PMID- 22587735 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121120 LR - 20120625 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 13 IP - 10 DP - 2012 Jul TI - Combination therapy in type 2 diabetes mellitus: adding linagliptin to a stable regimen of metformin and a sulfonylurea. PG - 1535-9 LID - 10.1517/14656566.2012.689825 [doi] AB - Linagliptin, the most recently approved drug of the dipeptidyl peptidase-4 (DPP-4) inhibitor class, is an oral agent used to improve glycemic control in type 2 diabetes mellitus (T2DM). By inhibiting the DPP-4 enzyme, these drugs slow the inactivation of the endogenous incretin hormones glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), in turn reducing blood glucose levels in a glucose-dependent manner. As well as significantly reducing glycosylated hemoglobin, the class has a good safety profile, with a low incidence of hypoglycemia, and is not associated with weight gain. From a practical point of view, they also have simple regimens, generally with once-daily oral administration, and can be used as monotherapy or in combination with other anti-diabetic drugs. Owens and colleagues have reported a 6-month study of linagliptin add-on therapy in patients who were receiving a stable regimen of metformin and a sulfonylurea, but needed additional glycemic control. Linagliptin was associated with significant improvement in glycemic control and was well-tolerated by patients, indicating that it provides a valuable option for a large number of patients with T2DM, especially for those who would prefer to add an oral therapy to a current regimen. FAU - Aronson, Ronnie AU - Aronson R AD - LMC Diabetes & Endocrinology, Toronto, Ontario, Canada, 1929 Bayview Ave, Suite 106, Toronto, Ontario, M4G 3E8, Canada. Ronnie.Aronson@LMC.CA LA - eng PT - Comment PT - Journal Article DEP - 20120516 PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 CON - Diabet Med. 2011 Nov;28(11):1352-61. PMID: 21781152 EDAT- 2012/05/17 06:00 MHDA- 2012/05/17 06:01 CRDT- 2012/05/17 06:00 PHST- 2012/05/17 06:00 [entrez] PHST- 2012/05/17 06:00 [pubmed] PHST- 2012/05/17 06:01 [medline] AID - 10.1517/14656566.2012.689825 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2012 Jul;13(10):1535-9. doi: 10.1517/14656566.2012.689825. Epub 2012 May 16.