The goal of this prospective, multicenter, observational study is to evaluate the real-world effectiveness and safety of oral and subcutaneous semaglutide in adults with type 2 diabetes mellitus in Argentina. The main objective is to assess changes in glycated hemoglobin (HbA1c) from baseline to 3, 6, and 12 months after treatment initiation. Secondary objectives include evaluating changes in body weight, waist circumference, hand-grip strength, treatment satisfaction, medication adherence, treatment route switching, treatment discontinuation, and adverse events. Participants will receive semaglutide as prescribed by their treating physician as part of routine clinical care. Follow-up assessments will be performed at 3, 6, and 12 months to collect clinical, laboratory, safety, treatment satisfaction, and adherence data. Treatment satisfaction will be assessed using the Diabetes Treatment Satisfaction Questionnaire (DTSQ), and adherence will be assessed using the Simplified Medication Adherence Questionnaire (SMAQ).
Study Type
OBSERVATIONAL
Enrollment
145
Participants will receive semaglutide as part of their usual medical care for type 2 diabetes mellitus. The intervention of interest includes both oral and subcutaneous formulations of semaglutide, prescribed and dosed at the discretion of the treating physician according to routine clinical practice.
Hospital Italiano de Buenos Aires
Buenos Aires, Buenos Aires, Argentina
RECRUITINGHospital General de Agudos Dr Enrique Tornú
Buenos Aires, Buenos Aires, Argentina
RECRUITINGChange in glycated hemoglobin (HbA1c) levels from baseline to 3, 6, and 12 months of follow-up.
Mean change in HbA1c (%) compared with baseline among adult patients with type 2 diabetes treated with oral or subcutaneous semaglutide in real-world clinical practice.
Time frame: Baseline, 3 months, 6 months, and 12 months.
Change in Body Weight
Mean change in body weight (kg) compared with baseline.
Time frame: Baseline, 3 months, 6 months, and 12 months.
Change in Waist Circumference
Mean change in waist circumference (cm) compared with baseline.
Time frame: Baseline, 3 months, 6 months, and 12 months.
Change in Hand-Grip Strength
Mean change in grip strength (kg) measured with a hand dynamometer.
Time frame: Baseline, 3 months, 6 months, and 12 months.
Treatment Satisfaction Assessed With the Diabetes Treatment Satisfaction Questionnaire
Change from baseline in treatment satisfaction assessed using the Diabetes Treatment Satisfaction Questionnaire. The total treatment satisfaction score ranges from 0 to 36, with higher scores indicating greater treatment satisfaction.
Time frame: Baseline, 3 months, 6 months, and 12 months.
Treatment Adherence Assessed With the Simplified Medication Adherence Questionnaire
Proportion of participants classified as adherent according to the Simplified Medication Adherence Questionnaire. Participants will be classified as adherent or non-adherent according to the questionnaire scoring rules.
Time frame: Baseline, 3 months, 6 months, and 12 months.
Proportion of Patients Switching Administration Route
Percentage of participants switching between oral and subcutaneous semaglutide, including direction and reason for change.
Time frame: Up to 12 months.
Reasons for Treatment Discontinuation
Frequency and type of reasons for discontinuation (adverse events, inefficacy, patient decision, etc.).
Time frame: Up to 12 months.
Adverse Events
Incidence and severity of adverse events, categorized by system organ class and relationship to semaglutide.
Time frame: Up to 12 months.
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