Evidence map›Paper›PMID 40720041›Full record

ArticleCardiovascular drugs and therapy2026

Effect of Bisoprolol Versus Other Beta-Blockers on Glycemic Control and Metabolic Parameters in Type 2 Diabetes: A Retrospective Cohort Study.

Sivan Gazit, Yogev Yonatan, Moshe Baruch Hoshen, Felix Mahfoud, Tal Tova Patalon

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Cardiovascular drugs and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Sivan GazitMaccabi Research and Innovation Center, Maccabi Healthcare Services, 27 HaMered St., 68125, Tel Aviv, Israel.
Yogev YonatanMaccabi Research and Innovation Center, Maccabi Healthcare Services, 27 HaMered St., 68125, Tel Aviv, Israel.ORCID 0000-0003-2702-6115
Moshe Baruch HoshenMaccabi Research and Innovation Center, Maccabi Healthcare Services, 27 HaMered St., 68125, Tel Aviv, Israel. hoshen_m@mac.org.il.
Felix MahfoudDepartment of Cardiology, University Heart Center, University Hospital Basel, Basel, Switzerland.
Tal Tova PatalonMaccabi Research and Innovation Center, Maccabi Healthcare Services, 27 HaMered St., 68125, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeβ-blockers (BB) are a heterogeneous class of medications guideline-recommended for heart failure (HF) and diabetes mellitus (DM). However, physicians may be reluctant to prescribe BBs due to concerns regarding negative metabolic effects. The primary objective was to assess the short-term change in glucose control in PwT2DM (patients with T2DM) who initiated bisoprolol versus the reference cohorts. Secondary objectives were to assess change in lipid control, and proportion of patients with hypoglycemic events during follow-up in PwT2DM who initiated bisoprolol.

methodsWe performed a retrospective cohort study of T2DM patients on bisoprolol compared to no treatment, carvedilol, other selective BBs, or nonselective BBs. Anonymized data was collected from the Maccabi Health Services (MHS) database between 2003 and 2023.

resultsA total of 12,981 records were analyzed. The reduction in HbA1C (difference of -0.05 [-0.09, -0.01]), fasting plasma glucose (FPG) (difference of -1.72 [-3.35, -0.1]), and cholesterol measures (total, HDL, LDL differences of -9.12 [-10.94, -7.31], -0.94 [-1.24, -0.65], and -7.89 [-9.53, -6.26], respectively) was significantly greater in the bisoprolol cohort compared to reference cohort 1 (no treatment). In cohort 2, the reduction in HbA1C was significantly greater with carvedilol users compared to bisoprolol users (difference of 0.34 [0.04, 0.63]). The reduction in total cholesterol and LDL was significantly greater in the bisoprolol cohort compared to reference cohort 4 (nonselective BB users, differences of -5.86 [-9.46, -2.25] and -7.08 [-10.25, -3.92], respectively).

conclusionBisoprolol had a neutral effect on the glycemic profile with a statistically beneficial impact on the lipid profile, comparable to carvedilol.

Indexed as

Adrenergic beta-1 Receptor AntagonistsAdrenergic beta-AntagonistsBisoprololBlood GlucoseDiabetes Mellitus, Type 2Glycemic ControlAgedBiomarkersCarvedilolFemaleGlycated HemoglobinHumansHypoglycemiaMaleMiddle AgedRetrospective StudiesAdrenergic beta-1 Receptor AntagonistsAdrenergic beta-AntagonistsBiomarkersBisoprololBlood GlucoseCarvedilolGlycated Hemoglobinhemoglobin A1c protein, humanDiabetesHbA1CHeart failureLipid profileß-blockers

Identifiers

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Registered trials

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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.