我國人口老齡化加劇,老年糖尿病防治刻不容緩。數據显示,2024年我國60歲以上老年人口達3.1億人,其中老年糖尿病患者約7890萬人(95%以上為2型糖尿病),糖尿病前期約1.41億人[1]。約90%老年患者合併超重/肥胖、高血壓、血脂異常等多代謝異常,心腦血管病變風險顯著增加;且常伴存衰弱、肌少症、跌倒風險增加、認知障礙等老年綜合征,多病共存、多重用藥現象普遍,治療依從性面臨挑戰[1]。
作為中國首個自主研發GLP-1RA周製劑,孚來美®(聚乙二醇洛塞那肽注射液,下稱“洛塞那肽”)憑藉高度貼合老年患者的治療需求而入選指南:每周一次給葯,大幅提升患者依從性;預填充注射筆無需劑量滴定、排氣,操作便捷,適配老年群體使用習慣。
多項研究證實,洛塞那肽除降糖外,還能帶來心血管保護、適度減重、認知改善等多重獲益,且胃腸道不良反應發生率相對較低[2-8],契合指南“全面管理、兼顧安全與便捷”的核心理念。
洛塞那肽四大核心優勢獲充分循證支持,為老年患者提供多方位守護:
老年糖尿病管理不能止於控糖,更需守護晚年生活質量。洛塞那肽憑藉心血管保護、適度減重及良好的安全性,為老年患者提供了更全面的保護。此次孚來美®納入指南,是對中國原研創新的認可。翰森製藥將持續深耕內分泌治療領域,助力提升老年糖尿病防治水平。
參考文獻:
[1] 中國老年2型糖尿病防治臨床指南編寫組,中國老年醫學學會老年內分泌代謝分會,中國老年保健醫學研究會老年內分泌與代謝分會,等. 中國老年2型糖尿病防治臨床指南(2026年版)[J]. 中華內科雜誌,2026,65(03):206-255.
[2] Li J,et al. Once-weekly glucagon-like peptide receptor agonist polyethylene glycol loxenatide protects against major adverse cardiovascular events in patients with type 2 diabetes: a multicenter ambispective cohort study (FLYING trial). MedComm (2020). 2025 Feb 13;6(2):e70094.
[3] Xuefeng Yu, et al.Real-World Comparison Of The Effects Of Loxenatide Versus DPP4i On Major Adverse Cardiovascular Events In Patients With Type 2 Diabetes: A Multicenter Cohort Study (FIGHTING-2).ECIM 2026.Abstract No.0633.
[4] Hong Wu,et al. Real-World Comparison Of Loxenatide Versus Other GLP-1RAs On Major Adverse Cardiovascular Events In Patients With Type 2 Diabetes: A Multicenter Cohort Study (FIGHTING-3).ECIM 2026. Abstract No.0635.
[5] Cai H, et al. Short-term effect of polyethylene glycol loxenatide on weight loss in overweight or obese patients with type 2 diabetes: An open-label, parallel-arm, randomized, metformin-controlled trial. Front Endocrinol (Lausanne). 2023 Jan 26;14:1106868.
[6] Yin X, et al. Polyethylene glycol loxenatide improves cognitive and emotional performance in patients with type 2 diabetes: a 12-week multicenter clinical observational study. J Endocrinol Invest. 2026 Feb 9.
[7] Yao H, et al. Comparative effectiveness of GLP-1 receptor agonists on glycaemic control, body weight, and lipid profile for type 2 diabetes: systematic review and network meta-analysis. BMJ. 2024 Jan 29;384:e076410.
[8] Cao Y, et al. Real-World Clinical Effectiveness of Glucagon-Like Peptide-1 Receptor Agonist on Mild-to-Moderate Diabetic Kidney Disease in Patients with Type 2 Diabetes: A Retrospective, Single-Arm Clinical Trial. Diabetes Metab Syndr Obes. 2024 Aug 1;17:2913-2921.
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