Semavic® jiddiy yurak-qon tomir kasalliklari xavfini kamaytiradi (1) Semavic® dori vositasidan tibbiy foydalanish bo’yicha ko’rsatmalar
Semavic® triglitserid va xolesterin darajasini pasaytiradi (1) Semavic® dori vositasidan tibbiy foydalanish bo’yicha ko’rsatmalar
Semavic® sistolik qon bosimini pasaytiradi (1) Semavic® dori vositasidan tibbiy foydalanish bo’yicha ko’rsatmalar
Semavic® 2-toifa qandli diabet (qon plazma glyukozasi va glyukozalangan gemoglobin (HbA1c)) bo’lgan kattalarda qondagi glyukoza darajasini pasaytiradi (1) Semavic® dori vositasidan tibbiy foydalanish bo’yicha ko’rsatmalar
Semavic® ishtahani bostiradi va kun davomida kaloriya iste’molini 18–35 % ga kamaytiradi (1) Semavic® dori vositasidan tibbiy foydalanish bo’yicha ko’rsatmalar
Semavic® asosan yog’ massasini kamaytirish orqali tana vaznini kamaytiradi (1) Semavic® dori vositasidan tibbiy foydalanish bo’yicha ko’rsatmalar
Semavic® (faol moddasi semaglutid) standart yurak-qon tomir davolashga qo’shimcha sifatida 2-toifa diabet va yuqori yurak-qon tomir xavfi bo’lgan bemorlarda asosiy yurak-qon tomir kasalliklari (AYQTK)* xavfini kamaytirish uchun tavsiya etiladi.
*AYQTK - asosiy yurak-qon tomir kasalliklariga quyidagilar kiradi: yurak-qon tomir kasalliklari tufayli o’lim, o’limga olib kelmaydigan miyokard infarkti, o’limga olib kelmaydigan insult
Semanavik® katta yurak-qon tomir kasalliklari xavfini 26% ga kamaytiradi (2) Semaglutide and cardiovascular outcomes in patients with type 2 diabetes
**HbA1c biokimyoviy ko’rsatkich bo’lib, oxirgi 3 oy davomida qondagi o’rtacha glyukoza miqdorini aks ettiradi. Qandli diabetda (glyukoza so’rilishining buzilishi bilan bog’liq kasallik, natijada giperglikemiya – qondagi glyukoza darajasining doimiy o’sishi) glyukoza gemoglobinga qo’shilib, glyukozalangan gemoglobin (belgilangan HbA1c) hosil bo’ladi. Qonda glyukoza darajasi qanchalik yuqori bo’lsa, gemoglobin shunchalik ko’p glyukozalangan gemoglobinga aylanadi.
HbA1c
boshlang’ich darajasi
Начальный уровень
HbA1c
HbA1cning kuzativ
oxiridagi darajasi
Qandli diabet bilan og rigan kattalar uchun HbA1c ning 7,0 % dan kam bo lishi yetarli (6) Qandli diabet bilan og’rigan bemorlarga ixtisoslashtirilgan tibbiy yordam ko’rsatish algoritmlari
| Klinik xususiyatlar/xavflar | Bemor toifalari | |||||
|---|---|---|---|---|---|---|
| Yosh | O’rta yosh/qarilik | Qarilik/keksalik | ||||
| Funktsional jihatdan mustaqil | Funktsional jihatdan qaram | |||||
| Keksalik asteniyasi va/yoki dementsiyasiz | Keksa asteniyali va/yoki demantsiyali | Hayotning yakuniy bosqichi | ||||
| Aterosklerotik yurak-qon tomir kasalliklari (3) Efficacy and safety of once-weekly semaglutide versus once-daily insulin glargine as add-on to metformin (with or without sulfonylureas) in insulin-naïve patients with type 2 diabetes (SUSTAIN 4): a randomized, open-label, parallel-group, multicenter, multinational, phase 3a trial. Lancet Diabetes Endocrinol va/yoki og’ir gipoglikemiya xavfi (4) Semaglutide versus dulaglutide once weekly in patients with type 2 diabetes (SUSTAIN 7): a randomised, open-label, phase 3b trial. Lancet Diabetes Endocrinol yo’q | <6,5% | <7,0% | <7,5% | <8,0% | <8,5% | Gipoglikemiya va gipoglikemiya belgilaridan saqlaning |
| Aterosklerotik yurak-qon tomir kasalliklari va/yoki og’ir gipoglikemiya xavfi mavjud | <7,0% | <7,5% | <8,0% | |||
Semavic (faol tarkibiy qism semaglutid) faqat vazn yo’qotish uchun ko’rsatilmaydi. Klinik tadqiqotlarda vazn o’zgarishi ikkinchi darajali yakuniy nuqta edi.
Boshlang’ich vazn
Boshlang’ich vazn
Qandli diabet bilan og’rigan ko’pchilik kattalar uchun HbA1c 7,0 % dan kam bo’lgan maqsad ko’rsatkichi yetarli (1) Semavic® dori vositasidan tibbiy foydalanish bo’yicha ko’rsatmalar
Semanavik® bilan vazn yo’qotish, birinchi navbatda, yog ’to’qimalarining yo’qolishi bilan bog’liq bo’lib, bu mushak massasini yo’qotishdan 3 baravar ko’p (1) Semavic® dori vositasidan tibbiy foydalanish bo’yicha ko’rsatmalar
Semavic® ishtahani bostiradi va kun davomida kaloriya iste’molini 18–35 % ga kamaytiradi (1) Semavic® dori vositasidan tibbiy foydalanish bo’yicha ko’rsatmalar
Semavic® ovqatga, ayniqsa yog’li ovqatlarga bo’lgan istakni bostiradi
1.Semavic® dori vositasidan tibbiy foydalanish bo’yicha ko’rsatmalar
2.Marso SP, Bain SC, Consoli A, et al. Semaglutide and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med. 2016;375:1834-1844 (SUSTAIN 6).
3.Aroda VR, Bain SC, Cariou B, et al. Efficacy and safety of once-weekly semaglutide versus once-daily insulin glargine as add-on to metformin (with or without sulfonylureas) in insulin-naïve patients with type 2 diabetes (SUSTAIN 4): a randomized, open-label, parallel-group, multicenter, multinational, phase 3a trial. Lancet Diabetes Endocrinol. 2017:5(5):355-366.
4.Pratley RE, Aroda VR, Lingvay I, et al, on behalf of the SUSTAIN 7 investigators. Semaglutide versus dulaglutide once weekly in patients with type 2 diabetes (SUSTAIN 7): a randomised, open-label, phase 3b trial. Lancet Diabetes Endocrinol. 2018;6(4):275-286.
5.Frías JP, Auerbach P, Bajaj HS, et al. Efficacy and safety of once-weekly semaglutide 2.0 mg versus 1.0 mg in patients with type 2 diabetes (SUSTAIN FORTE): a double-blind, randomised, phase 3B trial. Lancet Diabetes Endocrinol. 2021;9(9):563-574. doi: 10.1016/S2213-8587(21)00174-1
6.Qandli diabet bilan og’rigan bemorlarga ixtisoslashtirilgan tibbiy yordam ko’rsatish algoritmlari / I.I. Dedova, M.V. Shestakova, A.Yu. Mayorova tahriri ostida - 11-son. - M.; 2023. doi : https://doi.org/10.14341/DM13042