Efficacy and safety of metformin-sitagliptin combination for the treatment of patients with diabetes mellitus and obesity

Aim. To elucidate therapeutic effect of metformin-sitaglitin combination on the dynamics of indices of insulin resistance and functional activity of pancreaticbeta-cells, lipid metabolism and body weight in patients with type 2 diabetes mellitus (DM2) and obesity. Materials and methods. The study...

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Main Authors: Alexander Sergeevich Ametov, Elena Nikolaevna Pakus
Format: Article
Language:English
Published: Endocrinology Research Centre 2010-09-01
Series:Сахарный диабет
Subjects:
Online Access:https://www.dia-endojournals.ru/jour/article/view/5490
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author Alexander Sergeevich Ametov
Elena Nikolaevna Pakus
author_facet Alexander Sergeevich Ametov
Elena Nikolaevna Pakus
author_sort Alexander Sergeevich Ametov
collection DOAJ
description Aim. To elucidate therapeutic effect of metformin-sitaglitin combination on the dynamics of indices of insulin resistance and functional activity of pancreaticbeta-cells, lipid metabolism and body weight in patients with type 2 diabetes mellitus (DM2) and obesity. Materials and methods. The study included 32 patients treated by a combination of metformin (500-2550 mg/day) and sitagliptin (100 mg) for18 weeks. Standard parameters of carbohydrate and lipid metabolism, body mass index (BMI), blood adiponectin and leptin levels were measured, indices of insulin resistance and functional activity of pancreatic beta-cells were calculated. Results. Therapy with metformin-sitagliptin combination ensured compensation of fasting and postprandial hyperglycemia, reduced HbA1c level, increasedfunctional activity of beta-cells, decreased peripheral insulin resistance and BMI, had beneficial effect on lipid metabolism and hormonalactivity of adipose tissue. Conclusion. Metformin-sitagliptin combination can be recommended as a clinically efficacious modality for the treatment of patients with diabetesmellitus and obesity.
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spelling doaj.art-8ffa4d0318294f518682a1bd041858732024-03-20T11:47:56ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782010-09-01133626510.14341/2072-0351-54905448Efficacy and safety of metformin-sitagliptin combination for the treatment of patients with diabetes mellitus and obesityAlexander Sergeevich Ametov0Elena Nikolaevna Pakus1ГОУ ДПО Российская медицинская академия последипломного образования, МоскваГОУ ДПО Российская медицинская академия последипломного образования, МоскваAim. To elucidate therapeutic effect of metformin-sitaglitin combination on the dynamics of indices of insulin resistance and functional activity of pancreaticbeta-cells, lipid metabolism and body weight in patients with type 2 diabetes mellitus (DM2) and obesity. Materials and methods. The study included 32 patients treated by a combination of metformin (500-2550 mg/day) and sitagliptin (100 mg) for18 weeks. Standard parameters of carbohydrate and lipid metabolism, body mass index (BMI), blood adiponectin and leptin levels were measured, indices of insulin resistance and functional activity of pancreatic beta-cells were calculated. Results. Therapy with metformin-sitagliptin combination ensured compensation of fasting and postprandial hyperglycemia, reduced HbA1c level, increasedfunctional activity of beta-cells, decreased peripheral insulin resistance and BMI, had beneficial effect on lipid metabolism and hormonalactivity of adipose tissue. Conclusion. Metformin-sitagliptin combination can be recommended as a clinically efficacious modality for the treatment of patients with diabetesmellitus and obesity.https://www.dia-endojournals.ru/jour/article/view/5490type 2 diabetes mellitusobesitymetforminsitagliptin
spellingShingle Alexander Sergeevich Ametov
Elena Nikolaevna Pakus
Efficacy and safety of metformin-sitagliptin combination for the treatment of patients with diabetes mellitus and obesity
Сахарный диабет
type 2 diabetes mellitus
obesity
metformin
sitagliptin
title Efficacy and safety of metformin-sitagliptin combination for the treatment of patients with diabetes mellitus and obesity
title_full Efficacy and safety of metformin-sitagliptin combination for the treatment of patients with diabetes mellitus and obesity
title_fullStr Efficacy and safety of metformin-sitagliptin combination for the treatment of patients with diabetes mellitus and obesity
title_full_unstemmed Efficacy and safety of metformin-sitagliptin combination for the treatment of patients with diabetes mellitus and obesity
title_short Efficacy and safety of metformin-sitagliptin combination for the treatment of patients with diabetes mellitus and obesity
title_sort efficacy and safety of metformin sitagliptin combination for the treatment of patients with diabetes mellitus and obesity
topic type 2 diabetes mellitus
obesity
metformin
sitagliptin
url https://www.dia-endojournals.ru/jour/article/view/5490
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