Cited by 41Cardiovascular Function and Risk FactorsDiabetes Treatment and ManagementDiabetes, Cardiovascular Risks, and Lipoproteins

Improved diastolic function in type 2 diabetes after a six month liraglutide treatment

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Saponaro, Fabio, Sonaglioni, Andrea, Rossi, Antonio, Montefusco, Laura, Lombardo, Michele, Adda, Guido, Arosio, Maura·2016·Diabetes Research and Clinical Practice

Abstract

AIMS: To investigate whether liraglutide improves diastolic function in type 2 diabetes. METHODS: Thirty-seven patients with type 2 diabetes who began liraglutide therapy between June 2013 and May 2014 were enrolled in this observational, prospective study. 26 patients received liraglutide therapy for at least 6months. The remaining 11 patients withdrew from liraglutide therapy during the first month, were started on other hypoglycaemic therapies and formed the control group. Anthropometric, metabolic and echocardiographic parameters including pulsed wave tissue Doppler imaging were evaluated at baseline and at 6months. RESULTS: In the liraglutide group the early diastolic mitral annulus velocity on the lateral (e-lat) and medial (e-med) sides of the mitral annulus increased from 9.2±3.4 to 11.6±4.7cm/s (p<0.001) and from 6.9±1.7 to 8.4±2.6cm/s (p<0.003), respectively. The ratio of early-to-late velocities on the lateral and medial sides of the mitral annulus increased from 0.7±0.3 to 0.9±0.4 (p<0.001) and from 0.5±0.1 to 0.6±0.1 (p<0.02), respectively. The ratio of early diastolic mitral inflow velocity to early diastolic myocardial relaxation velocity decreased from 10.7±4.3 to 8.5±2.5 (p<0.005). No improvements in diastolic function was detected in the control group. Glucose control improved similarly in both groups: HA1bc -1.5% (-17mmol/mol) vs -1.3% (-14mmol/mol), p=0.67. CONCLUSIONS: In patients with type 2 diabetes, 6months liraglutide treatment was associated with a significant improvement in diastolic function.

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  1. Mannucci E, Bergenstal R, Daniels G, Mann J, Nissen S, Zinman B, et al. Liraglutide effects and action in diabetes: evaluation of cardiovascular outcome results (LEADER) trial: rationale and study design. Diabetes 2011;60:A612-3.
  2. Fonseca V, Falahati A, Zychma M, Madsbad S, Plutzky J. A meta-analysis of six clinical trials demonstrates that the once-daily human GLP-1 analogue liraglutide reduces systolic blood pressure. J Diab Compl 2014;28(3):399-405.

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Authors
Saponaro, F., Sonaglioni, A., Rossi, A., Montefusco, L., Lombardo, M., Adda, G., & Arosio, M.
Affiliations
  • MultiMedica (IT)
  • University of Milan (IT)
Corresponding author
Arosio, Maura
Venue
Diabetes Research and Clinical Practice
Publisher
Elsevier BV
Published
2016-08
Volume
118
Pages
21-28
ISSN
0168-8227 (ISSN-L)
OpenAlex
W2346769585
Cited by
41
References
47
Citations by year
2026: 3 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 7 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 5 · 2016: 1
FWCI
3.58
Type
journal article
Language
en
Open access
Locations
  • Diabetes Research and Clinical Practice (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • INFM-OAR (INFN Catania) (submittedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
liraglutide, type 2 diabetes, diastolic function, GLP-1 receptor agonists, mitral annular velocity, tissue Doppler imaging, myocardial relaxation, HbA1c, glycemic control
MeSH terms
Liraglutide, Adolescent, Adult, Aged, Aged, 80 and over, Diabetes Mellitus, Type 2, Diastole, Drug Administration Schedule, Female, Follow-Up Studies, Heart Ventricles, Humans, Hypoglycemic Agents, Male, Middle Aged, Prospective Studies, Echocardiography, Doppler, Ventricular Function, Left, Young Adult, Diabetic Cardiomyopathies

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