Oral semaglutide adequate glycaemia control with safe cardiovascular ‎profile

Abdulaziz Abdulrahman A. Bedaiwi, Marwan Fahad H Altemani, Nadia Abdullah M Alzahrani, Ali Khaled A Alghannami, Maram Ali S Jarallah, Razan Faisal M Aljohani, Fahad Saad M Alsuhaymi, Sultan Abdullah M. Alamri, Saud Abdulrahman S Alghamdi, Wasan Suwailem S Albalawi, Abdulelah Hamdan K Alonizei‏, Abdulmajeed Faisal A Albalawi‏, Mohammed Saad M Alnawmasi, Omniyyah Ahmed Alnahyah, Rawabi Talal S Aljayani, Ibrahim Mahmoud Ajwah, Hazem Radi Rayyan

Abstract

Background
Type 2 diabetes is a chronic and progressive disease that ‎associated with series complication such as major adverse ‎cardiovascular events. Adequate glycaemic control proven ‎to reduce this risk. Orally administered semaglutide ‎promising medication in managing patient with type 2 ‎diabetes.‎

Aims
To assess the cardiovascular safety and efficacy of semaglutide, a recently approved glucagon-like peptide 1 receptor agonist (GLP-1 RA) for type 2 diabetes.

Methods
Pub Med, ‎Google Scholar, and EBSCO ‎ databases were ‎systematically search for relevant articles. The terms‎ diabetes‎, Glucagon-like peptide, semaglutide‎ were used. Out of hundred twenty-two records, only ‎four fulfilled ‎the inclusion criteria.

Results
Four placebo-controlled studies with oral semaglutide ‎were included. Single study concern about the cardiovascular safety of oral semaglutide ‎and showed that, ‎compared with placebo, semaglutide ‎ was not associated ‎with increased in the cardiovascular events. On the other ‎hand, the remaining trials shown that, semaglutide ‎ can ‎effectively control the blood glucose as evident by ‎reduction in HA1c.

Conclusion
Oral semaglutide can effectively and safely lower blood glucose without increase in the major adverse ‎cardiovascular events‎‎ (MACE).‎
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