Abstract
Many patients with type 2 diabetes are obese (diabesity), and the two conditions together impose a particularly complex therapeutic challenge. Several differently acting agents are often required at the same time, encouraging development of more single-tablet combinations. Longer-acting (once daily and once weekly) injected agonists of glucagon-like peptide-1 are due to provide additional options to stimulate insulin secretion with weight loss and minimal risk of hypoglycemia. Further, dipeptidyl peptidase-4 inhibitors ("weight-neutral" insulinotropic agents) are also expected. Sodium-glucose cotransporter 2 inhibitors offer a new option to reduce hyperglycemia and facilitate weight loss by increasing the elimination of glucose in the urine. Selective peroxisome proliferator-activated receptor modulators are being studied to produce compounds with desired effects. Many other agents with antidiabetic and antiobesity activity are progressing in clinical development.
Original language | English |
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Pages (from-to) | 360-367 |
Number of pages | 8 |
Journal | Current Diabetes Reports |
Volume | 9 |
Issue number | 5 |
DOIs | |
Publication status | Published - Oct 2009 |
Keywords
- anti-obesity agents
- type 2 diabetes mellitus
- dipeptidyl-peptidase IV inhibitors
- glucagon-like peptide 1
- humans
- hypoglycemic agents
- obesity
- sodium-glucose transporter 2