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A Systematic Review: Cost-Effectiveness of SGLT2 Inhibitors versus DPP-4 Inhibitors as Add-on to Metformin Hanifiyah, Izzatu Al; Nita, Yunita; Libriansyah; Ridwan, Achmad
JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA Vol. 12 No. 2 (2025): JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jfiki.v12i22025.256-263

Abstract

Background: The prevalence of type 2 diabetes mellitus (T2DM) is increasing worldwide. Sodium-glucose cotransporter-2 inhibitors (SGLT2i) and dipeptidyl peptidase-4 inhibitors (DPP-4i) are two second-line therapy alternatives for T2DM patients inadequately controlled with metformin. Objective: This study aimed to systematically review the cost-effectiveness of combining metformin+SGLT2i vs metformin+DPP-4i for T2DM treatment. Methods: A systematic search was conducted in PubMed, Scopus, and ScienceDirect for articles published between 2015-2025, using predefined keywords and following the PRISMA and PICOS frameworks (P: T2DM patients uncontrolled on metformin monotherapy; I: Metformin+SGLT2i therapy; C: Metformin+DPP-4i therapy; O: Cost, clinical outcomes (HbA1c% reduction), Incremental Cost-Effectiveness Ratio (ICER) values, Quality Adjusted Life Years (QALY); S: Study with cost-effectiveness analysis design). Additional studies were identified through reference screening. Eligible articles were independently reviewed and assessed for reporting quality using the CHEERS-2022 standards. Results: Five studies met the inclusion criteria. Considerable heterogeneity was observed with mean patient ages ranging from 55-61 years old and baseline HbA1c levels from 7.9%-9.4%. The studies were conducted in the US, UK, Mexico, and Greece, all funded by the pharmaceutical industry, and used economic models. Despite these differences, all studies consistently demonstrated that combining metformin+SGLT2i was more cost-effective than metformin+DPP-4i. SGLT2i improved the quality of life by 0.032–0.04 QALYs, reduced hypoglycemia, and provided additional benefits for patients with cardiovascular risk, although it was associated with higher initial costs. Conclusion: This review showed that the combination of metformin+SGLT2i was more cost-efficient and effective in managing T2DM than the combination of metformin+DPP-4i.
Mentoring the Implementation of In-Depth Learning for High School and High School Plus Teachers at the Al-Ashriyyah Nurul Iman Foundation Tjalla, Awaluddin; Rahayu, Wardani; Sarifah, Iva; Ridwan, Achmad; Riyadi, Riyadi; Priyanto, Sugeng; Rini, Indah Mustika; Merrydian, Siska
JUPE : Jurnal Pendidikan Mandala Vol 10, No 3 (2025): JUPE : Jurnal Pendidikan Mandala (September)
Publisher : Lembaga Penelitian dan Pendidikan Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/jupe.v10i3.9350

Abstract

This community service program was conducted in the framework of strengthening the professional competencies of high school teachers in the application of Deep Learning strategies. The target audience were teachers of SMA and SMA Plus at Yayasan Al-Ashriyyah Nurul Iman Islamic Boarding School – Parung, Bogor. The problems found included the lack of understanding and implementation skills related to deep learning-based learning strategies and assessment instruments. Through workshops, mentoring, and collaborative coaching methods, the teachers were guided to design and apply deep learning-based assessments. The results indicated an improvement in teachers' understanding and ability to implement deep learning assessments, as reflected in positive feedback in the satisfaction survey, the increased post-test scores and formation of professional traits based on teachers’ self-assessment. This program contributes significantly to pedagogical strengthening and the quality of learning in the Merdeka Belajar curriculum context.
Pendampingan Akses Permodalan Usaha melalui Lembaga Perbankan bagi UKM Batik Bakaran Kabupaten Pati Susanti, Diah Ayu; Fithri, Diana Laily; Winarso, Rochmad; Ridwan, Achmad
E-Dimas: Jurnal Pengabdian kepada Masyarakat Vol 16, No 3 (2025): E-DIMAS
Publisher : Universitas PGRI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26877/e-dimas.v16i3.24857

