二肽基肽酶-4(dipeptidyl-peptidase-4,DPP-4)抑制剂是糖尿病药物治疗领域的突破。目前国内已上市的5种DPP-4抑制剂,包括有西格列汀、维格列汀、沙格列汀、利格列汀和阿格列汀。本文从疗效、安全性、特殊人群中的应用及降糖外作用等方...二肽基肽酶-4(dipeptidyl-peptidase-4,DPP-4)抑制剂是糖尿病药物治疗领域的突破。目前国内已上市的5种DPP-4抑制剂,包括有西格列汀、维格列汀、沙格列汀、利格列汀和阿格列汀。本文从疗效、安全性、特殊人群中的应用及降糖外作用等方面对此类药物进行阐述和差异比较,对DPP-4抑制剂在临床的药物应用选择有重要的指导意义。在获得Expert Opinion on Pharmacotherapy杂志(Taylor&Francis Group)授权同意后,本文对2017年5月发表于该刊上的社论"DPP-4抑制剂类药物在2型糖尿病管理中的应用比较与选择"进行中文编译,并特邀山东大学齐鲁医院内分泌科陈丽教授对文稿进行点评。展开更多
Diabetes mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia.Type 2 diabetes (T2DM) accounting for 90% of cases globally.The worldwide prevalence of DM is rising dramatically over the last deca...Diabetes mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia.Type 2 diabetes (T2DM) accounting for 90% of cases globally.The worldwide prevalence of DM is rising dramatically over the last decades,from 30 million cases in 1985 to 382 million cases in 2013.It’s estimated that 451 million people had diabetes in 2017.As the pathophysiology was understood over the years,treatment options for diabetes increased.Incretin-based therapy is one of them.Glucagon-like peptide-1 receptor agonist (GLP-1 RA) not only significantly lower glucose level with minimal risk of hypoglycemia but also,they have an important advantage in themanagement of cardiovascular risk and obesity.Thus,we will review here GLP-1 RAsrole in the treatment of diabetes.展开更多
文摘二肽基肽酶-4(dipeptidyl-peptidase-4,DPP-4)抑制剂是糖尿病药物治疗领域的突破。目前国内已上市的5种DPP-4抑制剂,包括有西格列汀、维格列汀、沙格列汀、利格列汀和阿格列汀。本文从疗效、安全性、特殊人群中的应用及降糖外作用等方面对此类药物进行阐述和差异比较,对DPP-4抑制剂在临床的药物应用选择有重要的指导意义。在获得Expert Opinion on Pharmacotherapy杂志(Taylor&Francis Group)授权同意后,本文对2017年5月发表于该刊上的社论"DPP-4抑制剂类药物在2型糖尿病管理中的应用比较与选择"进行中文编译,并特邀山东大学齐鲁医院内分泌科陈丽教授对文稿进行点评。
文摘Diabetes mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia.Type 2 diabetes (T2DM) accounting for 90% of cases globally.The worldwide prevalence of DM is rising dramatically over the last decades,from 30 million cases in 1985 to 382 million cases in 2013.It’s estimated that 451 million people had diabetes in 2017.As the pathophysiology was understood over the years,treatment options for diabetes increased.Incretin-based therapy is one of them.Glucagon-like peptide-1 receptor agonist (GLP-1 RA) not only significantly lower glucose level with minimal risk of hypoglycemia but also,they have an important advantage in themanagement of cardiovascular risk and obesity.Thus,we will review here GLP-1 RAsrole in the treatment of diabetes.
