Resumen de Investigación

Semaglutide with Insulin Improves Diabetes Control and Kidney Health

Moderate confidence
Low bias
Última actualización 17 de junio de 2026

Conclusión Clave:

This study evaluated the effects of semaglutide combined with insulin therapy on glycemic control and renal function in elderly patients with type 2 diabetes, finding significant improvements in several metabolic parameters.

Estudio de un Vistazo

Participantes

Intervención

Semaglutide + Insulin Therapy

Resultados

Fasting Plasma Glucose (FPG), 2-Hour Postprandial Glucose (2hPG), HbA1c, Insulin resistance, VEGF, ET-1, 24-Hour Urinary Protein (24hUpr), Urinary Albumin-to-Creatinine Ratio (UACR), HOMA-β, Nitric Oxide (NO), Estimated Glomerular Filtration Rate (eGFR), Adverse Events

Financiamiento

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Efectos Principales

Fasting Plasma Glucose decreased by 2.31 mmol/L (p=0.001)

HbA1c decreased by 1.66% (p=0.001)

24-Hour Urinary Protein decreased significantly (p=0.001)

Resumen de Evidencia

InterventionOutcomeMeasured ChangeStudy Effect
Medications
Insulin therapy
(Medications)
Clinical Outcomes
24-Hour Urinary Protein (24hUpr)
(Clinical Outcomes)
Decrease
Strong
Medications
Insulin therapy
(Medications)
Safety
Adverse events incidence
(Safety)
No Change
Unclear
Medications
Insulin therapy
(Medications)
Metabolic Health
Endothelin-1 (ET-1)
(Metabolic Health)
Decrease
Strong
Medications
Insulin therapy
(Medications)
Clinical Outcomes
Estimated glomerular filtration rate
(Clinical Outcomes)
Increase
Strong
Medications
Insulin therapy
(Medications)
Glycemic Control
Fasting Plasma Glucose (FPG)
(Glycemic Control)
Decrease
Strong
Medications
Insulin therapy
(Medications)
Glycemic Control
Glucose iAUC (OGTT)
(Glycemic Control)
Decrease
Strong
Medications
Insulin therapy
(Medications)
Glycemic Control
HbA1c
(Glycemic Control)
Decrease
Strong
Medications
Insulin therapy
(Medications)
Glycemic Control
Homeostatic Model Assessment of Beta-cell function (HOMA-β)
(Glycemic Control)
Increase
Strong
Medications
Insulin therapy
(Medications)
Metabolic Health
Insulin resistance
(Metabolic Health)
Decrease
Strong
Medications
Insulin therapy
(Medications)
Metabolic Health
Nitric Oxide (NO)
(Metabolic Health)
Increase
Strong
Medications
Insulin therapy
(Medications)
Clinical Outcomes
Serum VEGF
(Clinical Outcomes)
Decrease
Strong
Medications
Insulin therapy
(Medications)
Clinical Outcomes
Urinary albumin-to-creatinine ratio
(Clinical Outcomes)
Decrease
Strong

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evidence suggest

La Evidencia Sugiere

  • Fasting Plasma Glucose reduced by 2.31 mmol/L, indicating improved glycemic control.
  • HbA1c decreased by 1.66%, suggesting better long-term blood sugar management.
  • 24-Hour Urinary Protein levels decreased, indicating improved renal function.
who this applies

A quién se aplica

  • Elderly patients aged 65 and older with type 2 diabetes.
  • Patients requiring insulin therapy for diabetes management.
keep in mind

Tener en Cuenta

  • Results may not apply to younger populations or those without diabetes.
  • Further studies are needed to confirm long-term benefits.
  • The study's findings are based on a specific treatment regimen.
between the lines

Entre Líneas

  • Limited sample size may affect generalizability.
  • Short duration of follow-up may not capture long-term effects.
  • Unmeasured confounders could influence outcomes.

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Referencia de la Revista

Lan Y, Ying Y, Suraiya S. Semaglutide Combined with Insulin Therapy Improves Glycemic Control and Renal Function in Elderly Patients with Type 2 Diabetes. International Journal of Endocrinology. 2026;2026:1543983. doi:10.1155/ije/1543983

Connected Evidence

Discover how this study fits into the broader diabetes evidence landscape.

This study contributes to evidence on Insulin Therapies and Kidney Function, Insulin Therapies and Vascular and Endothelial Function.

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