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Purpose: Oral semaglutide is the first oral glucagon-like peptide-1 receptor agonist (GLP-1RA) available for type 2 diabetes mellitus (T2DM) management, whose effectiveness and tolerability have extensively been demonstrated in the PIONEER clinical trial program. Nevertheless, data from real-world are crucial to evaluate treatment performance under routine care. The aim of this narrative review is to summarize available evidence regarding real-world utilization patterns of oral semaglutide, and discuss efficacy, safety, and dosing regimen data in routine scenarios.

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SGLT2 inhibitors (SGLT2i) and GLP1 receptor (GLP1R) agonists have kidney protective effects. To better understand their molecular effects, RNA sequencing was performed in SGLT2-positive proximal tubule segments isolated by immunostaining-guided laser capture microdissection. Male adult DBA wild-type (WT) and littermate diabetic Akita mice ± knockout (-KO) were given vehicle or SGLT2i dapagliflozin (dapa; 10 mg/kg diet) for 2 wk, and other Akita mice received GLP1R agonist semaglutide [sema; 3 nmol/(kg body wt·day), sc].

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Article Synopsis
  • The study aimed to explore the link between GLP-1 receptor agonists (GLP-1 RAs) and eye-related adverse drug reactions (OADRs), utilizing data from the FDA's reporting system from 2018 to 2023.
  • It found 5003 reported OADRs related to GLP-1 RAs, with significant findings for drugs like semaglutide and liraglutide, suggesting a need for careful monitoring and early intervention.
  • The conclusion highlights the crucial need for eye health monitoring in patients on GLP-1 RAs and suggests that regulatory agencies should update drug labels to reflect these potential risks.
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