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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v6i2.2532</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v6i2.2532</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Effect of Dapagliflozin on HbA1c in Type 2 Diabetics: A Descriptive Prospective Uncontrolled Before and After Study</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Anjum</surname>
            <given-names>Nida</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Nazar</surname>
            <given-names>Madeeha</given-names>
          </name>
          <email>madeehanazar@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Arshad</surname>
            <given-names>Saba</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Hashmi</surname>
            <given-names>Fasih</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Khan</surname>
            <given-names>Sadia Azam</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Shad</surname>
            <given-names>Iram</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Rawalpindi Medical University</institution>
      </aff>
      <aff id="aff2">
        <institution>Allama Iqbal Open University</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Madeeha Nazar (madeehanazar@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2025-06-05">
        <day>05</day>
        <month>06</month>
        <year>2025</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2025</year>
      </pub-date>
      <volume>6</volume>
      <issue>2</issue>
      <fpage>170</fpage>
      <lpage>174</lpage>
      <history>
        <date date-type="received" iso-8601-date="2024-12-09">
          <day>09</day>
          <month>12</month>
          <year>2024</year>
        </date>
        <date date-type="rev-recd" iso-8601-date="2025-01-18">
          <day>18</day>
          <month>01</month>
          <year>2025</year>
        </date>
        <date date-type="accepted" iso-8601-date="2025-05-02">
          <day>02</day>
          <month>05</month>
          <year>2025</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2025 The Author(s)</copyright-statement>
        <copyright-year>2025</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v6i2.2532" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v6i2.2532.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>To determine the efficacy of Dapagliflozin and its effect on HbA1c in Type 2 Diabetic patients.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>We had conducted our descriptive study in the outdoor patient department of Holy Family Hospital, Rawalpindi. Hundred, Type 2 diabetic patients of both genders were enrolled through consecutive sampling to assess the efficacy of Dapagliflozin, an SGLT2 inhibitor in a Pakistani population. Those patients with HbA1c of ≥ 7% who had fulfilled our inclusion criteria were given Dapagliflozin 10mg as either monotherapy or add-on therapy. HbA1c, BP, and body weight were noted at the start of drug therapy and after 12 weeks of drug use. The primary endpoint was ≥ a 10% relative percentage reduction of HbA1c after 12 weeks.</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>Out of 100 subjects there were 40 males and 60 females in our sample. The average age of the patients was 49.37±11.38 years. Dapagliflozin was given as a monotherapy to only two patients and others as an add on the drug. The average relative percent reduction after 12 weeks of treatment in HbA1c was 11.68±6.20. The sample results showed that the drug Dapagliflozin is effective for 62% of patients hence based on the sample results we conclude that the Dapagliflozin is effective against type 2 diabetics in our population for at least 53% of patients with a p-value of 0.034.</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>Over the period of 12 weeks, Dapagliflozin has shown a significant reduction in HbA1c and body weight of Type 2 diabetics in the Pakistani population. Once-daily dosing and a low rate of hypoglycemia make it a cost-effective and safe drug as well.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Hb A1c</kwd>
        <kwd>SGLT-2 inhibitors</kwd>
        <kwd>Dapagliflozin.</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <!-- <body> omitted: no manuscript (.docx) on file -->
  <back>
    <notes notes-type="ethics-statement">
      <title>Ethics Statement</title>
      <p>Ethics committee: Ethics Committee, Rawalpindi Medical University, Rawalpindi, Pakistan. Approval number: R41-RMU, dated October 27, 2018.</p>
    </notes>
    <ref-list>
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  </back>
</article>
