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Original Research Article | OPEN ACCESS

Effect of dapagliflozin on metabolic disorders, β-islets cell function and serum protein expressions in patients with type 2 diabetes mellitus

Guifang Ji1 , Mingmei Ma2, Yongyu Zheng1, Lingjun Wei1, Tuan Cheng1

1Department of Pharmacy, Qinghai University Affiliated Hospital, Xining 810001, Qinghai Province, China; 2Department of Venous Distribution Center, Qinghai University Affiliated Hospital, Xining 810001, Qinghai Province, China.

For correspondence:-  Guifang Ji   Email: jijulie4916256@163.com

Accepted: 29 February 2024        Published: 31 March 2024

Citation: Ji G, Ma M, Zheng Y, Wei L, Cheng T. Effect of dapagliflozin on metabolic disorders, β-islets cell function and serum protein expressions in patients with type 2 diabetes mellitus. Trop J Pharm Res 2024; 23(3):579-585 doi: 10.4314/tjpr.v23i3.12

© 2024 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..

Abstract

Purpose: To investigate the effect of dapagliflozin on metabolic disorders, pancreatic islets β-cell function and serum protein expressions in patients with type 2 diabetes mellitus (T2DM).
Methods: One hundred patients with T2DM in Qinghai University Affiliated Hospital, Xining, China from June 2022 to March 2023 were selected and randomly divided into control and study groups, with 50 patients in each group. Patients in control group received basic treatment (instruction to control diet intake), while patients in study group received dapagliflozin (10 mg/day) for 6 weeks, plus basic treatment. Pre and post-treatment physical examination, blood glucose and blood lipid parameters were determined. Furthermore, hemoglobin A1c (HbA1c) level was measured with enzyme-linked immunosorbent assay (ELISA) kits while serological indices were determined using radioimmunoassay.
Results: Post-treatment levels of fasting plasma glucose (FPG), 2 h postprandial blood glucose (2 h BG), lipid levels, and GLP 1 levels in the two groups were significantly lower than pre-treatment levels (p < 0.05), but the levels in study group were significantly lower than those in control group (p < 0.05). Moreover, HbA1c level of study group was significantly lower than that of control group (p < 0.05). After treatment, waist circumference, body mass index (BMI) and body mass of the two groups were significantly lower than pretreatment values, with study group having significantly lower values than control group (p < 0.05).
Conclusion: Dapagliflozin is effective in the treatment of patients with T2DM, as it significantly improves pancreatic islets β-cell function, blood glucose and lipid metabolism, and reduces body weight. Future studies using larger sample size and diverse study centers are recommended prior to application in clinical practice.

Keywords: Dapagliflozin, Type 2 diabetes mellitus (T2DM), Metabolic syndrome, β-Cells of Islet of Langerhans, Glucose transporter 4

Impact Factor
Thompson Reuters (ISI): 0.6 (2023)
H-5 index (Google Scholar): 49 (2023)

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