PMID- 27976513 OWN - NLM STAT- MEDLINE DCOM- 20180312 LR - 20221207 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 9 IP - 6 DP - 2017 Jun TI - What next after basal insulin? Treatment intensification with lixisenatide in Asian patients with type 2 diabetes mellitus. PG - 562-574 LID - 10.1111/1753-0407.12515 [doi] AB - There is increasing evidence that the pathophysiology of type 2 diabetes mellitus (T2DM) in Asian patients differs from that in Western patients, with early phase insulin deficiencies, increased postprandial glucose excursions, and increased sensitivity to insulin. Asian patients may also experience higher rates of gastrointestinal adverse events associated with glucagon-like peptide-1 receptor agonists (GLP-1RAs), such as nausea and vomiting, compared with their Western counterparts. These factors should be taken into consideration when selecting therapy for basal insulin treatment intensification in Asian patients. However, the majority of studies to establish various agents for treatment intensification in T2DM have been conducted in predominantly Western populations, and the levels of evidence available in Chinese or Asian patients are limited. This review discusses the different mechanisms of action of short-acting, prandial, and long-acting GLP-1RAs in addressing hyperglycemia, and describes the rationale and available clinical data for basal insulin in combination with the short-acting prandial GLP-1RA lixisenatide, with a focus on treatment of Asian patients with T2DM. CI - (c) 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Chan, Wing B AU - Chan WB AD - Endocrinology, Diabetes & Metabolism, Qualigenics Diabetes Centre, Hong Kong, SAR China. FAU - Luk, Andrea AU - Luk A AD - Department of Medicine and Therapeutics, Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, SAR China. FAU - Chow, Wing S AU - Chow WS AD - Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, SAR China. FAU - Yeung, Vincent T F AU - Yeung VTF AD - Department of Medicine and Geriatrics, Our Lady of Maryknoll Hospital, Hong Kong, SAR China. LA - eng PT - Journal Article PT - Review DEP - 20170123 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (Peptides) RN - 74O62BB01U (lixisenatide) SB - IM MH - Asian People MH - Blood Glucose/metabolism MH - China MH - Diabetes Mellitus, Type 2/*blood/*drug therapy/ethnology MH - Drug Therapy, Combination MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Insulin/*therapeutic use MH - Peptides/*therapeutic use MH - Postprandial Period OTO - NOTNLM OT - 2型糖尿病 OT - insulin OT - lixisenatide OT - type 2 diabetes mellitus OT - 利西那肽 OT - 胰岛素 EDAT- 2016/12/16 06:00 MHDA- 2018/03/13 06:00 CRDT- 2016/12/16 06:00 PHST- 2016/06/24 00:00 [received] PHST- 2016/11/25 00:00 [revised] PHST- 2016/12/06 00:00 [accepted] PHST- 2016/12/16 06:00 [pubmed] PHST- 2018/03/13 06:00 [medline] PHST- 2016/12/16 06:00 [entrez] AID - 10.1111/1753-0407.12515 [doi] PST - ppublish SO - J Diabetes. 2017 Jun;9(6):562-574. doi: 10.1111/1753-0407.12515. Epub 2017 Jan 23.