PMID- 30473540 OWN - NLM STAT- MEDLINE DCOM- 20190722 LR - 20200225 IS - 1573-4935 (Electronic) IS - 0144-8463 (Print) IS - 0144-8463 (Linking) VI - 38 IP - 6 DP - 2018 Dec 21 TI - Efficacy of liraglutide in treating type 2 diabetes mellitus complicated with non-alcoholic fatty liver disease. LID - BSR20181304 [pii] LID - 10.1042/BSR20181304 [doi] AB - Type 2 diabetes mellitus (T2DM) complicated with non-alcoholic fatty liver disease (NAFLD) is difficult to treat. The present study explored the efficacy of (liraglutide) Lira in treating T2DM complicated with NAFLD. A total of 127 patients suffering from T2DM complicated with NAFLD were enrolled in the present study, and randomly assigned to a Lira group (liraglutide injection: 0.6-1.2 mg/day, 12 weeks, n=52) or a Metformin (Met) group (oral metformin: 1000-1500 mg/day, 12 weeks, n=75). During the treatment phase, the values for fasting plasma glucose (FPG), 2 h plasma glucose (2hPG), glycated hemoglobin (HbA1c), aspartate aminotransferase (AST)/alanine aminotransferase (ALT), and adiponectin (APN) decreased in both the Lira and Met groups, and the levels of Delta2hPG, DeltaAST/ALT, and DeltaAPN in the Lira group were significantly lower than those in the Met group. The values for total cholesterol (TC), triglycerides (TG), low-and high-density lipoproteins (LDL and HDL), ALT, AST, weight, body mass index (BMI), waist to hip ratio (WHR), and C-reactive protein were markedly increased in both groups, and levels of DeltaAST, DeltaALT, Deltaweight, DeltaBMI, DeltaWHR, and DeltaCRP (C-reactive protein) in the Lira group were significantly higher than those in the Met group. An analysis of treatment efficacy showed that liraglutide was better than metformin in its ability to significantly decrease the ALT levels in patients with combined T2DM and NAFLD. Furthermore, liraglutide was more effective than metformin at ameliorating the severity of T2DM complicated with NAFLD, and produced its effects by alleviating liver inflammation and improving liver function. CI - (c) 2018 The Author(s). FAU - Tian, Feng AU - Tian F AD - Department of Endocrinology and Metabolism, Shenzhen Guangming New District People's Hospital, Shenzhen 518000, China. FAU - Zheng, Zhigang AU - Zheng Z AD - Department of Internal Medicine, Shenzhen Yantian District People's Hospital, Shenzhen 518000, China. FAU - Zhang, Damin AU - Zhang D AD - Department of Internal Medicine, Shenzhen Yantian District People's Hospital, Shenzhen 518000, China. FAU - He, Si AU - He S AD - Department of Internal Medicine, Shenzhen Yantian District People's Hospital, Shenzhen 518000, China. FAU - Shen, Jie AU - Shen J AUID- ORCID: 0000-0002-7906-9187 AD - Department of Endocrinology and Metabolism, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510500, China sarahtina6@hotmail.com. LA - eng PT - Journal Article DEP - 20181221 PL - England TA - Biosci Rep JT - Bioscience reports JID - 8102797 RN - 0 (ADIPOQ protein, human) RN - 0 (Adiponectin) RN - 0 (Blood Glucose) RN - 0 (Triglycerides) RN - 839I73S42A (Liraglutide) RN - 9100L32L2N (Metformin) RN - EC 2.6.1.1 (Aspartate Aminotransferases) RN - EC 2.6.1.2 (Alanine Transaminase) SB - IM MH - Adiponectin/blood MH - Alanine Transaminase/blood MH - Aspartate Aminotransferases/blood MH - Blood Glucose MH - Body Mass Index MH - Diabetes Mellitus, Type 2/blood/complications/*drug therapy/pathology MH - Female MH - Humans MH - Liraglutide/*administration & dosage MH - Male MH - Metformin/*administration & dosage MH - Middle Aged MH - Non-alcoholic Fatty Liver Disease/blood/complications/*drug therapy/pathology MH - Triglycerides/blood MH - Waist-Hip Ratio PMC - PMC6435530 OTO - NOTNLM OT - Liraglutide OT - Metformin OT - Non-alcoholic fatty liver disease OT - Type 2 diabetes mellitus COIS- The authors declare that there are no competing interests associated with the manuscript. EDAT- 2018/11/27 06:00 MHDA- 2019/07/23 06:00 PMCR- 2018/12/21 CRDT- 2018/11/27 06:00 PHST- 2018/08/01 00:00 [received] PHST- 2018/11/07 00:00 [revised] PHST- 2018/11/16 00:00 [accepted] PHST- 2018/11/27 06:00 [pubmed] PHST- 2019/07/23 06:00 [medline] PHST- 2018/11/27 06:00 [entrez] PHST- 2018/12/21 00:00 [pmc-release] AID - BSR20181304 [pii] AID - 10.1042/BSR20181304 [doi] PST - epublish SO - Biosci Rep. 2018 Dec 21;38(6):BSR20181304. doi: 10.1042/BSR20181304. Print 2018 Dec 21.