Incretin therapy for diabetes mellitus type 2
Research output: Contribution to journal › Review › Research › peer-review
Standard
Incretin therapy for diabetes mellitus type 2. / Holst, Jens Juul.
In: Current Opinion in Endocrinology, Diabetes and Obesity, Vol. 27, No. 1, 2020, p. 2-10.Research output: Contribution to journal › Review › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Incretin therapy for diabetes mellitus type 2
AU - Holst, Jens Juul
PY - 2020
Y1 - 2020
N2 - Purpose of review Among the gastrointestinal hormones, the incretins: glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 have attracted interest because of their importance for the development and therapy of type 2 diabetes and obesity. New agonists and formulations of particularly the GLP-1 receptor have been developed recently showing great therapeutic efficacy for both diseases. Recent findings The status of the currently available GLP-1 receptor agonists (GLP-1RAs) is described, and their strengths and weaknesses analyzed. Their ability to also reduce cardiovascular and renal risk is described and analysed. The most recent development of orally available agonists and of very potent monomolecular co-agonists for both the GLP-1 and GIP receptor is also discussed. The GLP-1RAs are currently the most efficacious agents for weight loss, and show potential for further efficacy in combination with other food-intake-regulating peptides. Because of their glycemic efficacy and cardiorenal protection, the GLP-1 RAs will be prominent elements in future diabetes therapy.
AB - Purpose of review Among the gastrointestinal hormones, the incretins: glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 have attracted interest because of their importance for the development and therapy of type 2 diabetes and obesity. New agonists and formulations of particularly the GLP-1 receptor have been developed recently showing great therapeutic efficacy for both diseases. Recent findings The status of the currently available GLP-1 receptor agonists (GLP-1RAs) is described, and their strengths and weaknesses analyzed. Their ability to also reduce cardiovascular and renal risk is described and analysed. The most recent development of orally available agonists and of very potent monomolecular co-agonists for both the GLP-1 and GIP receptor is also discussed. The GLP-1RAs are currently the most efficacious agents for weight loss, and show potential for further efficacy in combination with other food-intake-regulating peptides. Because of their glycemic efficacy and cardiorenal protection, the GLP-1 RAs will be prominent elements in future diabetes therapy.
KW - dulaglutide
KW - glucagon-like peptide-1
KW - glucose-dependent insulinotropic polypeptide
KW - semaglutide
KW - weight-losing therapy
KW - GLUCAGON-LIKE PEPTIDE-1
KW - INDUCED INSULIN-SECRETION
KW - GLP-1 RECEPTOR AGONIST
KW - OPEN-LABEL
KW - CARDIOVASCULAR OUTCOMES
KW - ENERGY-INTAKE
KW - IV INHIBITOR
KW - DOUBLE-BLIND
KW - 7-36 AMIDE
KW - GLUCOSE
U2 - 10.1097/MED.0000000000000516
DO - 10.1097/MED.0000000000000516
M3 - Review
C2 - 31815785
VL - 27
SP - 2
EP - 10
JO - Current Opinion in Endocrinology, Diabetes and Obesity
JF - Current Opinion in Endocrinology, Diabetes and Obesity
SN - 1752-296X
IS - 1
ER -
ID: 248460067