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A recent study published in Diabetes Research and Clinical Practice revealed that poorer glycemic control, increased Diabetes complications, and utilization of anti-glycemic medications are higher in type 2 diabetes patients, highlighting the need for medication that controls glycemia as well as reduces weight. The study aimed to look into how weight status is associated with diabetes related complications, glycemic control, and anti-hyperglycemic medication use in T2DM adults.

Researchers conducted a cross-sectional study including 13,589 T2DM adult patients using Australian National Diabetes Audits (ANDA), and the data were analyzed between 2015 and 2022. The association of glycemic control and diabetes complications with weight status was explored with the data collected.

Results showed that 71% of patients had HbA1c > 7 %. Patients with obesity showed a greater odds of being moderately above target (HbA1c 7.1–9 %) or greatly above target (HbA1c > 9 %) glycemia. Despite the use of a greater number of anti-hyperglycemic drugs, a greater likelihood of having peripheral disease, diabetic foot ulcers, and cardiovascular disease was seen in patients with obesity.

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Key highlights

•    Individuals with both obesity and type 2 diabetes are more likely to have above-target HbA1c levels despite treatment.
•    Obesity in T2DM is linked with increased risk of complications like cardiovascular disease and diabetic foot ulcers.
•    Diabetes management strategies that combine glycemic control with effective weight reduction are crucial to improving patient outcomes.

Source

Szwarcbard N, Xiang A, Gasevic D, et al. The association of weight status with glycemic control, diabetes related complications and anti-hyperglycemic medication use in patients with type 2 diabetes mellitus: The results of the Australian National Diabetes Audit (ANDA) 2015–2022. Diabetes Res Clin Pract. Published online June 20, 2025:112333. doi:10.1016/J.DIABRES.2025.112333

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Poorer glycemic control, increased Diabetes complications, and utilization of anti-glycemic medications are higher in type 2 diabetes patients

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