Abstract

Kegiatan pengabdian kepada masyarakat yang bertujuan untuk meningkatkan akses permodalan bagi pelaku UMKM sehingga diharapkan para pelaku UMKM yang menjadi mitra adalah UKM Batik Bakaran Misih dan UKM Batik Bakaran Yuliati Warno. Tujuan pengabdian pada UKM Batik Bakaran Juwana adalah memberikan suatu pemahaman bagi pengrajin batik mengenai informasi terkait pengajuan kredit untuk akses permodalan usahanya. Hasil dari kegiatan pengabdian ini dengan narasumber mitra perwakilan dari Bank Jateng KCP Juwana, membahas terkait hal penting yang perlu dilaksanakan pelaku UMKM sebelum mendapatkan akses permodalan, yaitu: melakukan perhitungan modal yang dibutuhkan, memahami macam akses modal, fitur produk Kredit Usaha Rakyat (KUR), pendampingan dalam proses pengajuan kredit ke Lembaga Perbankan. Sehingga dengan kecukupan modal yang dimiliki mitra dapat mengembangkan bisnis, menghadapi tantangan keuangan dan krisis, serta dapat meraih peluang pertumbuhan kegiatan bisnis. Metode yang digunakan dalam kegiatan pengabdian ini di antaranya diskusi dengan mitra masalah yang dihadapi, Penyampaian materi mengenai akses permodalan dari Bank Jateng KCP Juwana, yang terakhir diskusi dan tanya jawab terkait materi yang belum dipahami oleh mitra. Hasil dari kegiatan pengabdian ini mitra dapat meningkatkan kapasitas produksi dengan tambahan modal, UMKM dapat memperluas kapasitas produksi, meningkatkan kualitas produk, serta memenuhi permintaan pasar yang lebih besar, Meningkatkan daya saing akses kredit bank yang relatif lebih murah dibandingkan dengan sumber pembiayaan informal (misalnya rentenir) membuat UMKM lebih efisien dalam mengelola keuangannya. Mendukung keberlanjutan usaha dengan adanya dukungan pembiayaan formal dari bank, UMKM lebih berkesempatan tumbuh berkelanjutan, tidak hanya bertahan tetapi juga berkembang menjadi usaha yang lebih besar.
Co-Authors Abdillah, Nur Afriadi, Bambang Agung Prabowo Agung Prihandono Agung, Eka Adnan Ahmad, Nurul Qomariyah Ahmad, Saiful Aman, Syahrial Andy Wahyu Hermanto, Andy Wahyu Anita Nur Lely, Anita Nur Annisa, Cindy Ermintia Arlinwibowo, Janu Astika Tafrikul Khafidhoh, Astika Tafrikul Athiy Dina Rosihana Athoillah, Mohamad Anton Awaluddin Tjalla Barkah, Eka Cahyani, Septia Dwi Cikita Berlian Hakim Darmiyanti, Waskitarini Delima Sitanggang, Delima Diana Laily Fithri Eko Widodo Febri Dwi Anto, Febri Dwi Firmansyah, Nunung Agus GHAZI PRATAMA, TAFTAZANI Ginting, Riski Titian Hana, Fida Maisa Hanifiyah, Izzatu Al Heri Pramono Putro, Heri Pramono Himayati, Ade Ima Afifa HS, Christnatalis Ibnu Salman, Ibnu Iva Sarifah Josua, Dian Pertiwi Jovianto, Andrean Jubaedah, Dedah Jubaedah, Lilis Judijanto, Loso Junirianto, Eko Komarudin Komarudin Kuncoro, Ignasius Dwi Kurniadewi, Fera Lanasari, Rossy Legiran Legiran Libriansyah Ludmilla, Rafika Madewi, Astuti Manday, Dhanny Rukmana Maricar, Hudzaifah Muhammad Merrydian, Siska Miharja, Muhammad Najamuddin Dwi Muadzah, Muadzah Muhammad Najamuddin Dwi Miharja Muktiningsi, Muktiningsi Muktiningsih Nurjayadi Nadia Dwi Irmadiani Narulita, Lisa Nasution, Edwin Sugesti Nugraheni, Ariyanti Sri Nugroho, Soma Setiawan Ponco Nurcahya, Fikri NURHIDAYATI, SAFITRI Nuridayanti, Nuridayanti Octiva, Cut Susan Perangin Angin, Despaleri Pratama, Taftazani Ghazi Pratiwi, Cindya Yunita Pribadi, Januar Puspitaningtyas, Dyah Ayu Ramadhan, Fitri Nur Ramadhan, M. Irfan Rini, Indah Mustika Riyadi Riyadi Rizky Maulana, Rizky Rochmad Winarso Rohima , Azizah Aulia Rully Astri Hildayati Sabilla, Zahara Sam Saputra, Vernanda Saputra, Vernanda Sam Setiadi, Sandi Setiawan Ponco Nugroho, Soma Siregar, Saut Dohot Siti Azizah Soma Setiawan Ponco Nugroho Sudarmoyo, Dhadhang Tri Sugeng Priyanto, Sugeng Suharjono, Suharjono Suprapto Suprapto Susanti, Diah Ayu Susilo, Ahmad Dwi Tengku Riza Zarzani N Togar Timoteus Gultom Trihadi Prasetya, Trihadi Ully Muzakir Utami, Eli Wahyu Budiarto, Balla Wahyu Sri Astutik Wardani Rahayu Wawan Saputra Widyadi, Elvan Dwi Wijaya, Dedy Achmat Yennimar, Yennimar Yuli Rahmawati Yunida, Helvy Yunita Nita Yunus Mustaqim, Yunus Yusmaniar Yusmaniar Yuyun dwi astutik, Yuyun dwi