[Dipeptidyl-peptidase-4 inhibitors (gliptins): a new class of oral antidiabetic drugs]

Orv Hetil. 2011 Sep 11;152(37):1471-6. doi: 10.1556/OH.2011.29207.
[Article in Hungarian]

Abstract

Nearly 90% of the diabetic patients are suffering of type 2 diabetes while approximately 60-65% of patients with type 2 diabetes are treated with oral antidiabetic drugs. In the last couple of years a new treatment option, namely incretin-based therapy, became available. The dipeptidyl-peptidase-4-inhibitors (gliptins) are designated as incretin enhancers. Using gliptins, sustained glycemic control can be achieved without gaining weight and increasing the risk of hypoglycemia. All gliptins (sitagliptin, vildagliptin, saxagliptin, linagliptin) can be used as tablets without a need for dose titration. For treating patients with type 2 diabetes, gliptins can primarily be used in combination with metformin.

Publication types

  • Review

MeSH terms

  • Adamantane / analogs & derivatives
  • Adamantane / pharmacology
  • Adamantane / therapeutic use
  • Animals
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / metabolism
  • Dipeptides / pharmacology
  • Dipeptides / therapeutic use
  • Dipeptidyl-Peptidase IV Inhibitors / chemistry
  • Dipeptidyl-Peptidase IV Inhibitors / pharmacokinetics
  • Dipeptidyl-Peptidase IV Inhibitors / pharmacology*
  • Dipeptidyl-Peptidase IV Inhibitors / therapeutic use*
  • Drug Administration Schedule
  • Drug Therapy, Combination
  • Humans
  • Hypoglycemic Agents / chemistry
  • Hypoglycemic Agents / pharmacokinetics
  • Hypoglycemic Agents / pharmacology*
  • Hypoglycemic Agents / therapeutic use*
  • Incretins / metabolism
  • Linagliptin
  • Metformin / administration & dosage
  • Metformin / pharmacology
  • Nitriles / pharmacology
  • Nitriles / therapeutic use
  • Purines / pharmacology
  • Purines / therapeutic use
  • Pyrazines / pharmacology
  • Pyrazines / therapeutic use
  • Pyrrolidines / pharmacology
  • Pyrrolidines / therapeutic use
  • Quinazolines / pharmacology
  • Quinazolines / therapeutic use
  • Sitagliptin Phosphate
  • Tablets
  • Treatment Outcome
  • Triazoles / pharmacology
  • Triazoles / therapeutic use
  • Vildagliptin

Substances

  • Dipeptides
  • Dipeptidyl-Peptidase IV Inhibitors
  • Hypoglycemic Agents
  • Incretins
  • Nitriles
  • Purines
  • Pyrazines
  • Pyrrolidines
  • Quinazolines
  • Tablets
  • Triazoles
  • Linagliptin
  • Metformin
  • saxagliptin
  • Vildagliptin
  • Adamantane
  • Sitagliptin Phosphate