PMID- 20727514 OWN - NLM STAT- MEDLINE DCOM- 20101130 LR - 20100823 IS - 1548-5609 (Electronic) IS - 1548-5595 (Linking) VI - 17 IP - 5 DP - 2010 Sep TI - Incretin-based therapy in chronic kidney disease. PG - 439-49 LID - 10.1053/j.ackd.2010.06.003 [doi] AB - Type 2 diabetes mellitus (T2DM) with concomitant CKD is an emerging clinical and public health problem reaching epidemic proportions in the United States. Achieving and maintaining glycemic targets in clinical practice are significant challenges in majority of the patients with T2DM and CKD, and this has created significant barriers for clinicians managing these patients. Commonly used antihyperglycemic agents are either contraindicated or lack efficacy and safety information in this population. Recently, 2 distinct classes of agents that augment incretin hormone action have been added to the therapeutic armamentarium targeting hyperglycemia. This review will discuss the literature examining the efficacy and safety of incretin-based therapies in T2DM and the available evidence for their use in CKD. CI - 2010 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved. FAU - Pinelli, Nicole R AU - Pinelli NR AD - Department of Pharmacy Practice, Wayne State University, Detroit, MI 48201-2427, USA. nickipinelli@wayne.edu FAU - Moore, Carol L AU - Moore CL FAU - Tomasello, Sarah AU - Tomasello S LA - eng PT - Journal Article PT - Review PL - United States TA - Adv Chronic Kidney Dis JT - Advances in chronic kidney disease JID - 101209214 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 0 (Incretins) SB - IM MH - *Blood Glucose/drug effects MH - Diabetes Mellitus, Type 2/blood/complications/*drug therapy/epidemiology MH - Diabetic Nephropathies/blood/epidemiology/etiology/therapy/urine MH - Humans MH - Hypoglycemic Agents/pharmacology MH - *Incretins/pharmacology MH - Renal Insufficiency, Chronic/blood/epidemiology/etiology/therapy/urine MH - Treatment Outcome EDAT- 2010/08/24 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/08/24 06:00 PHST- 2010/03/06 00:00 [received] PHST- 2010/05/14 00:00 [revised] PHST- 2010/06/16 00:00 [accepted] PHST- 2010/08/24 06:00 [entrez] PHST- 2010/08/24 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - S1548-5595(10)00114-X [pii] AID - 10.1053/j.ackd.2010.06.003 [doi] PST - ppublish SO - Adv Chronic Kidney Dis. 2010 Sep;17(5):439-49. doi: 10.1053/j.ackd.2010.06.003.