Literature DB >> 26131320

Incretin manipulation in diabetes management.

Joseph M Pappachan1, A V Raveendran1, Rajagopalan Sriraman1.   

Abstract

Incretin-based therapies have revolutionized the medical management of type 2 diabetes mellitus (T2DM) in the 21(st) century. Glucagon-like peptide-1 (GLP-1) suppresses appetite and gastric motility, and has trophic effects on pancreas, cardio-protective and renal effects. GLP-1 analogues and dipeptidyl peptidase-4 inhibitors form the incretin-based therapies. Significant reduction of hemoglobin A1c when used as monotherapy and in combination regimens, favorable effects on body weight, and low risk of hypoglycemia are their unique therapeutic benefits. Their safety and tolerability are comparable to other anti-diabetic medications. Concern about elevated risk of pancreatitis has been discarded by two recent meta-analyses. This article discusses the therapeutic manipulation of incretin system for the management of T2DM.

Entities:  

Keywords:  Dipeptidyl peptidase-4 inhibitors; Glucagon-like peptide-1 analogues; Incretin hormones; Incretin-based therapies; Pancreatitis

Year:  2015        PMID: 26131320      PMCID: PMC4478574          DOI: 10.4239/wjd.v6.i6.774

Source DB:  PubMed          Journal:  World J Diabetes        ISSN: 1948-9358


  40 in total

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  4 in total

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