Abstract
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Current Opinion in Clinical Nutrition and Metabolic Care |
| Vol/bind | 11 |
| Udgave nummer | 4 |
| Sider (fra-til) | 491-9 |
| Antal sider | 8 |
| ISSN | 1363-1950 |
| DOI | |
| Status | Udgivet - 2008 |
Bibliografisk note
Keywords: Adamantane; Antigens, CD26; Clinical Trials as Topic; Diabetes Mellitus, Type 2; Glucagon-Like Peptide 1; Glucagon-Like Peptides; Humans; Hypoglycemic Agents; Nitriles; Peptides; Pyrazines; Pyrrolidines; Receptors, Glucagon; Triazoles; VenomsAdgang til dokumentet
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I: Current Opinion in Clinical Nutrition and Metabolic Care, Bind 11, Nr. 4, 2008, s. 491-9.
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
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TY - JOUR
T1 - Glucagon-like peptide receptor agonists and dipeptidyl peptidase-4 inhibitors in the treatment of diabetes: a review of clinical trials
AU - Madsbad, Sten
AU - Krarup, Thure
AU - Deacon, Carolyn F
AU - Holst, Jens Juul
AU - Madsbad, Sten
AU - Krarup, Thure
AU - Deacon, Carolyn F
AU - Holst, Jens J
N1 - Keywords: Adamantane; Antigens, CD26; Clinical Trials as Topic; Diabetes Mellitus, Type 2; Glucagon-Like Peptide 1; Glucagon-Like Peptides; Humans; Hypoglycemic Agents; Nitriles; Peptides; Pyrazines; Pyrrolidines; Receptors, Glucagon; Triazoles; Venoms
PY - 2008
Y1 - 2008
N2 - PURPOSE OF REVIEW: To discuss the virtues and shortcomings of the glucagon-like peptide-1 receptor agonists and the dipeptidyl peptidase-4 inhibitors in the treatment of type 2 diabetes. RECENT FINDINGS: The injectable glucagon-like peptide-1 receptor agonists exenatide significantly improves glycaemic control, with average reductions in haemoglobin A1c of about 1.0%, fasting plasma glucose of about 1.4 mmol/l, and causes a weight loss of approximately 2-3 kg after 30 weeks of treatment in patients with type 2 diabetes. The adverse effects are transient nausea and vomiting. The long-acting glucagon-like peptide-1 receptor agonists liraglutide and exenatide long-acting release reduce haemoglobin A1c by about 1.0-2.0% and have fewer gastrointestinal side-effects. The orally available dipeptidyl peptidase-4 inhibitors, that is sitagliptin and vildagliptin reduce haemoglobin A1c by 0.5-1.0%, are weight neutral and without gastrointestinal side-effects. SUMMARY: The benefits and position of the glucagon-like peptide-1 analogues and the dipeptidyl peptidase-4 inhibitors in the diabetes treatment algorithm will be clarified when we have long-term trials with hard cardiovascular endpoints and data illustrating the effects on the progression of type 2 diabetes.
AB - PURPOSE OF REVIEW: To discuss the virtues and shortcomings of the glucagon-like peptide-1 receptor agonists and the dipeptidyl peptidase-4 inhibitors in the treatment of type 2 diabetes. RECENT FINDINGS: The injectable glucagon-like peptide-1 receptor agonists exenatide significantly improves glycaemic control, with average reductions in haemoglobin A1c of about 1.0%, fasting plasma glucose of about 1.4 mmol/l, and causes a weight loss of approximately 2-3 kg after 30 weeks of treatment in patients with type 2 diabetes. The adverse effects are transient nausea and vomiting. The long-acting glucagon-like peptide-1 receptor agonists liraglutide and exenatide long-acting release reduce haemoglobin A1c by about 1.0-2.0% and have fewer gastrointestinal side-effects. The orally available dipeptidyl peptidase-4 inhibitors, that is sitagliptin and vildagliptin reduce haemoglobin A1c by 0.5-1.0%, are weight neutral and without gastrointestinal side-effects. SUMMARY: The benefits and position of the glucagon-like peptide-1 analogues and the dipeptidyl peptidase-4 inhibitors in the diabetes treatment algorithm will be clarified when we have long-term trials with hard cardiovascular endpoints and data illustrating the effects on the progression of type 2 diabetes.
U2 - 10.1097/MCO.0b013e328302f414
DO - 10.1097/MCO.0b013e328302f414
M3 - Journal article
SN - 1363-1950
VL - 11
SP - 491
EP - 499
JO - Current Opinion in Clinical Nutrition and Metabolic Care
JF - Current Opinion in Clinical Nutrition and Metabolic Care
IS - 4
ER -