A Peptide in a Pill – Oral Semaglutide in the Management of Type 2 Diabetes

Raja Selvarajan,1,* Rashmi Subramanian2,* 1Department of Diabetes and Research Kaveri Healthcare, Bangalore, Karnataka, India; 2Department of Research and Development, Kaveri Healthcare, Bangalore, Karnataka, India*These authors contributed equally to this workCorrespondence:...

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Main Authors: Selvarajan R, Subramanian R
Format: Article
Language:English
Published: Dove Medical Press 2023-06-01
Series:Diabetes, Metabolic Syndrome and Obesity
Subjects:
Online Access:https://www.dovepress.com/a-peptide-in-a-pill--oral-semaglutide-in-the-management-of-type-2-diab-peer-reviewed-fulltext-article-DMSO
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author Selvarajan R
Subramanian R
author_facet Selvarajan R
Subramanian R
author_sort Selvarajan R
collection DOAJ
description Raja Selvarajan,1,* Rashmi Subramanian2,* 1Department of Diabetes and Research Kaveri Healthcare, Bangalore, Karnataka, India; 2Department of Research and Development, Kaveri Healthcare, Bangalore, Karnataka, India*These authors contributed equally to this workCorrespondence: Raja Selvarajan, Tel +91 9902561571, Email dr.raj23@gmail.comAbstract: T2DM (type 2 diabetes mellitus) is a chronic and progressive illness with high morbidity and death rates. Oral semaglutide (Rybelsus®) is a combination of semaglutide, a glucagon-like peptide-1 receptor agonist (GLP-1 RA), and sodium N- (8- [2-hydroxybenzoyl] amino) caprylate (SNAC), an absorption enhancer that facilitates semaglutide absorption across the gastric epithelium in a concentration-dependent manner. This family of drugs apart from glucose lowering effects causes significant weight loss with lower risk of hypoglycemia, and some of them have been linked to a significant reduced major adverse cardiovascular events. GLP-1 RAs may assist persons with T2DM and chronic kidney disease (CKD), a major microvascular consequence of T2DM, in ways other than lowering blood sugar. Several large clinical studies, the bulk of which are cardiovascular outcome trials, show that GLP-1 RA treatment is safe and tolerated for persons with T2DM and impaired renal function and that it may potentially have renoprotective characteristics. This article focuses on the advances of oral GLP1-RA and describes the key milestones and predicted advantages.Keywords: type 2 diabetes mellitus, incretin system, GLP-1 receptor agonist, oral semaglutide, pioneer trials
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spelling doaj.art-77a6850388434661a0048aa3df3a10312023-07-02T19:49:17ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072023-06-01Volume 161709172084302A Peptide in a Pill – Oral Semaglutide in the Management of Type 2 DiabetesSelvarajan RSubramanian RRaja Selvarajan,1,* Rashmi Subramanian2,* 1Department of Diabetes and Research Kaveri Healthcare, Bangalore, Karnataka, India; 2Department of Research and Development, Kaveri Healthcare, Bangalore, Karnataka, India*These authors contributed equally to this workCorrespondence: Raja Selvarajan, Tel +91 9902561571, Email dr.raj23@gmail.comAbstract: T2DM (type 2 diabetes mellitus) is a chronic and progressive illness with high morbidity and death rates. Oral semaglutide (Rybelsus®) is a combination of semaglutide, a glucagon-like peptide-1 receptor agonist (GLP-1 RA), and sodium N- (8- [2-hydroxybenzoyl] amino) caprylate (SNAC), an absorption enhancer that facilitates semaglutide absorption across the gastric epithelium in a concentration-dependent manner. This family of drugs apart from glucose lowering effects causes significant weight loss with lower risk of hypoglycemia, and some of them have been linked to a significant reduced major adverse cardiovascular events. GLP-1 RAs may assist persons with T2DM and chronic kidney disease (CKD), a major microvascular consequence of T2DM, in ways other than lowering blood sugar. Several large clinical studies, the bulk of which are cardiovascular outcome trials, show that GLP-1 RA treatment is safe and tolerated for persons with T2DM and impaired renal function and that it may potentially have renoprotective characteristics. This article focuses on the advances of oral GLP1-RA and describes the key milestones and predicted advantages.Keywords: type 2 diabetes mellitus, incretin system, GLP-1 receptor agonist, oral semaglutide, pioneer trialshttps://www.dovepress.com/a-peptide-in-a-pill--oral-semaglutide-in-the-management-of-type-2-diab-peer-reviewed-fulltext-article-DMSOtype 2 diabetes mellitusincretin systemglp-1receptor agonistoral semaglutidepioneer trails.
spellingShingle Selvarajan R
Subramanian R
A Peptide in a Pill – Oral Semaglutide in the Management of Type 2 Diabetes
Diabetes, Metabolic Syndrome and Obesity
type 2 diabetes mellitus
incretin system
glp-1receptor agonist
oral semaglutide
pioneer trails.
title A Peptide in a Pill – Oral Semaglutide in the Management of Type 2 Diabetes
title_full A Peptide in a Pill – Oral Semaglutide in the Management of Type 2 Diabetes
title_fullStr A Peptide in a Pill – Oral Semaglutide in the Management of Type 2 Diabetes
title_full_unstemmed A Peptide in a Pill – Oral Semaglutide in the Management of Type 2 Diabetes
title_short A Peptide in a Pill – Oral Semaglutide in the Management of Type 2 Diabetes
title_sort peptide in a pill ndash oral semaglutide in the management of type 2 diabetes
topic type 2 diabetes mellitus
incretin system
glp-1receptor agonist
oral semaglutide
pioneer trails.
url https://www.dovepress.com/a-peptide-in-a-pill--oral-semaglutide-in-the-management-of-type-2-diab-peer-reviewed-fulltext-article-DMSO
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