Glucagon-like peptide receptor agonists and dipeptidyl peptidase-4 inhibitors in the treatment of diabetes: a review of clinical trials
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Glucagon-like peptide receptor agonists and dipeptidyl peptidase-4 inhibitors in the treatment of diabetes : a review of clinical trials. / Madsbad, Sten; Krarup, Thure; Deacon, Carolyn F; Holst, Jens Juul.
In: Current Opinion in Clinical Nutrition and Metabolic Care, Vol. 11, No. 4, 07.2008, p. 491-9.Research output: Contribution to journal › Journal article › peer-review
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TY - JOUR
T1 - Glucagon-like peptide receptor agonists and dipeptidyl peptidase-4 inhibitors in the treatment of diabetes
T2 - a review of clinical trials
AU - Madsbad, Sten
AU - Krarup, Thure
AU - Deacon, Carolyn F
AU - Holst, Jens Juul
PY - 2008/7
Y1 - 2008/7
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.
KW - Adamantane
KW - Clinical Trials as Topic
KW - Diabetes Mellitus, Type 2
KW - Dipeptidyl Peptidase 4
KW - Dipeptidyl-Peptidase IV Inhibitors
KW - Glucagon-Like Peptide 1
KW - Glucagon-Like Peptides
KW - Humans
KW - Hypoglycemic Agents
KW - Nitriles
KW - Peptides
KW - Pyrazines
KW - Pyrrolidines
KW - Receptors, Glucagon
KW - Triazoles
KW - Venoms
U2 - 10.1097/MCO.0b013e328302f414
DO - 10.1097/MCO.0b013e328302f414
M3 - Journal article
C2 - 18542012
VL - 11
SP - 491
EP - 499
JO - Current Opinion in Clinical Nutrition and Metabolic Care
JF - Current Opinion in Clinical Nutrition and Metabolic Care
SN - 1363-1950
IS - 4
ER -
ID: 132048974