Giglio Rosaria Vincenza, Patti Angelo Maria, Nikolic Dragana, Castellino Giuseppa, Noto Marcello, Parrino Alessandro, Montalto Giuseppe, Rizzo Manfredi
Dipartimento Biomedico di Medicina Interna e Specialistica (Di.Bi.M.I.S), Università degli Studi, Palermo.
G Ital Cardiol (Rome). 2016 Apr;17(4):253-8. doi: 10.1714/2214.23896.
The purpose of innovative therapeutic approaches for type 2 diabetes mellitus is to customize the antidiabetic treatment to each patient's need, in order to intensify glucose-lowering effects without hypoglycemia, reduce adverse events, and prevent cardiovascular events. Glucagon-like peptide 1 (GLP-1) analogues are effective drugs in the treatment of type 2 diabetes, and they also seem to have beneficial effects on several risk factors for cardiovascular disease, leading to cardiovascular risk reduction independent of hypoglycemic effects. Among these new drugs, liraglutide, a GLP-1 analogue with a homology of 97% to native GLP-1, exerts an effect on body weight, lipid parameters, blood pressure and endothelial function, inflammatory markers, markers of oxidative stress, and subclinical atherosclerosis. The results of numerous studies and meta-analyses on liraglutide suggest that this drug improves quality of life through the reduction in hypoglycemic episodes, glucose effectiveness, and the improvement of cardiovascular risk factors.
2型糖尿病创新治疗方法的目的是根据每位患者的需求定制抗糖尿病治疗方案,以增强降糖效果而不发生低血糖,减少不良事件,并预防心血管事件。胰高血糖素样肽1(GLP-1)类似物是治疗2型糖尿病的有效药物,它们似乎对心血管疾病的几个危险因素也有有益作用,可独立于降糖作用降低心血管风险。在这些新药中,利拉鲁肽是一种与天然GLP-1同源性为97%的GLP-1类似物,对体重、血脂参数、血压和内皮功能、炎症标志物、氧化应激标志物以及亚临床动脉粥样硬化均有作用。关于利拉鲁肽的大量研究和荟萃分析结果表明,该药物通过减少低血糖发作、提高血糖疗效以及改善心血管危险因素来提高生活质量。