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基于肠促胰岛素的2型糖尿病患者治疗方法

[Incretin-based therapy for treating patients with type 2 diabetes].

作者信息

Jermendy György

机构信息

Fővárosi Bajcsy-Zsilinszky Kórház III. Belgyógyászati Osztály Budapest Maglódi.

出版信息

Orv Hetil. 2011 Nov 27;152(48):1931-40. doi: 10.1556/OH.2011.29238.

DOI:10.1556/OH.2011.29238
PMID:22071295
Abstract

In the last couple of years, a new class of antidiabetic drugs became available for the clinical practice. Due to the intensive research, several new drugs reached the market. Among the incretinmimetics both the GLP-1 (glucagon like peptide-1)-receptor agonist exenatide and the GLP-1-analogue liraglutide can be used for treatment. As for incretin enhancers (dipeptidyl-peptidase-4 [DPP-4]-inhibitors), sitagliptin, vildagliptin and saxagliptin are available in Hungary, linagliptin will be introduced to the market in the near future. In clinical practice, any incretin-based new drugs can be used for treating patients with type 2 diabetes, preferably in combination with metformin. The clinical experiences with these new drugs are reviewed focusing on both the benefits and the potential side-effects of the particular compounds.

摘要

在过去几年中,一类新型抗糖尿病药物已可用于临床实践。由于深入研究,几种新药已投放市场。在肠促胰岛素类似物中,胰高血糖素样肽-1(GLP-1)受体激动剂艾塞那肽和GLP-1类似物利拉鲁肽均可用于治疗。至于肠促胰岛素增强剂(二肽基肽酶-4 [DPP-4]抑制剂),匈牙利有西他列汀、维格列汀和沙格列汀,利奈格列汀将在不久的将来投放市场。在临床实践中,任何基于肠促胰岛素的新药均可用于治疗2型糖尿病患者,最好与二甲双胍联合使用。本文将重点回顾这些新药的临床经验,包括特定化合物的益处和潜在副作用。

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