Kalra Sanjay, Das Ashok Kumar, Sahay Rakesh Kumar, Baruah Manash Pratim, Tiwaskar Mangesh, Das Sambit, Chatterjee Sudip, Saboo Banshi, Bantwal Ganapathi, Bhattacharya Saptarshi, Priya Gagan, Chawla Manoj, Brar Kiraninder, Raza Syed Abbas, Aamir Azizul Hasan, Shrestha Dina, Somasundaram Noel, Katulanda Prasad, Afsana Faria, Selim Shahjada, Naseri Mohammad Wali, Latheef Ali, Sumanatilleke Manilka
Bharti Hospital, Karnal, India.
Pondicherry Institute of Medical Sciences, Pondicherry, India.
Diabetes Ther. 2019 Oct;10(5):1645-1717. doi: 10.1007/s13300-019-0669-4. Epub 2019 Jul 29.
The advent of incretin mimetics such as glucagon-like peptide-1 receptor agonists (GLP-1 RAs) has enriched the armamentarium for diabetes management owing to their glycaemic as well as extra-glycaemic benefits. The approval status and availability of this class of drugs vary widely across the globe. Being a relatively newer class of drug with numerous benefits, several national and international guidelines are working towards addressing clinical questions pertaining to the optimal use of GLP-1 RAs for the management of diabetes. Although the newer class of drugs are associated with significant benefits such as patient-centric approach, these drugs demand the providers to be vigilant and knowledgeable about the medication. The South Asian population is at higher risk of type 2 diabetes mellitus (T2DM) because of their genetic predisposition and lifestyle changes. Hence, prevention and management of T2DM and its associated complications in this population are of paramount importance. The current report aims to present an overview of current knowledge on GLP-1 RAs based on pragmatic review of the available clinical evidence. In addition, this report is a consensus of expert endocrinologists representing South Asian countries including India, Pakistan, Bangladesh, Nepal, Sri Lanka, Afghanistan and the Maldives on essential recommendations related to the use of GLP-1 RAs in a real-world scenario.
胰高血糖素样肽-1受体激动剂(GLP-1 RAs)等肠促胰岛素类似物的出现,因其降糖及血糖外益处,丰富了糖尿病管理的手段。这类药物在全球的获批情况和可及性差异很大。作为一类具有众多益处的相对较新的药物,多个国家和国际指南正致力于解决与GLP-1 RAs在糖尿病管理中的最佳使用相关的临床问题。尽管这类新药具有以患者为中心的方法等显著益处,但这些药物要求医疗服务提供者对该药物保持警惕并具备相关知识。由于遗传易感性和生活方式的改变,南亚人群患2型糖尿病(T2DM)的风险更高。因此,在该人群中预防和管理T2DM及其相关并发症至关重要。本报告旨在基于对现有临床证据的实用综述,介绍关于GLP-1 RAs的当前知识概况。此外,本报告是来自包括印度、巴基斯坦、孟加拉国、尼泊尔、斯里兰卡、阿富汗和马尔代夫在内的南亚国家的内分泌专家就GLP-1 RAs在现实场景中使用的基本建议达成的共识。