J Obes Metab Syndr.  2020 Sep;29(3):215-221. 10.7570/jomes20040.

Effects of 6 Months of Dapagliflozin Treatment on Metabolic Profile and Endothelial Cell Dysfunction for Obese Type 2 Diabetes Mellitus Patients without Atherosclerotic Cardiovascular Disease

Affiliations
  • 1Divisions of Endocrinology, Department of Internal Medicine, College of Medicine, Konyang University, Daejeon, Korea
  • 2Nephrology, Department of Internal Medicine, College of Medicine, Konyang University, Daejeon, Korea
  • 3Konyang University Myunggok Medical Research Institute, Daejeon, Korea

Abstract

Background
Sodium-glucose cotransporter 2 inhibitors reduce the risk of cardiovascular death in individuals with type 2 diabetes mellitus (T2DM) and cardiovascular disease, but the effect of these inhibitors on early cardiovascular disease remains unknown. This study evaluated the effect of dapagliflozin on the metabolic profiles and endothelial cell function in obese patients with T2DM without established cardiovascular disease.
Methods
We enrolled 140 patients with a mean age, weight, and body mass index (BMI) of 47 years, 83 kg, and 30.3 kg/m2 , respectively. Dapagliflozin (10 mg daily for 6 months) was administered to obese patients with T2DM without established cardiovascular disease. Participants’ weight, BMI, body fat mass (BFM), muscle mass, glycosylated hemoglobin (HbA1c), lipid profile, waist to hip ratio (WHR), and pulse wave velocity (PWV) were measured at baseline and after 6 months.
Results
Participants experienced statistically significant reductions in their HbA1c, fasting plasma glucose, lowdensity lipoprotein cholesterol, total cholesterol, body weight, BMI, WHR, BFM, and aortic PWV, without a significant change in their muscle mass, extracellular fluid, or intracellular volume. Statistically significant reductions in aortic PWV were associated with a decrease in BFM, visceral fat, WHR, and homeostatic model assessment of insulin resistance.
Conclusion
Dapagliflozin may be beneficial in preventing early cardiovascular disease in obese patients with T2DM without established cardiovascular disease.

Keyword

Sodium-glucose transporter 2 inhibitors; Body composition; Pulse wave velocity
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