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. 2021 Nov 15;12(11):1856–1874. doi: 10.4239/wjd.v12.i11.1856

Table 4.

Interventional and observational studies on glycemic control in type 2 diabetes mellitus patients and pulse wave velocity outcomes

Ref.
Year
HbA1c (%), mean ± SD
Type of study
Intervention
Sample size
Main findings
Koshiba et al[90] 2006 7.8 ± 2.0 and 7.7 ± 1.9 Prospective, randomized Glibenclamide followed by glimepiride for 28 wk vs continuous administration of glibenclamide vs insulin therapy 34 Improvement of PWV, AIx, IR in the glimepiride group
de Oliveira et al[85] 2015 5.6 ± 0.7 and 6.3 ± 1.1 Prospective cohort Observational 1675 Higher HbA1c levels are associated with higher PWV
Yu et al[91] 2007 6.5 ± 0.2 Prospective, randomized Rosiglitazone 4 mg/d for 12 wk in diabetic patients with CAD 123 Decrease in PWV
Sofer et al[93] 2011 Fasting glucose: 132 ± 51 mg/dL Prospective, randomized, placebo-controlled, double-blind Metformin in patients with NAFLD with or without T2DM/IFG for 4 mo 63 Decrease in PWV and AIx
Shah et al[94] 2018 7.7± 2.0 Subanalysis of an RCT Obese patients with metformin vs metformin plus intensive lifestyle intervention vs metformin plus rosiglitazone for 7.6 yr post-randomization 453 PWV increased; Attenuation possible
Scalzo et al[97] 2017 7.3 ± 1.1 Prospective, randomized, placebo-controlled, double-blind Exenatide 20 μg/d subcutaneously, 30-60 min prior to meals, for 3 mo 23 Decrease in PWV
Koren et al[98] 2012 Fasting glucose: 169 ± 12 mg/dL Prospective, controlled, open labeled, crossover Sitagliptin 100 mg/d or glibenclamide 5 mg/d for 3 mo, cross-over switch for an additional 3 mo 34 No PWV benefits; Beneficial BMI effects of sitagliptin
Zografou et al[99] 2015 8.1 ± 0.8 Prospective randomized open-label Vildagliptin 100 mg/d plus metformin 1700 mg/d vs metformin monotherapy 1700 mg/d 64 No effect on arterial stiffness in drug-naive patients with T2DM
Duvnjak and Blaslov[100] 2016 6.9 ± 1.1 Prospective, uncontrolled, open label, parallel-arm, randomized Sitagliptin 100 mg/d or vildagliptin 100 mg/d for 3 mo 51 Decrease in PWV and Aix; No HbA1c reduction
De Boer et al[101] 2017 6.3 ± 0.4 Prospective, randomized, placebo-controlled, double-blind Linagliptin 5 mg/d vs placebo for 26 wk 45 PWV improvement disappears after 4-wk washout period in newly diagnosed T2DM
Chen et al[103] 2009 6.9 ± 1.3 Prospective cohort Observational 1000 PWV correlates with HbA1c and diabetes duration in patients with T2DM and hypertension
Chang et al[104] 2018 11.7 ± 1.9 Prospective cohort Insulin or oral hypoglycemic agents (metformin, sulfonylurea, α-GI, DDP-4i) or combined insulin and oral agents for 12 wk 64 No PWV improvement
Ferreira et al[105] 2015 7.6 ± 1.4 Prospective cohort Metformin, sulfonylureas or insulin for 4.2 yr 417 Attenuation of PWV progression

α-GI: Alpha-glucosidase inhibitor; AIx: Augmentation Index; BMI: Body mass index; CAD: Coronary artery disease; cIMT: Carotid intima media thickness; DDP-4i: dipeptidyl peptidase-4 inhibitor; HCT: Hydrochlorothiazide; IFG: Impaired fasting glucose; IR: Insulin resistance; NAFLD: Nonalcoholic fatty liver disease; PWV: Pulse wave velocity; RCT: Randomized controlled trial; SD: Standard deviation; T2DM: Type 2 diabetes mellitus.