PMID- 35905827 OWN - NLM STAT- MEDLINE DCOM- 20220829 LR - 20220930 IS - 1874-1754 (Electronic) IS - 0167-5273 (Linking) VI - 365 DP - 2022 Oct 15 TI - Translating results from the cardiovascular outcomes trials with glucagon-like peptide-1 receptor agonists into clinical practice: Recommendations from a Eastern and Southern Europe diabetes expert group. PG - 8-18 LID - S0167-5273(22)01085-3 [pii] LID - 10.1016/j.ijcard.2022.07.017 [doi] AB - Glucagon-like peptide-1 (GLP-1) receptor agonists mimic the action of the endogenous GLP-1 incretin hormone, improving glycaemic control in type 2 diabetes mellitus (T2DM) by increasing insulin secretion and decreasing glucagon secretion in a glucose-dependent manner. However, as cardiovascular (CV) morbidity and mortality is common in patients with T2DM, several trials with the use of GLP-1 receptor agonists (RAs) have been performed focusing on endpoints related to cardiovascular disease rather than metabolic control of T2DM. Following the positive cardiovascular effects of liraglutide, dulaglutide and semaglutide observed in these trials, major changes in T2DM management guidelines have occurred. This document from a Eastern and Southern European Diabetes Expert Group discusses the results of GLP-1 RA CV outcomes trials, their impact on recent clinical guidelines for the management of T2DM, and some selected combination regimens utilising GLP-1 RAs. We also propose an algorithm for guiding GLP-1 RA-based treatment according to patients' characteristics, which can be easily applied in every day clinical practice. CI - Copyright (c) 2022. Published by Elsevier B.V. FAU - Janez, Andrej AU - Janez A AD - Department of Endocrinology, Diabetes and Metabolic Diseases, University Medical Center Ljubljana, Slovenia. Electronic address: andrej.janez@kclj.si. FAU - Muzurovic, Emir AU - Muzurovic E AD - Faculty of Medicine, University of Montenegro, Department of Internal Medicine, Endocrinology Section, Clinical Centre of Montenegro, Podgorica, Montenegro. FAU - Stoian, Anca Pantea AU - Stoian AP AD - Diabetes, Nutrition and Metabolic Diseases Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. FAU - Haluzik, Martin AU - Haluzik M AD - Diabetes Centre and Centre for Experimental Medicine, Institute for Clinical and Experimental Medicine and Institute of Endocrinology, Prague, Czech Republic. FAU - Guja, Cristian AU - Guja C AD - Department of Diabetes, Nutrition and Metabolic Diseases, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. FAU - Czupryniak, Leszek AU - Czupryniak L AD - Department of Diabetology and Internal Medicine, Medical University of Warsaw, Poland. FAU - Duvnjak, Lea AU - Duvnjak L AD - School of Medicine University of Zagreb, Vuk Vrhovac University Clinic, Zagreb, Croatia. FAU - Lalic, Nebojsa AU - Lalic N AD - Faculty of Medicine University of Belgrade, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Belgrade, Serbia. FAU - Tankova, Tsvetalina AU - Tankova T AD - Department of Endocrinology, Medical University, Sofia, Bulgaria. FAU - Bogdanski, Pawel AU - Bogdanski P AD - Department of Treatment of Obesity, Metabolic Disorders and Clinical Dietetics, University of Medical Sciences, Poznan, Poland. FAU - Papanas, Nikolaos AU - Papanas N AD - Diabetes Centre, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Nunes, Jose Silva AU - Nunes JS AD - Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar Universitario Lisboa Central, Lisbon, Portugal. FAU - Kempler, Peter AU - Kempler P AD - First Department of Medicine, Semmelweis University, Budapest, Hungary. FAU - Fras, Zlatko AU - Fras Z AD - Preventive Cardiology Unit, Division of Medicine, University Medical Centre Ljubljana and Chair of Internal Medicine, Medical Faculty, University of Ljubljana, Slovenia. FAU - Rizzo, Manfredi AU - Rizzo M AD - Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (Promise), School of Medicine, University of Palermo, Italy. LA - eng PT - Journal Article DEP - 20220726 PL - Netherlands TA - Int J Cardiol JT - International journal of cardiology JID - 8200291 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 839I73S42A (Liraglutide) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM CIN - Int J Cardiol. 2022 Nov 15;367:63-64. PMID: 36028093 MH - *Cardiovascular Diseases/drug therapy/epidemiology MH - *Diabetes Mellitus, Type 2/diagnosis/drug therapy/epidemiology MH - Glucagon-Like Peptide 1/metabolism MH - Glucagon-Like Peptide-1 Receptor/agonists MH - Humans MH - Hypoglycemic Agents/pharmacology/therapeutic use MH - Liraglutide/pharmacology/therapeutic use OTO - NOTNLM OT - Algorithm OT - Cardiovascular outcomes trials OT - GLP-1 receptor agonists OT - Treatment OT - Type 2 diabetes mellitus EDAT- 2022/07/30 06:00 MHDA- 2022/08/30 06:00 CRDT- 2022/07/29 19:14 PHST- 2022/05/29 00:00 [received] PHST- 2022/07/05 00:00 [revised] PHST- 2022/07/12 00:00 [accepted] PHST- 2022/07/30 06:00 [pubmed] PHST- 2022/08/30 06:00 [medline] PHST- 2022/07/29 19:14 [entrez] AID - S0167-5273(22)01085-3 [pii] AID - 10.1016/j.ijcard.2022.07.017 [doi] PST - ppublish SO - Int J Cardiol. 2022 Oct 15;365:8-18. doi: 10.1016/j.ijcard.2022.07.017. Epub 2022 Jul 26.