PMID- 31727181 OWN - NLM STAT- MEDLINE DCOM- 20200625 LR - 20200625 IS - 2072-1315 (Electronic) IS - 1606-0997 (Print) IS - 1606-0997 (Linking) VI - 38 IP - 1 DP - 2019 Nov 14 TI - Comparison of serum amylase level between dipeptidyl peptidase-4 inhibitor and GLP-1 analog administration in patients with type 2 diabetes mellitus. PG - 33 LID - 10.1186/s41043-019-0197-x [doi] LID - 33 AB - We monitored serum amylase level in patients with type 2 diabetes mellitus (T2DM) prescribed either dipeptidyl peptidase-4 inhibitor or GLP-1 analog (GLP-1 group) as monotherapy. Patients were treated for a 36-month period. All subjects were non-smoker and did not take any alcoholic beverages. Forty-nine patients were prescribed DPP4is (DPP4i group), and 9 patients were prescribed GLP-1 analogs (GLP-1 group). The median of serum amylase levels in DPP4is group was 73 U/mL and the median of serum amylase levels in GLP-1 analog group was 76. Thus, there was no statistical significance between the two groups. However, the increased serum amylase levels in the three patients were observed only in the DPP4is group. One strength of the current study is that the serum amylase level was consistently measured in all subjects, and those subjects had been treated with either DPP4is or GLP-1 analogs as monotherapy. The incidence of elevated serum pancreatic amylase levels beyond normal range was calculated as 6.12% in the DPP4is group although the frequency was 0% in the GLP-1 analog group. Measurement of serum amylase consistently might have clinical meaning to catch the onset of pancreatitis and minimize the side effects due to DPP4is and GLP-1 analogs. FAU - Okada, Junichi AU - Okada J AD - Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan. okadash@gunma-u.ac.jp. AD - Kan-etsu Chuo Hospital, 71 Kitahara, Takasaki, Gunma, 370-3513, Japan. okadash@gunma-u.ac.jp. FAU - Yamada, Eijiro AU - Yamada E AD - Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan. FAU - Niijima, Yawara AU - Niijima Y AD - Kan-etsu Chuo Hospital, 71 Kitahara, Takasaki, Gunma, 370-3513, Japan. FAU - Okada, Shuichi AU - Okada S AUID- ORCID: 0000-0003-1403-6840 AD - Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan. AD - Kan-etsu Chuo Hospital, 71 Kitahara, Takasaki, Gunma, 370-3513, Japan. FAU - Yamada, Masanobu AU - Yamada M AD - Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan. LA - eng PT - Comparative Study PT - Letter DEP - 20191114 PL - Bangladesh TA - J Health Popul Nutr JT - Journal of health, population, and nutrition JID - 100959228 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - EC 3.2.1.- (Amylases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Amylases/*blood/drug effects MH - Diabetes Mellitus, Type 2/*blood/drug therapy MH - Dipeptidyl-Peptidase IV Inhibitors/*administration & dosage MH - Female MH - Glucagon-Like Peptide 1/*analogs & derivatives MH - Humans MH - Hypoglycemic Agents/*administration & dosage MH - Male MH - Middle Aged PMC - PMC6854662 COIS- The authors declare that they have no competing interests. EDAT- 2019/11/16 06:00 MHDA- 2020/06/26 06:00 PMCR- 2019/11/14 CRDT- 2019/11/16 06:00 PHST- 2019/02/21 00:00 [received] PHST- 2019/10/28 00:00 [accepted] PHST- 2019/11/16 06:00 [entrez] PHST- 2019/11/16 06:00 [pubmed] PHST- 2020/06/26 06:00 [medline] PHST- 2019/11/14 00:00 [pmc-release] AID - 10.1186/s41043-019-0197-x [pii] AID - 197 [pii] AID - 10.1186/s41043-019-0197-x [doi] PST - epublish SO - J Health Popul Nutr. 2019 Nov 14;38(1):33. doi: 10.1186/s41043-019-0197-x.