oa South African Family Practice - Dipeptidyl peptidase-4 inhibitors : their role in the management of type 2 diabetes : CPD article
|Article Title||Dipeptidyl peptidase-4 inhibitors : their role in the management of type 2 diabetes : CPD article|
|© Publisher:||Medpharm Publications|
|Journal||South African Family Practice|
|Publication Date||Nov 2013|
|Pages||508 - 510|
|Keyword(s)||Alogliptin, Dipeptidyl peptidase-4 (DPP-4) inhibitors, Glucagon-like peptide 1 (GLP-1), Incretin hormones, Linagliptin, Saxagliptin, Sitagliptin and Vildagliptin|
The production of glucagon-like peptide 1 (GLP-1), an incretin hormone, has been shown to be abnormally low in patients with type 2 diabetes, suggesting that GLP-1 may be a contributor in the pathogenesis of the disease. New type 2 diabetic medications target incretin hormones in their mechanism of action. The incretin effect is based on the understanding that oral glucose has a greater stimulatory effect on insulin secretion than that of intravenous glucose. Over the past few years, a number of therapeutic agents, acting either as incretin mimetics, e.g. GLP-1 agonists, or inhibitors of the breakdown of GLP-1, e.g. dipeptidyl peptidase-4 inhibitors, have become available as treatment options for the management of type 2 diabetes.
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