Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 11, Number 1, January 2019, pages 35-41


Residual Effect of Sodium Glucose Cotransporter 2 Inhibitor, Tofogliflozin, on Body Weight After Washout in Japanese Men With Type 2 Diabetes

Figures

Figure 1.
Figure 1. Correlation between body weight changes and waist circumference changes from baseline.
Figure 2.
Figure 2. Correlation between body weight changes and HMW adiponectin changes from baseline.
Figure 3.
Figure 3. Correlation between body weight changes and hematocrit changes from baseline.
Figure 4.
Figure 4. Correlation between body weight changes and 120-min urine volume changes from baseline.
Figure 5.
Figure 5. Proposed chart for changes in body weight and potential body composition after treatment and after washout of tofogliflozin. The mechanism by which body weight reductions caused by tofogliflozin may be due to several factors as well as fat reductions at 8 weeks, but those may be due most likely to fat reductions alone after a subsequent 8 weeks of washout (16 week) of this agent.

Tables

Table 1. Patient Background
 
Data are presented as mean ± SEM.
Number of subjects10
Age (years)60.9 ± 2.8
HbA1c (%)6.8 ± 0.2
Body weight (kg)75.4 ± 4.1
BMI (kg/m2)26.7 ± 1.1
Waist circumference (cm)91.7 ± 3.0
Fasting blood glucose (mg/dL)140.8 ± 16.2
Estimated GFR (mL/min/1.73 m2)77.3 ± 4.3
Systolic blood pressure (mm Hg)139.9 ± 4.5
Diastolic blood pressure (mm Hg)83.4 ± 1.9
Presence/absence of antihypertensive agent5/5
Presence/absence of use of hyperlipemia treatment agent5/5
Presence/absence of use of hyperuricemia treatment agent1/9

 

Table 2. Changes in Each Parameter Versus Baseline
 
BaselineAfter treatmentAfter washout
0 week8 weeksChanges from baseline16 weeksChanges from baseline
Data are expressed as mean ± SEM or median (1st, 3rd quartile). *P < 0.05, **P < 0.01, ***P < 0.001 (versus baseline) with paired t-test or Wilcoxon’s signed-rank tests. #Urine was collected during 120 min after loading test meal and volume and glucose content were measured [1].
HbA1c (%)6.8 ± 0.26.5 ± 0.2-0.3*6.9 ± 0.30.05
Fasting blood glucose (mg/dL)140.8 ± 16.2111.8 ± 7.9-29.0124.5 ± 8.8-16.3
Body weight (kg)75.4 ± 4.173.0 ± 4.2-2.4***74.0 ± 4.7-1.4
Waist circumference (cm)91.7 ± 3.089.3 ± 3.0-2.4**90.3 ± 3.8-1.4
HMW adiponectin (µg/mL)1.98 (1.35, 3.30)2.54 (1.56, 4.08)0.475***2.66 (1.27, 4.25)0.205
Uric acid (mg/dL)5.38 ± 0.44.61 ± 0.4-0.77***5.25 ± 0.5-0.13
Ht (%)43.92 ± 1.146.84 ± 0.832.92***45.39 ± 1.01.47***
RBC (/µL)480.4 ± 13.8510.3 ± 10.2829.9***492.2 ± 11.311.8*
#Urine glucose AUC120 min (g)3.8 ± 2.524.7 ± 4.820.9**1.7 ± 1-2.1
#Urine volume AUC120 min (mL)224.7 ± 50.2400.4 ± 73.4175.7275.1 ± 98.150.4