Patient Profiles | The initial cohort | Source | |||||||||
Patient characteristics | Mean | SE | Â | Â | Â | Â | Â | Â | |||
Age, year | 53.10 | 0.37 | Â | Â | Â | Â | Â | ||||
Female proportion, % | 43 | 2 | Â | Â | Â | Â | Â | ||||
Diabetes duration, year | 6.38 | 0.18 | Â | Â | Â | Â | Â | ||||
Height, m †| 1.66 | – |  |  |  |  |  | ||||
Afro-Caribbean proportion, % | 3 | 1 | Â | Â | Â | Â | Â | ||||
Indian proportion, % | 0 | 0 | Â | Â | Â | Â | Â | ||||
Smokers proportion, % | 22 | 1 | [16] | Â | Â | Â | Â | Â | |||
Clinical risk factors | Mean | SE | Â | Â | Â | Â | Â | Â | |||
HbA1c, % | 8.10 | 0.03 | [6] | Â | Â | Â | Â | Â | |||
TC, mg/dl ‡ | 193.05 | 0.66 | [16] |  |  |  |  |  | |||
HDL-C, mg/dl ‡ | 46.33 | 0.20 |  |  |  |  |  | ||||
LDL-C, mg/dl ‡ | 111.97 | 0.51 |  |  |  |  |  | ||||
SBP, mmHg | 128.80 | 0.50 | [6] | Â | Â | Â | Â | Â | |||
Body weight, kg | 76.40 | 0.54 | Â | Â | Â | Â | Â | ||||
Effect and costs with treatments | Semaglutide 0.5 mg + metformin | Semaglutide 1 mg + metformin | Sitagliptin 100 mg + metformin | Source | Insulin | Source |  | ||||
Treatment effects | Mean | SE | Mean | SE | Mean | SE | Â | Mean | Â | Â | |
HbA1c change, % | –1.40 | 0.06 | –1.70 | 0.06 | –0.90 | 0.05 | −1.11 | [18] |  | ||
SBP change, mmHg | –3.40 | 0.87 | –6.60 | 0.79 | –1.10 | 0.80 | 0 |  | |||
Weight change, kg | –2.90 | 0.22 | –4.20 | 0.22 | –0.40 | 0.15 | 1.9 |  | |||
Symptomatic hypoglycemia, % | 0.70 | 0.49 | 2.07 | 0.84 | 1.38 | 0.68 | 62 | Â | |||
Severe hypoglycemia, % | 0 | 0 | 0 | 0 | 0 | 0 | 2 | Â | |||
Gastrointestinal reactions, % | 37.63 | 2.86 | 44.48 | 2.92 | 18.97 | 2.30 | 0 | Â | |||
Discontinuation, % | 12.54 | 1.96 | 15.86 | 2.15 | 5.86 | 1.38 | 0 | Â | |||
Treatment costs | Mean | Â | Mean | Â | Mean | Â | Â | Â | Â | Â | |
Annual costs, ¥ ($) § | 6042 (897) |  | 9711 (1441) |  | 2695 (400) |  |  |  |  | ||
Costs and utility with diabetes related events | Fatal costs, ¥ ($)§ | Non-fatal costs, ¥ ($)§ | Maintenance costs, ¥ ($)§ | Source | Utility change | Source | |||||
Mean | SE | Mean | SE | Mean | SE | Mean | SE | ||||
Ischemic heart disease | 22,775 (3381) | 6714 (997) | 25,188 (3739) | 1664 (247) | 3476 (516) | 459 (68) | [12] | –0.028 | 0.005 | [24] | |
Myocardial infarction | 41,660 (6184) | 8826 (1310) | 56,088 (8325) | 3985 (591) | 6907 (1025) | – | –0.028 | 0.005 | |||
Congestive heart failure | 37,498 (5566) | 13,930 (2068) | 34,277 (5088) | 6667 (990) | 3286 (488) | 1898 (282) | –0.028 | 0.005 | |||
Stroke | 73,290 (10,879) | 19,838 (2945) | 26,883 (3990) | 2553 (379) | 4512 (670) | 776 (115) | –0.101 | 0.006 | |||
Amputation | – | – | 23,522 (3491) | – | 3739 (555) | – | –0.118 | 0.009 | |||
Blindness | – | – | 16,728 (2483) | 652 (97) | 5518 (819) | 512 (76) | –0.022 | 0.005 | |||
End-stage renal disease | 16,396 (2434) | 3922 (582) | 16,893 (2508) | 585 (87) | 5907 (877) | 574 (85) | –0.058 | 0.006 | |||
Ulcer | – | – | 26,542 (3940) | 2868 (426) | 6188 (919) | 1629 (242) | –0.118 | 0.009 | |||
Symptomatic hypoglycemia | – | – | 0 | – | – | – |  | –0.007 | 0.002 | ||
Severe hypoglycemia | – | – | 4345 (645) | – | – | – | [23] | –0.008 | 0.004 | ||
Gastrointestinal reactions | – | – | 0 | – | – | – |  | –0.034 | 0 | [25] | |
BMI per unit increase | – | – | – | – | – | – |  | –0.0061 | 0.001 | [26] | |
BMI per unit decrease | – | – | – | – | – | – |  | 0.0061 | 0.001 | ||
BMI-related costs | Costs, ¥ ($)§ | BMI | Costs, ¥ ($)§ | BMI | Costs, ¥ ($)§ | Source | |||||
≤ 23 | 0 | 29 | 15,022 (2230) | 35 | 30,881 (4584) | [12] | |||||
24 | 1807 (268) | 30 | 17,665 (2622) | 36 | 33,524 (4976) | ||||||
25 | 4450 (660) | 31 | 20,308 (3014) | 37 | 36,167 (5368) | ||||||
26 | 7093 (1053) | 32 | 22,951 (3407) | 38 | 38,810 (5761) | ||||||
27 | 9736 (1445) | 33 | 25,595 (3799) | 39 | 41,453 (6153) | ||||||
28 | 12,379 (1837) | 34 | 28,238 (4191) | 40+ | 44,096 (6545) |