Impact of Glucagon-like peptide 1 receptor agonists on peripheral arterial disease in people with diabetes mellitus : A narrative review

Copyright © 2023 Elsevier Inc. All rights reserved..

Peripheral arterial disease (PAD) is a common macrovascular complication of diabetes mellitus (DM). Glucagon-like peptide 1 (GLP-1) receptor agonists (GLP-1RAs) are among the latest class of antidiabetic medications that stimulate insulin synthesis and secretion and have been used for the management of type 2 DM. Apart from the effect on glycaemic control, GLP-1RAs also have a robust impact on weight reduction and have shown favorable effects on cardiovascular morbidity and mortality in cardiovascular outcome trials (CVOTs). The aim of this review was to examine the impact of GLP1-RAs on PAD among people with DM based on CVOTs, randomized controlled trials, observational studies as well as systematic reviews and meta-analyses. Data from retrospective studies and meta-analyses have shown superiority of these agents in comparison with other antidiabetic medications such as sodium-glucose cotransporter type 2 inhibitors and dipeptidyl peptidase-4 inhibitors in terms of PAD-related events. Nevertheless, data from CVOTs regarding the impact of GLP-1RAs on PAD are scarce and hence, safe conclusions regarding their effects cannot be drawn. Further prospective studies are needed to examine the impact of GLP-1RAs on PAD-related incidents including major adverse limb events, lower limb amputations and revascularization procedures.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

Journal of diabetes and its complications - 37(2023), 2 vom: 24. Feb., Seite 108390

Sprache:

Englisch

Beteiligte Personen:

Liarakos, Alexandros Leonidas [VerfasserIn]
Tentolouris, Anastasios [VerfasserIn]
Kokkinos, Alexandros [VerfasserIn]
Eleftheriadou, Ioanna [VerfasserIn]
Tentolouris, Nikolaos [VerfasserIn]

Links:

Volltext

Themen:

89750-14-1
Critical limb ischemia
Glucagon-Like Peptide 1
Glucagon-Like Peptide-1 Receptor
Glucagon-like peptide 1 receptor agonists
Hypoglycemic Agents
Journal Article
Lower limb amputations
Major adverse limb events
Peripheral arterial disease
Review
Type 2 diabetes mellitus

Anmerkungen:

Date Completed 17.02.2023

Date Revised 04.04.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jdiacomp.2022.108390

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM35121416X