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CARDIOVASCULAR
OUTCOMES
IN TYPE 2 DIABETES
WHAT ?
WHO ?
WHEN ?
WHERE ?
WHY ?
HOW ?
BACKGROUND
Type 2 Diabetes is a Complex Metabolic Disorder
which is characterized by hyperglicemia and
affect in high risk of cardiovascular
complication.(Diabetes Care Introduction.2016)
Glycemic control is just effective for
Microvascular,but less for Macrovascular.Thats
why need new diabetes treatment.
Liraglitude(GLP-1) able to reduce glucose,reduce
weight and blood pressure,Increase pulse rate
The Cardiovascular effect of Liraglitude remains
unknown.
Evaluation Of Liraglitude effect on
Cardiovascular Outcome needed.
METHODS
Using Double-blind trial Design,Randomly assigned
patients with type 2 diabetes and high
cardiovascular risk to receive liraglitude or placebo
FollowUp planned minimum 42 months,maximum 60
months and additional 30 days followup afterward
The Trial was overseen by Steering Committee and
All authors had access to the final results and vouch
for the fidelity of the trial to the protocol.
Criteria for patients are eligible such as : age 50
years or more with at least one cardiovascular risk
factor(CHD,CVD,CKD,CHF).Age 60 years or more
with at least one Cardiovascular risk factor
(Proteinuria,HT)
Major exclusion criteria were Diabetes type 1,Using
rapid-acting Insulin,etc
•PROCEDURE
2 week placebo run-in phase,patients were
randomly assigned to receive 1,8mg of
liraglitude/Placebo once daily as subcutaneous
injection
Randomization was stratified according on GFR
Liraglutide Placebo
Event (N = 4668) (N = 4672) P Value