Intervention with Therapeutic Agents, Understanding the Path to Remission to Type 2 Diabetes: Part 2.

Intervention with Therapeutic Agents, Understanding the Path to Remission to Type 2 Diabetes: Part 2.
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干预治疗剂,了解2型糖尿病的缓解途径:第2部分。

DOI:
10.1016/j.ecl.2022.07.004
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发表时间:
2023-03
影响因子:
4.5
通讯作者:
--
中科院分区:
医学2区
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--
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2型糖尿病(T2 D)的特征在于胰腺β细胞功能的进行性下降。较新的药物,如胰高血糖素样肽-1受体激动剂(GLP-1 RA)和双重肠促胰岛素激动剂,可增强β细胞功能,并延迟对其他降糖药的需求。然而,对β细胞功能的影响在停止药物后停止。当与强化生活方式改变相结合时,可以使用比用于糖尿病治疗的剂量更高的GLP-1 RA剂量来诱导体重减轻。需要更多的研究来确定GLP 1-RA所达到的体重减轻是否可以在停药后持续,从而维持糖尿病的缓解。
Type 2 diabetes (T2D) is characterized by progressive decline in pancreatic β-cell function. Newer agents such as glucagon-like peptide-1 receptor agonist (GLP-1RA) and dual incretin agonists can augment β-cell function and delay the need for additional antihyperglycemics. However, the effect on β-cell function ceases after stopping the medications. When combined with intensive lifestyle modifications, higher doses of GLP-1RA than those used for diabetes treatment can be used to induce weight loss. More research is needed on whether the weight loss achieved with GLP1-RA can be sustained after stopping medication and in turn can sustain diabetes remission.
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