Acta Diabetologica
- Published
- 2022-07-17
- Volume
- 59
- Issue
- 10
- Pages
- 1287-1294
- ISSN
- 0940-5429 (ISSN-L)
- 1432-5233
- PMC
- PMC9288662
- OpenAlex
- W4285677322
- Cited by
- 29
- References
- 38
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 7 · 2023: 6 · 2022: 1
- FWCI
- 4.26
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Acta Diabetologica (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- semaglutide, type 2 diabetes, cardiovascular risk factors, glycemic control, dietary habits, treatment satisfaction, weight loss, lipid profile, blood pressure, antihypertensive drugs, GLP-1 receptor agonists, hunger
- MeSH terms
- Heart Disease Risk Factors, Semaglutide, Aged, Antihypertensive Agents, Cardiovascular Diseases, Diabetes Mellitus, Type 2, Glucagon-Like Peptides, Feeding Behavior, Female, Glycated Hemoglobin, Humans, Hypoglycemic Agents, Male, Middle Aged, Risk Factors
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