PMID- 37337740 OWN - NLM STAT- MEDLINE DCOM- 20251006 LR - 20251006 IS - 2724-6116 (Electronic) IS - 2724-6116 (Linking) VI - 50 IP - 3 DP - 2025 Sep TI - Results of semaglutide in patients older than 70 years, a real-world study of efficacy and safety. PG - 296-301 LID - 10.23736/S2724-6507.23.03985-4 [doi] AB - BACKGROUND: The aim of this study is to investigate the use of once-weekly semaglutide in a real population of patients with type 2 diabetes mellitus (T2DM) over 70 years in two Spanish hospitals. METHODS: An observational, retrospective, and multicenter clinical study was designed. It included 60 patients with T2DM, with a mean age of 76.5 years, 63.3% women, and a mean of 15.5 years of evolution of T2DM, all managed in the outpatient clinical setting. The primary endpoint was the change in HbA1c from baseline to the end of the study. The secondary endpoints included changes in body weight and the proportion of patients achieving HbA1c <7.0% and body weight loss >5%. RESULTS: After 12 months of follow-up, the reductions in HbA1c were -0.61+/-0.9% (P<0.0001) in the total cohort. Body weight reductions were -8.2+/-5.3 kg (P<0.0001). Overall, 67% reached the objective of an HbA1c level of <7%, and 73% achieved a weight loss of >/=5%. CONCLUSIONS: In routine clinical practice in Spain, the use of semaglutide once a week was associated with statistically significant and clinically relevant improvements in HbA1c and body weight in adults aged over 70 years with T2DM, without notable adverse effects, which supports real-world use. FAU - Garcia DE Lucas, Maria D AU - Garcia DE Lucas MD AD - Department of Internal Medicine, Costa del Sol Hospital, Marbella, Spain. FAU - Perez-Belmonte, Luis AU - Perez-Belmonte L AD - Department of Internal Medicine, Regional University Hospital and Biomedical Research Institute, Malaga, Spain. FAU - Aviles-Bueno, Beatriz AU - Aviles-Bueno B AD - Department of Nephrology, Costa del Sol Hospital, Marbella, Spain. FAU - Jimenez-Millan, Anabel AU - Jimenez-Millan A AD - Department of Endocrinology, University Hospital of Puerto Real, Puerto Real, Spain. FAU - Rivas Ruiz, Francisco AU - Rivas Ruiz F AD - Research Unit, Costa del Sol Hospital, Marbella, Spain. FAU - Miramontes-Gonzalez, Jose P AU - Miramontes-Gonzalez JP AD - Department of Internal Medicine, Rio Hortega University Hospital, Valladolid University, Valladolid, Spain - jpmiramontes@hotmail.com. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20230620 PL - Italy TA - Minerva Endocrinol (Torino) JT - Minerva endocrinology JID - 101777342 RN - 62340-29-8 (Glucagon-Like Peptides) RN - 53AXN4NNHX (semaglutide) RN - 0 (Hypoglycemic Agents) RN - 0 (Glycated Hemoglobin) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM MH - Humans MH - Aged MH - *Glucagon-Like Peptides/therapeutic use/adverse effects/administration & dosage MH - Female MH - *Diabetes Mellitus, Type 2/drug therapy/blood MH - Male MH - Retrospective Studies MH - *Hypoglycemic Agents/therapeutic use/adverse effects/administration & dosage MH - Aged, 80 and over MH - Treatment Outcome MH - Weight Loss/drug effects MH - Spain MH - Glycated Hemoglobin/analysis MH - Follow-Up Studies MH - Body Weight/drug effects MH - Glucagon-Like Peptide 1 EDAT- 2023/06/20 06:42 MHDA- 2025/10/06 12:31 CRDT- 2023/06/20 03:37 PHST- 2025/10/06 12:31 [medline] PHST- 2023/06/20 06:42 [pubmed] PHST- 2023/06/20 03:37 [entrez] AID - S2724-6507.23.03985-4 [pii] AID - 10.23736/S2724-6507.23.03985-4 [doi] PST - ppublish SO - Minerva Endocrinol (Torino). 2025 Sep;50(3):296-301. doi: 10.23736/S2724-6507.23.03985-4. Epub 2023 Jun 20.