PMID- 38196473 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240111 IS - 1682-024X (Print) IS - 1681-715X (Electronic) IS - 1681-715X (Linking) VI - 40 IP - 1Part-I DP - 2024 Jan-Feb TI - Efficacy of metformin combined with liraglutide on the glucose and lipid metabolism, vascular endothelial function, and oxidative stress of patients with T2DM and metabolic syndrome. PG - 26-30 LID - 10.12669/pjms.40.1.7936 [doi] AB - OBJECTIVE: This study evaluates the impact of metformin combined with liraglutide on the glucose and lipid metabolism, oxidative stress, and vascular endothelium of patients with type-2 diabetes mellitus (T2DM) and metabolic syndrome. METHODS: Medical records of 78 patients with T2DM and metabolic syndrome, admitted to Caoxian People's Hospital from July 2021 to July 2022, were retrospectively analysed. Thirty five patients were treated with metformin (control group), and 43 patients were treated with metformin combined with liraglutide (observation group). Indexes of glucose and lipid metabolism, function of vascular endothelium and the oxidative stress of both groups were compared before and after the treatment. RESULTS: There was a significant decrease in the levels of fasting plasma glucose (FPG), Glycosylated Hemoglobin A1c (HbA1c), triglyceride (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), systolic blood pressure (SBP), diastolic blood pressure (DBP) and waist circumference in both groups three months after the treatment, These indexes were significantly lower in the observation group compared to the control group (P<0.05). High-density lipoprotein cholesterol (HDL-C) levels were higher in the observation group (P<0.05). There was a significant improvement in the levels of nitric oxide (NO), endothelin-1 (ET-1), superoxide dismutase (SOD), and malondialdehyde (MDA) after the treatment, and these indexes were markedly better in the observation group compared to the control group (P<0.05). CONCLUSIONS: Metformin combined with liraglutide treatment is associated with better outcomes than metformin alone in patients with T2DM and metabolic syndrome. Combined treatment results in improved glucose and lipid metabolism, vascular endothelial function, and oxidative stress index values. CI - Copyright: (c) Pakistan Journal of Medical Sciences. FAU - Liu, Zaisheng AU - Liu Z AD - Zaisheng Liu Department of Endocrinology Caoxian People's Hospital Cao Country, Heze City, Shandong Province 274400, P.R. China. LA - eng PT - Journal Article PL - Pakistan TA - Pak J Med Sci JT - Pakistan journal of medical sciences JID - 100913117 PMC - PMC10772425 OTO - NOTNLM OT - Glucose and lipid metabolism OT - Metabolic syndrome OT - Metformin OT - Oxidative stress Liraglutide OT - Type-2 diabetes OT - Vascular endothelial function EDAT- 2024/01/10 06:41 MHDA- 2024/01/10 06:42 PMCR- 2024/01/01 CRDT- 2024/01/10 03:35 PHST- 2023/03/20 00:00 [received] PHST- 2023/03/30 00:00 [revised] PHST- 2023/07/11 00:00 [revised] PHST- 2023/07/23 00:00 [accepted] PHST- 2024/01/10 06:42 [medline] PHST- 2024/01/10 06:41 [pubmed] PHST- 2024/01/10 03:35 [entrez] PHST- 2024/01/01 00:00 [pmc-release] AID - PJMS-40-26 [pii] AID - 10.12669/pjms.40.1.7936 [doi] PST - ppublish SO - Pak J Med Sci. 2024 Jan-Feb;40(1Part-I):26-30. doi: 10.12669/pjms.40.1.7936.