PMID- 21813733 OWN - NLM STAT- MEDLINE DCOM- 20111207 LR - 20151119 IS - 1945-1997 (Electronic) IS - 0098-6151 (Linking) VI - 111 IP - 7 Suppl 5 DP - 2011 Jul TI - Novel incretin-based agents and practical regimens to meet needs and treatment goals of patients with type 2 diabetes mellitus. PG - S20-30 AB - As knowledge of pathophysiologic mechanisms of diabetes mellitus has increased, clinical attention has shifted to the incretin system. Incretin hormones, including glucagon-like peptide-1, or GLP-1, and glucose-dependent insulinotropic polypeptide, are vital to the control of glucose homeostasis and pancreatic beta-cell preservation. Novel strategies for the treatment of patients with type 2 diabetes mellitus (T2DM) engage the incretin system. Glucagon-like peptide-1 receptor agonists provide robust glycemic control as well as beneficial reductions in body weight. Dipeptidyl peptidase-4, or DPP-4, inhibitors exhibit beneficial glycemic effects and are weight-neutral. Incretin-based medications are becoming increasingly recognized in guidelines as early treatment options because of their efficacy and well-tolerated profiles. The author reviews the safety and efficacy of currently approved incretin-based agents, as well as the role of these medications in treatment paradigms for patients with T2DM. He also discusses investigational incretin-based agents. FAU - Garber, Alan J AU - Garber AJ AD - Department ofMedicine, Biochemistry, and Molecular Biology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030-3411, USA. agarber@bcm.edu LA - eng PT - Journal Article PT - Review PL - United States TA - J Am Osteopath Assoc JT - The Journal of the American Osteopathic Association JID - 7503065 RN - 0 (Blood Glucose) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Incretins) RN - 0 (Purines) RN - 0 (Quinazolines) RN - 3X29ZEJ4R2 (Linagliptin) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM EIN - J Am Osteopath Assoc. 2011 Nov;111(11):604 MH - Adult MH - Aged MH - Blood Glucose/drug effects/metabolism MH - Diabetes Mellitus, Type 2/diagnosis/*drug therapy MH - Dipeptidyl-Peptidase IV Inhibitors/*administration & dosage MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Female MH - Follow-Up Studies MH - Glucagon-Like Peptide 1/administration & dosage/*analogs & derivatives MH - Humans MH - Incretins/*administration & dosage/metabolism MH - Linagliptin MH - Male MH - Middle Aged MH - Purines MH - Quinazolines MH - Randomized Controlled Trials as Topic MH - Severity of Illness Index MH - Treatment Outcome EDAT- 2011/08/10 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/08/05 06:00 PHST- 2011/08/05 06:00 [entrez] PHST- 2011/08/10 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] AID - 111/7_suppl_5/S20 [pii] PST - ppublish SO - J Am Osteopath Assoc. 2011 Jul;111(7 Suppl 5):S20-30.