Effects of liraglutide on cardiovascular risk factors in patients with type 1 diabetes
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Effects of liraglutide on cardiovascular risk factors in patients with type 1 diabetes. / Dejgaard, Thomas Fremming; Johansen, Nanna B; Frandsen, Christian S S; Asmar, Ali; Tarnow, Lise; Knop, Filip K; Madsbad, Sten; Andersen, Henrik U.
I: Diabetes, Obesity and Metabolism, Bind 19, Nr. 5, 05.2017, s. 734–738.Publikation: Bidrag til tidsskrift › Letter › Forskning › fagfællebedømt
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TY - JOUR
T1 - Effects of liraglutide on cardiovascular risk factors in patients with type 1 diabetes
AU - Dejgaard, Thomas Fremming
AU - Johansen, Nanna B
AU - Frandsen, Christian S S
AU - Asmar, Ali
AU - Tarnow, Lise
AU - Knop, Filip K
AU - Madsbad, Sten
AU - Andersen, Henrik U
N1 - © 2016 John Wiley & Sons Ltd.
PY - 2017/5
Y1 - 2017/5
N2 - We investigated the short-term effect of adding liraglutide 1.8 mg once daily to insulin treatment on cardiovascular risk factors in patients with type 1 diabetes. In total, 100 overweight (BMI ≥25 kg/m(2) ) adult patients (age ≥18 years) with type 1 diabetes and HbA1c ≥ 8% (64 mmol/mol) were randomized to liraglutide 1.8 mg or placebo added to insulin treatment in a 24-week double-blinded, placebo-controlled trial. At baseline and after 24 weeks of treatment, 24-hour blood pressure and heart rate, pulse pressure, pulse wave velocity and carotid intima-media thickness were evaluated. Compared with placebo, liraglutide increased 24-hour heart rate by 4.6 beats per minute (BPM); P = .0015, daytime heart rate by 3.7; P = .0240 and night-time heart rate by 7.5 BPM; P < .001 after 24 weeks. Diastolic nocturnal blood pressure increased by 4 mm Hg; P = .0362 in the liraglutide group compared with placebo. In conclusion, in patients with long-standing type 1 diabetes, liraglutide as add-on to insulin increased heart rate and did not improve other cardiovascular risk factors after 24 weeks of treatment.
AB - We investigated the short-term effect of adding liraglutide 1.8 mg once daily to insulin treatment on cardiovascular risk factors in patients with type 1 diabetes. In total, 100 overweight (BMI ≥25 kg/m(2) ) adult patients (age ≥18 years) with type 1 diabetes and HbA1c ≥ 8% (64 mmol/mol) were randomized to liraglutide 1.8 mg or placebo added to insulin treatment in a 24-week double-blinded, placebo-controlled trial. At baseline and after 24 weeks of treatment, 24-hour blood pressure and heart rate, pulse pressure, pulse wave velocity and carotid intima-media thickness were evaluated. Compared with placebo, liraglutide increased 24-hour heart rate by 4.6 beats per minute (BPM); P = .0015, daytime heart rate by 3.7; P = .0240 and night-time heart rate by 7.5 BPM; P < .001 after 24 weeks. Diastolic nocturnal blood pressure increased by 4 mm Hg; P = .0362 in the liraglutide group compared with placebo. In conclusion, in patients with long-standing type 1 diabetes, liraglutide as add-on to insulin increased heart rate and did not improve other cardiovascular risk factors after 24 weeks of treatment.
KW - Journal Article
U2 - 10.1111/dom.12841
DO - 10.1111/dom.12841
M3 - Letter
C2 - 27935240
VL - 19
SP - 734
EP - 738
JO - Diabetes, Obesity and Metabolism
JF - Diabetes, Obesity and Metabolism
SN - 1462-8902
IS - 5
ER -
ID: 176440466