Evaluating the Effect of Hypoglycemic Agents on Diabetic Retinopathy Progression

BACKGROUND AND OBJECTIVE: Newer hypoglycemics such as dipeptidyl peptidase 4 (DPP-4) inhibitors, sodium-glucose cotransporter-2 (SGLT-2) inhibitors, glucagon-like peptide-1 (GLP-1) receptor agonists have been increasingly used in diabetes. This study aimed to assess the relationship between usage of...

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Veröffentlicht in:Ophthalmic surgery, lasers & imaging retina. - 2013. - 54(2023), 3 vom: 30. März, Seite 158-165
1. Verfasser: Wai, Karen M (VerfasserIn)
Weitere Verfasser: Saroj, Namrata, Boucher, Nick, Aggarwal, Nitika, Ho, Allen C, Rahimy, Ehsan
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2023
Zugriff auf das übergeordnete Werk:Ophthalmic surgery, lasers & imaging retina
Schlagworte:Journal Article Hypoglycemic Agents Metformin 9100L32L2N Dipeptidyl-Peptidase IV Inhibitors Glucagon-Like Peptide 1 89750-14-1
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520 |a BACKGROUND AND OBJECTIVE: Newer hypoglycemics such as dipeptidyl peptidase 4 (DPP-4) inhibitors, sodium-glucose cotransporter-2 (SGLT-2) inhibitors, glucagon-like peptide-1 (GLP-1) receptor agonists have been increasingly used in diabetes. This study aimed to assess the relationship between usage of these hypoglycemic agents and effect on diabetic retinopathy (DR) 
520 |a MATERIALS AND METHODS: Using the Vestrum Health Retina Database, patients with DR with 1 year follow-up after use of a hypoglycemic agent were included and stratified by agent, including no pharmacotherapy 
520 |a RESULTS: Of 60,649 eyes, in 1 year after hypoglycemic agent usage, progression rates from severe nonproliferative diabetic retinopathy (NPDR) to proliferative diabetic retinopathy (PDR) were the following: DPP-4 (17%), SGLT-2 (12%), GLP-1 (21%), metformin (18%), and none (20%). Progression rates from moderate NPDR to severe NPDR or PDR were the following: DPP-4 (11%), SGLT-2 (10%), GLP-1 (11%), metformin (10%), none (13%). Progression rates from mild NPDR to moderate/severe NPDR or PDR were the following: DPP-4 (6%), SGLT-2 (9%), GLP-1 (9%), metformin (7%), and none (10%) 
520 |a CONCLUSIONS: Within a large real-world database, patients prescribed GLP-1 agonists were found to have DR progression rates comparable to those of patients receiving no hypoglycemic agents. [Ophthalmic Surg Lasers Imaging Retina 2023; 54(3):158-165.] 
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650 7 |a Metformin  |2 NLM 
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700 1 |a Saroj, Namrata  |e verfasserin  |4 aut 
700 1 |a Boucher, Nick  |e verfasserin  |4 aut 
700 1 |a Aggarwal, Nitika  |e verfasserin  |4 aut 
700 1 |a Ho, Allen C  |e verfasserin  |4 aut 
700 1 |a Rahimy, Ehsan  |e verfasserin  |4 aut 
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