Effect of bromocriptine on glycemic control, risk of cardiovascular diseases and weight in patients with type 2 diabetes: a systematic review

MT Birhan, TM Ayele, FW Abebe, FN Dgnew - Diabetology & Metabolic …, 2023 - Springer
MT Birhan, TM Ayele, FW Abebe, FN Dgnew
Diabetology & Metabolic Syndrome, 2023Springer
Abstract Background Type 2 diabetes (T2DM) patients, including those in good glycemic
control, have an increased risk of cardiovascular disease (CVD). Maintaining good glycemic
control with drugs may reduce long-term CVD risk. Bromocriptine has been in clinical use for
over 30 years, but the utility of bromocriptine in the treatment of diabetes patients has been
proposed more recently. Objective To summarize the available data regarding the effect of
bromocriptine in T2DM management. Method A systematic literature search was conducted …
Background
Type 2 diabetes (T2DM) patients, including those in good glycemic control, have an increased risk of cardiovascular disease (CVD). Maintaining good glycemic control with drugs may reduce long-term CVD risk. Bromocriptine has been in clinical use for over 30 years, but the utility of bromocriptine in the treatment of diabetes patients has been proposed more recently.
Objective
To summarize the available data regarding the effect of bromocriptine in T2DM management.
Method
A systematic literature search was conducted in the electronic databases, including Google Scholar, PubMed, Medline, and Science Direct, to locate studies that meet the objectives of this systematic review. Additional articles were included by conducting direct Google searches of the references cited by eligible articles located by the database search. The following search terms were used on PubMed “bromocriptine OR dopamine agonist AND diabetes mellitus OR hyperglycemia OR obese”.
Result
Eight studies were included in the final analysis. 6210 of the 9391 study participants received bromocriptine treatment, while 3183 received a placebo. The studies demonstrated that patients who took bromocriptine treatment had significantly reduced blood glucose and BMI, which is the main cardiovascular risk factor in T2DM patients.
Conclusion
Based on this systematic review, bromocriptine may be used for T2DM treatment for its cardiovascular risk reduction effect, especially body weight reduction. However, advanced study designs might be warranted.
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