PMID- 37591343 OWN - NLM STAT- Publisher LR - 20231008 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 203 DP - 2023 Sep TI - The role of weight control in the management of type 2 diabetes mellitus: Perspectives on semaglutide. PG - 110881 LID - S0168-8227(23)00644-7 [pii] LID - 10.1016/j.diabres.2023.110881 [doi] AB - Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are widely used to address multiple aspects of type 2 diabetes mellitus (T2DM) management, including glycaemic control, weight loss, and cardiovascular risk reduction. Semaglutide, a well-established GLP-1 RA approved for T2DM treatment and weight management, demonstrates marked efficacy in achieving these clinically important goals. The American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) consensus report emphasizes the importance of a holistic approach to T2DM treatment, with weight control as a key component for improving patient outcomes. Notably, semaglutide is mentioned in the consensus report as having 'very high' efficacy for both glucose lowering and weight loss in T2DM treatment. Nevertheless, as has been observed with other weight-lowering drugs, weight loss observed with semaglutide appears less profound in individuals with T2DM than in those with obesity without T2DM, a phenomenon requiring further investigation. The semaglutide safety and tolerability profiles are well established, and it is approved in some countries to reduce cardiovascular risk in certain populations with T2DM. Thus, semaglutide offers a well-established therapeutic option that aligns well with guideline recommendations for T2DM management, emphasizing the high importance of weight control and amelioration of other cardiometabolic risk factors. CI - Copyright (c) 2023 Elsevier B.V. All rights reserved. FAU - Kurtzhals, Peter AU - Kurtzhals P AD - Novo Nordisk A/S, Vandtaarnsvej 110-114 DK-2860, Soborg, Denmark. Electronic address: pkur@novonordisk.com. FAU - Flindt Kreiner, Frederik AU - Flindt Kreiner F AD - Novo Nordisk A/S, Vandtaarnsvej 110-114 DK-2860, Soborg, Denmark. Electronic address: frfk@novonordisk.com. FAU - Singh Bindra, Rubdeep AU - Singh Bindra R AD - Novo Nordisk A/S, Vandtaarnsvej 110-114 DK-2860, Soborg, Denmark. Electronic address: rsib@novonordisk.com. LA - eng PT - Journal Article DEP - 20230815 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 SB - IM OTO - NOTNLM OT - Cardiovascular risk OT - GLP-1 RA OT - Kidney protection OT - Semaglutide OT - Type 2 diabetes mellitus OT - Weight control COIS- Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Peter Kurtzhals reports a relationship with Novo Nordisk AS that includes: employment and equity or stocks. Frederik Flindt Kreiner reports a relationship with Novo Nordisk AS that includes: employment and equity or stocks. Rubdeep Singh Bindra reports a relationship with Novo Nordisk AS that includes: employment and equity or stocks. EDAT- 2023/08/18 00:42 MHDA- 2023/08/18 00:42 CRDT- 2023/08/17 19:18 PHST- 2023/06/30 00:00 [received] PHST- 2023/08/01 00:00 [revised] PHST- 2023/08/13 00:00 [accepted] PHST- 2023/08/18 00:42 [pubmed] PHST- 2023/08/18 00:42 [medline] PHST- 2023/08/17 19:18 [entrez] AID - S0168-8227(23)00644-7 [pii] AID - 10.1016/j.diabres.2023.110881 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2023 Sep;203:110881. doi: 10.1016/j.diabres.2023.110881. Epub 2023 Aug 15.