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新型司美格鲁肽在 2 型糖尿病和肥胖症中的应用:临床证据与展望。

New practice in semaglutide on type-2 diabetes and obesity: clinical evidence and expectation.

机构信息

Department of Endocrinology, Endocrinology Research Center, Xiangya Hospital of Central South University, Changsha, 410008, China.

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital of Central South University, Changsha, 410008, China.

出版信息

Front Med. 2022 Feb;16(1):17-24. doi: 10.1007/s11684-021-0873-2. Epub 2022 Feb 28.

Abstract

Obesity is an important risk factor of type 2 diabetes (T2D), which has become an important factor threatening human health. However, no perfect drug choice for obesity exists. Semaglutide is a kind of human glucagon-like peptide-1 (GLP-1) analog that promotes insulin secretion while inhibiting glucagon secretion through a glucose concentration-dependent mechanism. GLP-1 can also delay stomach emptying and suppress appetite to help lose weight. This review summarizes clinical evidence of the semaglutide effect on T2D and obesity and establishes expectations on future clinical trials for obesity treatment.

摘要

肥胖是 2 型糖尿病(T2D)的一个重要危险因素,已成为威胁人类健康的重要因素。然而,目前还没有针对肥胖的完美药物选择。司美格鲁肽是一种人胰高血糖素样肽-1(GLP-1)类似物,通过葡萄糖浓度依赖的机制促进胰岛素分泌,同时抑制胰高血糖素分泌。GLP-1 还可以延缓胃排空并抑制食欲,从而帮助减肥。本综述总结了司美格鲁肽治疗 T2D 和肥胖的临床证据,并对未来肥胖治疗的临床试验建立了预期。

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