Observational studyDiabetes, obesity & metabolism2026

Real-world evaluation of clinical outcomes in Dutch patients with type 2 diabetes treated with oral semaglutide: A retrospective, observational cohort study using the PHARMO data network.

Abigail Postema, Jordy Gaspersz, Brenda N Baak, Eline L Huisman, Charlotte Hoogstraten, Lise Meinicke Hagelund, Fernie J A Penning-van Beest, Jetty A Overbeek

Abstract readObservational Study
In one paragraph

Observational study in Diabetes, obesity & metabolism, 2026. The graph read 2 numbers from its abstract, feeding 2 cells of the map, but none could be read as for or against, so it casts no vote. Cited by 2 papers.

2numbers 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.

Read, but not usablea number the graph found but could not read as for or against

Body weightoral semaglutide vs baselinedescribes a change within one group, not a comparison · hypertension, obesityfeeds one cell of the map
Δ -4.73-5.83 to -3.63
Body weight was reduced by -4.73 (-3.63, -5.83) kg at 12 months in 260 patients over an average of 8.2 months follow-up.
Change in HbA1c from baselineoral semaglutide vs baselinedescribes a change within one group, not a comparison · hypertension, obesityfeeds one cell of the map
Δ -16.1-19.5 to -12.6
In 320 patients with an average follow-up of 8.1 months the mean (95% confidence interval) change in HbA1c from baseline was -16.05 (-12.57, -19.54) mmol/mol at 12 months, of whom 70% achieved personalized HbA1c targets.

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

GLP-1 receptor agonists×body weight & composition

No readable resultOpen on the map →What to test next →

40 readable studies in this cell: 74 favour the treatment, 15 find no difference, 10 favour the comparator.

Belief with this paper
0.91replicated · 59 families support, 6 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
0 · no effect
NCT012722193,731 enrolled · 2011
Δ -5.39-5.82 to -4.95
Δ -17.3-18.1 to -16.6
NCT017204463,297 enrolled · 2013
Δ -2.95-3.47 to -2.44
NCT035489351,961 enrolled · 2018
Δ -12.4-13.4 to -11.5
NCT039879191,879 enrolled · 2019
Δ -1.70-2.60 to -0.70
NCT026078651,864 enrolled · 2016
Δ -2.50-3.00 to -2.00
NCT056467061,407 enrolled · 2023
Δ -14.8-16.2 to -13.4
NCT018365231,398 enrolled · 2013
Δ -4.90-5.65 to -4.16
NCT035527571,210 enrolled · 2018
Δ -6.21-7.28 to -5.15
NCT007344741,202 enrolled · 2008
Δ -1.50-2.08 to -0.92
Δ -10.4-11.2 to -9.50
NCT020581471,170 enrolled · 2014
Δ 14.38.37 to 20.3

This paper's own estimate is on a different scale from the rest of the cell, so it is not drawn here.

GLP-1 receptor agonists×glycemic control

No readable resultOpen on the map →What to test next →

40 readable studies in this cell: 89 favour the treatment, 16 find no difference, 10 favour the comparator.

Belief with this paper
0.90replicated · 63 families support, 7 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
0 · no effect
NCT017204463,297 enrolled · 2013
Δ -0.66-0.80 to -0.52
NCT036893742,274 enrolled · 2018
Δ -0.29-0.38 to -0.20
NCT039879191,879 enrolled · 2019
Δ -0.51-0.64 to -0.38
NCT026078651,864 enrolled · 2016
Δ -0.50-0.60 to -0.40
NCT013360231,663 enrolled · 2011
Treatment contrast -0.64-0.75 to -0.53
NCT040178321,441 enrolled · 2019
Δ -0.20-0.30 to -0.10
NCT018365231,398 enrolled · 2013
Δ -0.20-0.32 to -0.07
NCT019301881,231 enrolled · 2013
Δ -1.06-1.21 to -0.91
NCT007344741,202 enrolled · 2008
Δ -0.71-0.87 to -0.55
NCT020581471,170 enrolled · 2014
Δ -0.29-0.38 to -0.19
NCT003184611,091 enrolled · 2006
Δ -1.09-1.30 to -0.88
NCT021289321,089 enrolled · 2014
Δ -0.81-0.96 to -0.67

This paper's own estimate is on a different scale from the rest of the cell, so it is not drawn here.

4 · 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.

5 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
6 · The record

Corrections and comments

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

7 · Who and what money

Authors and funding

8 authors.

Abigail PostemaThe PHARMO Institute, Utrecht, The Netherlands.ORCID 0009-0006-4897-827X
Jordy GasperszThe PHARMO Institute, Utrecht, The Netherlands.
Brenda N BaakThe PHARMO Institute, Utrecht, The Netherlands.
Eline L HuismanNovo Nordisk, Amsterdam, The Netherlands.
Charlotte HoogstratenNovo Nordisk, Amsterdam, The Netherlands.
Lise Meinicke HagelundNovo Nordisk, Amsterdam, The Netherlands.
Fernie J A Penning-van BeestThe PHARMO Institute, Utrecht, The Netherlands.
Jetty A OverbeekThe PHARMO Institute, Utrecht, The Netherlands.

Funding

Novo Nordisk
8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

aimA retrospective observational cohort study, in the Netherlands, evaluated clinical outcomes with oral semaglutide.

methodsGlucagon-like peptide-1 receptor agonists (GLP-1ra) naïve type 2 diabetes (T2D) patients who initiated oral semaglutide between 1 January 2020 and 31 December 2022 were identified from the PHARMO Data Network. Change from baseline was evaluated in glycated haemoglobin (HbA1c), body weight, blood lipids, and blood pressure over 12 months of follow-up. Outcomes were analysed in patients with at least a baseline and ≥1 follow-up measurement, using mixed-effect models for repeated measurements.

resultsOf 932 T2D patients initiating oral semaglutide identified, 731 were GLP-1ra naïve (mean [standard deviation] age, 62 [11] years; baseline HbA1c, 70 [14] mmol/mol; baseline body weight, 102 [19] kg). In 320 patients with an average follow-up of 8.1 months the mean (95% confidence interval) change in HbA1c from baseline was -16.05 (-12.57, -19.54) mmol/mol at 12 months, of whom 70% achieved personalized HbA1c targets. Body weight was reduced by -4.73 (-3.63, -5.83) kg at 12 months in 260 patients over an average of 8.2 months follow-up. Minimal changes were observed in blood lipid parameters and diastolic blood pressure, with moderate changes in systolic blood pressure.

conclusionsAmong Dutch T2D patients who were GLP-1ra naïve and initiated oral semaglutide, significant reductions in HbA1c and body weight were observed over 12 months, consistent with prospective clinical trial data. These results provide a first-look insight into real-world glycaemic control and body weight reduction in early adopters of oral semaglutide in the Netherlands.

Indexed as

Diabetes Mellitus, Type 2Glucagon-Like PeptidesHypoglycemic AgentsAdministration, OralAgedBlood GlucoseBlood PressureBody WeightFemaleGlucagon-Like Peptide 1Glucagon-Like Peptide-1 Receptor AgonistsGlycated HemoglobinHumansLipidsMaleMiddle AgedBlood GlucoseGlucagon-Like Peptide 1Glucagon-Like Peptide-1 Receptor AgonistsGlucagon-Like PeptidesGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsLipidsSemaglutidebody weightglucagon‐like peptide‐1 receptor agonistglycaemic controlreal‐world evidencesemaglutidetype 2 diabetes

Identifiers

PMID41243611
PMCPMC12803591

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.