PMID- 24287690 OWN - NLM STAT- MEDLINE DCOM- 20150408 LR - 20221207 IS - 1865-8652 (Electronic) IS - 0741-238X (Print) IS - 0741-238X (Linking) VI - 30 IP - 12 DP - 2013 Dec TI - The dipeptidyl peptidase (DPP)-4 inhibitors for type 2 diabetes mellitus in challenging patient groups. PG - 1067-85 LID - 10.1007/s12325-013-0071-y [doi] AB - Treating hyperglycemia is a critical aspect of managing type 2 diabetes mellitus (T2DM), but can be especially challenging in patients from vulnerable groups such as those with chronic kidney disease, African Americans, and older people. The dipeptidyl peptidase (DPP)-4 inhibitors are relatively new oral antidiabetes drugs that have been incorporated into treatment algorithms over the past few years and have also been studied in these vulnerable patients. Clinical trials with DPP-4 inhibitors have now been reported for all these patient groups and have demonstrated significant improvements in measures of hyperglycemia, with a good safety profile. Based on the current evidence, it appears that the DPP-4 inhibitors are worthy of consideration not only for the most straightforward patients with T2DM, but also for these vulnerable patients. FAU - Kountz, David AU - Kountz D AD - Jersey Shore University Medical Center, Rutgers-Robert Wood Johnson Medical School, 1945 State Route 33, PO Box 397, Neptune, NJ, 07754-0397, USA, dkountz@meridianhealth.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20131128 PL - United States TA - Adv Ther JT - Advances in therapy JID - 8611864 RN - 0 (Blood Glucose) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) MH - Administration, Oral MH - Black or African American/statistics & numerical data MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Blood Glucose/analysis/*drug effects MH - Clinical Trials as Topic MH - Diabetes Mellitus, Type 2/diagnosis/*drug therapy MH - Dipeptidyl-Peptidase IV Inhibitors/*administration & dosage/adverse effects MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Female MH - Humans MH - Male MH - Middle Aged MH - Practice Guidelines as Topic MH - Prognosis MH - Renal Insufficiency, Chronic/diagnosis/epidemiology MH - Risk Assessment MH - Severity of Illness Index MH - Treatment Outcome MH - Vulnerable Populations/*statistics & numerical data PMC - PMC3898344 EDAT- 2013/11/30 06:00 MHDA- 2015/04/09 06:00 PMCR- 2013/11/28 CRDT- 2013/11/30 06:00 PHST- 2013/08/09 00:00 [received] PHST- 2013/11/30 06:00 [entrez] PHST- 2013/11/30 06:00 [pubmed] PHST- 2015/04/09 06:00 [medline] PHST- 2013/11/28 00:00 [pmc-release] AID - 71 [pii] AID - 10.1007/s12325-013-0071-y [doi] PST - ppublish SO - Adv Ther. 2013 Dec;30(12):1067-85. doi: 10.1007/s12325-013-0071-y. Epub 2013 Nov 28.