The Place of GLP-1-Based Therapy in Diabetes Management: Differences Between DPP-4 Inhibitors and GLP-1 Receptor Agonists

被引:18
作者
Mize, Dara L. Eckerle [1 ]
Salehi, Marzieh [2 ]
机构
[1] Vanderbilt Univ, Med Ctr, Div Diabet Endocrinol & Metab, Nashville, TN 37232 USA
[2] Univ Cincinnati, Dept Internal Med, Div Endocrinol & Metab, Cincinnati, OH 45267 USA
关键词
GLP-1; DPP-4; GLP-1 receptor agonists; inhibitors; Incretin; Type; 2; diabetes; Weight loss; Hypoglycemia; Cardiovascular risk factors; GLUCAGON-LIKE PEPTIDE-1; DIPEPTIDYL PEPTIDASE-4 INHIBITOR; RANDOMIZED CONTROLLED-TRIAL; OPEN-LABEL TRIAL; DEPENDENT INSULINOTROPIC POLYPEPTIDE; EXENATIDE SYNTHETIC EXENDIN-4; INITIAL COMBINATION THERAPY; IMPROVES GLYCEMIC CONTROL; NON-INFERIORITY TRIAL; TWICE-DAILY EXENATIDE;
D O I
10.1007/s11892-013-0377-9
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Type 2 diabetes is a progressive disease characterized by the need for additional antidiabetic agents overtime to maintain a stable level of glycemic control. The discovery of the glucagon like peptide 1, 1 of the 2 major incretins, was pivotal to the development of novel therapies, which can be used in individuals with type 2 diabetes. Two classes of drugs, GLP-1 receptor agonists and dipeptidyl peptidase inhibitors, provide comparable or superior glycemic effects to previous antidiabetic agents without increasing side effects, such as weight gain and hypoglycemia. Therefore, they represent valuable additions to the current therapeutic options for type 2 diabetes.
引用
收藏
页码:307 / 318
页数:12
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