PMID- 30758417 OWN - NLM STAT- MEDLINE DCOM- 20190312 LR - 20190312 IS - 1806-9282 (Electronic) IS - 0104-4230 (Linking) VI - 65 IP - 1 DP - 2019 Jan TI - The efficacy of saxagliptin in T2DM patients with non-alcoholic fatty liver disease: preliminary data. PG - 33-37 LID - S0104-42302019000100033 [pii] LID - 10.1590/1806-9282.65.1.33 [doi] AB - OBJECTIVE: To investigate the clinical efficacy and the possible mechanisms of saxagliptin in the treatment of type 2 diabetes mellitus (T2DM) combined with non-alcoholic fatty liver disease (NAFLD). METHODS: A total of 95 T2DM and NAFLD patients were randomly divided into group A (saxagliptin group), group B (glimepiride group), and group C (glimepiride combined with polyene phosphatidylcholine group). RESULTS: After intervention treatment for 24 w, body mass index (BMI), waist-to-hip ratio (WHR), glycated haemoglobin (HbA1c), fasting plasma glucose (FPG), fasting insulin (FINS), homeostatic model assessment of insulin resistance (HOMA-IR), interleukin-6 (IL-6), triglyceride (TG), total cholesterol (TC), alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyltransferase (gamma-GT), and quantitative detection of liver steatosis of study subjects were observed, the action of liver steatosis in subjects of groups A and C were significantly different from those of group B; however, there were no differences between groups A and C. The FINS, HOMA-IR, and IL-6 of subjects in group A was lower than those in groups B and C; however, there were no significant differences between the latter two groups. CONCLUSION: For T2DM combined with NAFLD patients, the saxagliptin treatment could not only effectively control blood glucose but also attenuate insulin resistance and inflammatory injury of the liver to improve fatty liver further. FAU - Li, Juan-Juan AU - Li JJ AUID- ORCID: 0000-0002-4165-5981 AD - Health Management Center, Qilu Hospital of Shandong University (Qingdao), Shandong Province, China. FAU - Zhang, Ping AU - Zhang P AUID- ORCID: 0000-0001-6214-557X AD - Department of Ultrasonography, Qilu Hospital of Shandong University (Qingdao), Shandong Province, China. FAU - Fan, Bing AU - Fan B AUID- ORCID: 0000-0001-8007-2036 AD - Health Management Center, Qilu Hospital of Shandong University (Qingdao), Shandong Province, China. FAU - Guo, Xiu-Li AU - Guo XL AUID- ORCID: 0000-0003-0831-0516 AD - Department of Ultrasonography, Qilu Hospital of Shandong University (Qingdao), Shandong Province, China. FAU - Zheng, Zhe-Shu AU - Zheng ZS AUID- ORCID: 0000-0002-1379-3068 AD - Department of Ultrasonography, Qilu Hospital of Shandong University (Qingdao), Shandong Province, China. LA - eng PT - Journal Article PL - Brazil TA - Rev Assoc Med Bras (1992) JT - Revista da Associacao Medica Brasileira (1992) JID - 9308586 RN - 0 (Blood Glucose) RN - 0 (Dipeptides) RN - 0 (Hypoglycemic Agents) RN - 0 (Phosphatidylcholines) RN - 0 (Sulfonylurea Compounds) RN - 0 (polyene phosphatidylcholine) RN - 6KY687524K (glimepiride) RN - 9GB927LAJW (saxagliptin) RN - PJY633525U (Adamantane) SB - IM MH - Adamantane/administration & dosage/*analogs & derivatives MH - Blood Glucose MH - Body Mass Index MH - Diabetes Mellitus, Type 2/complications/*drug therapy MH - Dipeptides/*administration & dosage MH - Female MH - Humans MH - Hypoglycemic Agents/*administration & dosage MH - Insulin Resistance MH - Male MH - Middle Aged MH - Non-alcoholic Fatty Liver Disease/complications/*drug therapy MH - Phosphatidylcholines/*administration & dosage MH - Sulfonylurea Compounds/*administration & dosage MH - Treatment Outcome EDAT- 2019/02/14 06:00 MHDA- 2019/03/13 06:00 CRDT- 2019/02/14 06:00 PHST- 2018/08/09 00:00 [received] PHST- 2018/08/27 00:00 [accepted] PHST- 2019/02/14 06:00 [entrez] PHST- 2019/02/14 06:00 [pubmed] PHST- 2019/03/13 06:00 [medline] AID - S0104-42302019000100033 [pii] AID - 10.1590/1806-9282.65.1.33 [doi] PST - ppublish SO - Rev Assoc Med Bras (1992). 2019 Jan;65(1):33-37. doi: 10.1590/1806-9282.65.1.33.