Efficacy analysis of Degludec insulin Liraglutide on obese T2DM patients with poor treatment effect of Metformin
10.3969/j.issn.1673-9701.2025.29.012
- VernacularTitle:德谷胰岛素利拉鲁肽对二甲双胍治疗效果不佳的肥胖T2DM的疗效分析
- Author:
Guiyan CHEN
1
;
Liuxue YANG
1
;
Haoyuan CHEN
1
;
Jusumei TANG
1
Author Information
1. 桂林医学院第二附属医院内分泌科,广西桂林 541199
- Publication Type:Journal Article
- Keywords:
Metformin;
Type 2 diabetes mellitus;
Degludec insulin Liraglutide;
Pancreatic islet function
- From:
China Modern Doctor
2025;63(29):47-50
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic effect of Degludec insulin Liraglutide on obese type 2 diabetes mellitus(T2DM)with poor treatment effect of Metformin.Methods A total of 95 obese T2DM patients with inadequate glycemic control after Metformin therapy admitted to the Second Affiliated Hospital of Guilin Medical University from July 2022 to February 2024 were enrolled.Using a randomized digital table method,patients were divided into observation group(n=47)and control group(n=48).The patients of observation group received Degludec insulin Liraglutide,while the patients of control group was treated with Glargine insulin.Body mass index(BMI),serum C-peptide levels,blood glucose parameters,pancreatic function,lipid profiles,and adverse reaction incidence were compared between two groups.Results After treatment,BMI,postprandial 2-hour blood glucose,fasting blood glucose,glycated hemoglobin,total cholesterol,and low-density lipoprotein cholesterol were significantly lower in observation group than those in control group(P＜0.05).Pancreatic β-cell function index,insulin resistance index,postprandial 2-hour C-peptide,fasting C-peptide,and high-density lipoprotein cholesterol were significantly higher in observation group than those in control group(P＜0.05).There were fewer adverse reactions in observation group than those in control group(P＜0.05).Conclusion The use of Degludec insulin Liraglutide in the treatment of obese T2DM patients with poor effect of Metformin can achieve satisfactory results during the treatment,and pancreatic function,blood glucose,blood lipid and BMI have been significantly improved.The clinical application has a high safety.
