Evidence mapPaperPMID 26371721Full record

ReviewPostgraduate medicine2015

User's guide to mechanism of action and clinical use of GLP-1 receptor agonists.

Charles F Shaefer, Pamela Kushner, Richard Aguilar

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Postgraduate medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06287307 phase4not yet recruitingstarted 2024, after this paper: background citation

Semaglutide 2.4mg for Low Responders After Bariatric Surgery

Ran2024Enrolled152Registered outcomes55Posted comparisons0ConditionsObesity, Obesity, Morbid, Weight GainArmsPlacebo, Semaglutide 2.4 MG/0.75 ML Subcutaneous Solution [WEGOVY]
Open the trial in the graph
NCT03878706 recruitingnot on this mapstarted 2017, after this paper: background citation

The Effect of GLP-1 Agonist, SGLT2 Inhibitor and Their Combination on Endothelial Function, Arterial Stiffness and Left Ventricular Deformation in Patients With Type 2 Diabetes With High Cardiovascular Risk

Typeobservational_patient_registrySponsorUniversity of AthensRan2017 to 2027Enrolled240ConditionsDiabetes Mellitus, Type 2
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 4 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Effect of Tirzepatide on Cardiovascular Outcomes.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026
    Review
  9. Review
  10. Article
  11. Glucagon-Like Peptide-1: The Role of Calcium in Gut-Glucose Axis.Advances in experimental medicine and biology · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
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  20. Evaluating the potential of metabolic drugs in obstructive sleep apnea and obesity: a narrative review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

Charles F Shaefera 1 Medical College of Georgia , Augusta, GA, USA.
Pamela Kushnerb 2 Kushner Wellness Center , Long Beach, CA, USA.
Richard Aguilarc 3 Diabetes Nation LLC , Sisters, OR, USA.
Augusta University · USCalifornia Wellness Foundation · USNation University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucagon-like peptide-1 (GLP-1) receptor agonists (GLP-1RAs) are injectable glucose-lowering medications approved for the treatment of adult patients with type 2 diabetes mellitus (T2DM). This article provides practical information to guide primary care physicians on the use of GLP-1RAs in patients with T2DM. Two short-acting (once- or twice-daily administration; exenatide and liraglutide) and three long-acting (weekly administration; albiglutide, dulaglutide and exenatide) GLP-1RAs are currently approved in the US. These drugs provide levels of GLP-1 receptor agonism many times that of endogenous GLP-1. The GLP-1RAs have been shown to significantly improve glycemic parameters and reduce body weight. These agents work by activating GLP-1 receptors in the pancreas, which leads to enhanced insulin release and reduced glucagon release-responses that are both glucose-dependent-with a consequent low risk for hypoglycemia. Effects on GLP-1 receptors in the CNS and the gastrointestinal tract cause reduced appetite and delayed glucose absorption due to slower gastric emptying. The most common adverse effects are gastrointestinal, which are transient and less common with the long-acting drugs. GLP-1RAs are recommended as second-line therapy in combination with metformin, sulfonylureas, thiazolidinediones or basal insulin, providing a means of enhancing glucose control while offsetting the weight gain associated with insulin and some oral agents. GLP-1RAs represent a useful tool that the primary care physician can use to help patients with T2DM achieve their therapeutic goals.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsPrimary Health CareBlood GlucoseDelayed-Action PreparationsDiabetes Mellitus, Type 2Drug Therapy, CombinationEnergy IntakeGastric EmptyingGlucagon-Like Peptide 1Glycated HemoglobinHumansHypoglycemic AgentsIncretinsMedication AdherenceMetforminPancreasBlood GlucoseDelayed-Action PreparationsGlucagon-Like Peptide 1Glucagon-Like Peptide-1 Receptor AgonistsGlycated HemoglobinHypoglycemic AgentsIncretinsMetforminglucagon-like peptide-1Glucagonsinsulinreceptor agonisttype 2 diabetes mellitus

Identifiers

PMID26371721
OpenAlexW1863540633

What Socratic holds

Texttitle and abstract
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.