PMID- 37463703 OWN - NLM STAT- MEDLINE DCOM- 20230721 LR - 20231216 IS - 1658-3175 (Electronic) IS - 0379-5284 (Print) IS - 0379-5284 (Linking) VI - 44 IP - 7 DP - 2023 Jul TI - Metabolic and renal outcomes of empagliflozin in patients with type 2 diabetes mellitus attending Armed Forces Hospital in Saudi Arabia: Retrospective cohort study. PG - 674-678 LID - 10.15537/smj.2023.44.7.20230094 [doi] AB - OBJECTIVES: To explore the effects of empagliflozin (25 mg) on metabolic and renal parameters in patients with type 2 diabetes mellitus (T2DM). METHODS: This retrospective observational comparative study was conducted at a military hospital in southern Saudi Arabia. All adults (aged >18 years) with T2DM who attended diabetic clinics between October 2021 to March 2022 (6 months), with or without insulin treatment, were eligible for inclusion in the study. RESULTS: Following the initiation of empagliflozin treatment, statistically significant reductions in patient weight (kg) were observed at 1, 3-5, and 6 months. In addition, low-density lipoprotein levels significantly decreased 3-5 months post-treatment initiation (p=0.011). However, serum creatinine level decreased gradually with time during the treatment with empagliflozin, from 87.45+/-31.78 (0.105) to 78.39+/-27.43 (0.033). Furthermore, after empagliflozin treatment, the urinary albumin-to-creatinine ratio significantly decreased at 3-5 and 6 months. Moreover, HbA1c levels exhibited statistically significant decreases at 3-5 months (p<0.001) and at 6 months (p<0.001) following the initiation of empagliflozin treatment. Notably, systolic and diastolic blood pressure significantly reduced 6 months after empagliflozin treatment. CONCLUSION: In the current study, empagliflozin has demonstrated efficacy in controlling blood pressure and body weight, and improving renal function, short-term dyslipidemia, and glycemic control in patients with T2DM. CI - Copyright: (c) Saudi Medical Journal. FAU - Alshahrani, Ali A AU - Alshahrani AA AUID- ORCID: 0000-0001-5333-5814 AD - From the Department of Family Medicine, Armed Forces Hospital, Khamis Mushait, Kingdom of Saudi Arabia. FAU - Qahtani, Saad S Al AU - Qahtani SSA AD - From the Department of Family Medicine, Armed Forces Hospital, Khamis Mushait, Kingdom of Saudi Arabia. FAU - Qahtani, Abrar S Al AU - Qahtani ASA AD - From the Department of Family Medicine, Armed Forces Hospital, Khamis Mushait, Kingdom of Saudi Arabia. FAU - Mashhour, Saeed M AU - Mashhour SM AD - From the Department of Family Medicine, Armed Forces Hospital, Khamis Mushait, Kingdom of Saudi Arabia. FAU - Alkhtani, Zayed S AU - Alkhtani ZS AD - From the Department of Family Medicine, Armed Forces Hospital, Khamis Mushait, Kingdom of Saudi Arabia. FAU - Alragea, Yahya M AU - Alragea YM AD - From the Department of Family Medicine, Armed Forces Hospital, Khamis Mushait, Kingdom of Saudi Arabia. LA - eng PT - Journal Article PT - Observational Study PL - Saudi Arabia TA - Saudi Med J JT - Saudi medical journal JID - 7909441 RN - HDC1R2M35U (empagliflozin) RN - 0 (Glycated Hemoglobin) RN - 0 (Benzhydryl Compounds) RN - 0 (Hypoglycemic Agents) SB - IM MH - Adult MH - Humans MH - *Diabetes Mellitus, Type 2 MH - Retrospective Studies MH - Saudi Arabia MH - Glycated Hemoglobin MH - Benzhydryl Compounds/therapeutic use MH - Kidney/physiology MH - Hospitals MH - Hypoglycemic Agents/therapeutic use PMC - PMC10370372 OTO - NOTNLM OT - dyslipidemia OT - empagliflozin OT - glycemic control OT - renal outcomes OT - weight EDAT- 2023/07/19 01:06 MHDA- 2023/07/21 06:44 PMCR- 2023/07/01 CRDT- 2023/07/18 20:43 PHST- 2023/05/22 00:00 [received] PHST- 2023/06/07 00:00 [accepted] PHST- 2023/07/21 06:44 [medline] PHST- 2023/07/19 01:06 [pubmed] PHST- 2023/07/18 20:43 [entrez] PHST- 2023/07/01 00:00 [pmc-release] AID - 44/7/674 [pii] AID - SaudiMedJ-44-7-674 [pii] AID - 10.15537/smj.2023.44.7.20230094 [doi] PST - ppublish SO - Saudi Med J. 2023 Jul;44(7):674-678. doi: 10.15537/smj.2023.44.7.20230094.