Diabetes and obesity. The role of agonists glucagon-like peptide-1 of in the treatment of type 2 diabetes

Significant number of patients with type 2 diabetes mellitus are obese. It is known that even glucose intolerance, as well as diabetes, can lead to vascular complications. At the same time, weight loss can reduce the risk of type 2 diabetes in obese and pre-diabetic patients. According to available...

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Main Authors: Nina A. Petunina, Milena Е. Telnova
Format: Article
Language:English
Published: Endocrinology Research Centre 2018-09-01
Series:Сахарный диабет
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Online Access:https://www.dia-endojournals.ru/jour/article/view/9623
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author Nina A. Petunina
Milena Е. Telnova
author_facet Nina A. Petunina
Milena Е. Telnova
author_sort Nina A. Petunina
collection DOAJ
description Significant number of patients with type 2 diabetes mellitus are obese. It is known that even glucose intolerance, as well as diabetes, can lead to vascular complications. At the same time, weight loss can reduce the risk of type 2 diabetes in obese and pre-diabetic patients. According to available data, a significant decrease in the incretin effect is observed in patients with type 2 diabetes and obese individuals. Thus, a decrease in the incretin effect leads to a violation of the insulin response to the intake of carbohydrates, and, consequently, an increase in the level of glucose in the blood. It was also found that the decrease in the incretin effect in patients with type 2 diabetes can be associated with a lower secretion of glucagon-like peptide-1. The interest is represented by groups of antidiabetic drugs capable of regulating glycemia by affecting the secretion of insulin and glucagon, depending on its level. Such drugs include glucagon-like peptide-1 receptor agonists. The article shows the advantage of prolonged action in patients with type 2 diabetes and obesity of the glucagon-like peptide 1 receptor agonists (albiglutide, dulaglutide, exenatide with slow release) dosing 1 time a week.
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spelling doaj-art-e01b1b31cbfe4e638bb0fff9a524daf62025-08-20T01:57:08ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782018-09-0121429330010.14341/DM96238528Diabetes and obesity. The role of agonists glucagon-like peptide-1 of in the treatment of type 2 diabetesNina A. Petunina0Milena Е. Telnova1<p>I.M. Sechenov First Moscow State Medical University</p><p>I.M. Sechenov First Moscow State Medical University</p>Significant number of patients with type 2 diabetes mellitus are obese. It is known that even glucose intolerance, as well as diabetes, can lead to vascular complications. At the same time, weight loss can reduce the risk of type 2 diabetes in obese and pre-diabetic patients. According to available data, a significant decrease in the incretin effect is observed in patients with type 2 diabetes and obese individuals. Thus, a decrease in the incretin effect leads to a violation of the insulin response to the intake of carbohydrates, and, consequently, an increase in the level of glucose in the blood. It was also found that the decrease in the incretin effect in patients with type 2 diabetes can be associated with a lower secretion of glucagon-like peptide-1. The interest is represented by groups of antidiabetic drugs capable of regulating glycemia by affecting the secretion of insulin and glucagon, depending on its level. Such drugs include glucagon-like peptide-1 receptor agonists. The article shows the advantage of prolonged action in patients with type 2 diabetes and obesity of the glucagon-like peptide 1 receptor agonists (albiglutide, dulaglutide, exenatide with slow release) dosing 1 time a week.https://www.dia-endojournals.ru/jour/article/view/9623type 2 diabetesobesityincretinsglucagon-like peptide-1
spellingShingle Nina A. Petunina
Milena Е. Telnova
Diabetes and obesity. The role of agonists glucagon-like peptide-1 of in the treatment of type 2 diabetes
Сахарный диабет
type 2 diabetes
obesity
incretins
glucagon-like peptide-1
title Diabetes and obesity. The role of agonists glucagon-like peptide-1 of in the treatment of type 2 diabetes
title_full Diabetes and obesity. The role of agonists glucagon-like peptide-1 of in the treatment of type 2 diabetes
title_fullStr Diabetes and obesity. The role of agonists glucagon-like peptide-1 of in the treatment of type 2 diabetes
title_full_unstemmed Diabetes and obesity. The role of agonists glucagon-like peptide-1 of in the treatment of type 2 diabetes
title_short Diabetes and obesity. The role of agonists glucagon-like peptide-1 of in the treatment of type 2 diabetes
title_sort diabetes and obesity the role of agonists glucagon like peptide 1 of in the treatment of type 2 diabetes
topic type 2 diabetes
obesity
incretins
glucagon-like peptide-1
url https://www.dia-endojournals.ru/jour/article/view/9623
work_keys_str_mv AT ninaapetunina diabetesandobesitytheroleofagonistsglucagonlikepeptide1ofinthetreatmentoftype2diabetes
AT milenaetelnova diabetesandobesitytheroleofagonistsglucagonlikepeptide1ofinthetreatmentoftype2diabetes