PMID- 22029001 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20111110 LR - 20231104 IS - 2230-9500 (Electronic) IS - 2230-8210 (Print) IS - 2230-9500 (Linking) VI - 15 IP - 4 DP - 2011 Oct TI - Choosing a gliptin. PG - 298-308 LID - 10.4103/2230-8210.85583 [doi] AB - The treatment of type 2 diabetes mellitus (T2DM) has included the use of metformin and sulfonylurea (SU) as first-line anti-diabetic therapies world over since years. This remains, despite the knowledge that the combination results in a progressive decline in [beta]-cell function and by 3 years up to 50% of diabetic patients can require an additional pharmacological agent to maintain the glycosylated hemoglobin (HbA1c) <7.0% (UKPDS). Gliptins represent a novel class of agents that improve beta cell health and suppress glucagon, resulting in improved post-prandial and fasting hyperglycemia. They function by augmenting the incretin system (GLP-1 and GIP) preventing their metabolism by dipeptidyl peptidase-4 (DPP-4). Not only are they efficacious but also safe (weight neutral) and do not cause significant hypoglycemia, making it a unique class of drugs. This review focuses on gliptins (sitagliptin, vildagliptin, saxagliptin, linagliptin, and alogliptin) discussing pharmacokinetics, pharmacodynamics, efficacy, and safety. FAU - Gupta, Vishal AU - Gupta V AD - Department of Endocrinology, Jaslok Hospital and Research Centre, 15 - Deshmukh Marg, Mumbai 400026, India. FAU - Kalra, Sanjay AU - Kalra S LA - eng PT - Journal Article PL - India TA - Indian J Endocrinol Metab JT - Indian journal of endocrinology and metabolism JID - 101555690 PMC - PMC3193779 OTO - NOTNLM OT - Diabetes mellitus OT - GLP OT - dipeptidyl peptidase-4-inhibitors OT - dipeptidyl-dipeptidase OT - gliptins OT - incretins COIS- Conflict of Interest: None declared. EDAT- 2011/10/27 06:00 MHDA- 2011/10/27 06:01 PMCR- 2011/10/01 CRDT- 2011/10/27 06:00 PHST- 2011/10/27 06:00 [entrez] PHST- 2011/10/27 06:00 [pubmed] PHST- 2011/10/27 06:01 [medline] PHST- 2011/10/01 00:00 [pmc-release] AID - IJEM-15-298 [pii] AID - 10.4103/2230-8210.85583 [doi] PST - ppublish SO - Indian J Endocrinol Metab. 2011 Oct;15(4):298-308. doi: 10.4103/2230-8210.85583.