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Semaglutide guidelines based on BMI may exclude at-risk Indians

Semaglutide guidelines based on BMI may exclude at-risk Indians

Posted on April 8, 2026 By admin


Global semaglutide eligibility criteria based on BMI may not reflect Indian risk patterns, potentially excluding high-risk patients who develop cardiovascular disease at lower body weights |Image used for representational purpose only
| Photo Credit: AFP

The SELECT trial, led by A. Michael Lincoff and published in The New England Journal of Medicine (2023), showed that once-weekly semaglutide reduced major cardiovascular events by 20% in adults with a body mass index (BMI) of 27 or higher and pre-existing cardiovascular disease, but without diabetes. The trial enrolled 17,604 participants and tracked outcomes over nearly 40 months.

But applying this BMI threshold in India could exclude patients at risk, says Aditi Kantipuly, preventive medicine and public health resident at McGill University and visiting scholar at the University of New Mexico.

Published – April 08, 2026 02:37 pm IST



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Science Tags:cardiovascular risks, diabetes care, generic semaglutide access, semaglutide guidelines

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