Experience with DPP-4 inhibitors in the management of patients with type 2 diabetes fasting during Ramadan

Anja Schweizer,1 Serge Halimi,2,3 Sylvie Dejager4 1Novartis Pharma AG, Basel, Switzerland; 2Department of Diabetology, Endocrinology and Nutrition, University Hospital of Grenoble, France; 3Joseph Fourier University, Grenoble, France; 4Novartis Pharma SAS, Rueil-Malmaison, France Abstract: A large...

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Main Authors: Schweizer A, Halimi S, Dejager S
Format: Article
Language:English
Published: Dove Medical Press 2013-12-01
Series:Vascular Health and Risk Management
Online Access:http://www.dovepress.com/experience-with-dpp-4-inhibitors-in-the-management-of-patients-with-ty-a15372
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author Schweizer A
Halimi S
Dejager S
author_facet Schweizer A
Halimi S
Dejager S
author_sort Schweizer A
collection DOAJ
description Anja Schweizer,1 Serge Halimi,2,3 Sylvie Dejager4 1Novartis Pharma AG, Basel, Switzerland; 2Department of Diabetology, Endocrinology and Nutrition, University Hospital of Grenoble, France; 3Joseph Fourier University, Grenoble, France; 4Novartis Pharma SAS, Rueil-Malmaison, France Abstract: A large proportion of Muslim patients with type 2 diabetes mellitus (T2DM) elect to fast during the holy month of Ramadan. For these patients hypo- and hyperglycemia constitute two major complications associated with the profound changes in food pattern during the Ramadan fast, and efficacious treatment options with a low risk of hypoglycemia are therefore needed to manage their T2DM as effectively and safely as possible. Dipeptidyl peptidase-4 (DPP-4) inhibitors modulate insulin and glucagon secretion in a glucose-dependent manner, and consequently a low propensity of hypoglycemia has consistently been reported across different patient populations with these agents. Promising data with DPP-4 inhibitors have now also started to emerge in patients with T2DM fasting during Ramadan. The objective of this review is to provide a comprehensive overview of the currently available evidence and potential role of DPP-4 inhibitors in the management of patients with T2DM fasting during Ramadan whose diabetes is treated with oral antidiabetic drugs, and to discuss the mechanistic basis for their beneficial effects in this setting. Keywords: dipeptidyl peptidase-4, incretin, type 2 diabetes mellitus, hypoglycemia
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spelling doaj.art-d446d71cea1145f8b0902023d595f0f72022-12-21T19:52:23ZengDove Medical PressVascular Health and Risk Management1178-20482013-12-012014default152415372Experience with DPP-4 inhibitors in the management of patients with type 2 diabetes fasting during RamadanSchweizer AHalimi SDejager SAnja Schweizer,1 Serge Halimi,2,3 Sylvie Dejager4 1Novartis Pharma AG, Basel, Switzerland; 2Department of Diabetology, Endocrinology and Nutrition, University Hospital of Grenoble, France; 3Joseph Fourier University, Grenoble, France; 4Novartis Pharma SAS, Rueil-Malmaison, France Abstract: A large proportion of Muslim patients with type 2 diabetes mellitus (T2DM) elect to fast during the holy month of Ramadan. For these patients hypo- and hyperglycemia constitute two major complications associated with the profound changes in food pattern during the Ramadan fast, and efficacious treatment options with a low risk of hypoglycemia are therefore needed to manage their T2DM as effectively and safely as possible. Dipeptidyl peptidase-4 (DPP-4) inhibitors modulate insulin and glucagon secretion in a glucose-dependent manner, and consequently a low propensity of hypoglycemia has consistently been reported across different patient populations with these agents. Promising data with DPP-4 inhibitors have now also started to emerge in patients with T2DM fasting during Ramadan. The objective of this review is to provide a comprehensive overview of the currently available evidence and potential role of DPP-4 inhibitors in the management of patients with T2DM fasting during Ramadan whose diabetes is treated with oral antidiabetic drugs, and to discuss the mechanistic basis for their beneficial effects in this setting. Keywords: dipeptidyl peptidase-4, incretin, type 2 diabetes mellitus, hypoglycemiahttp://www.dovepress.com/experience-with-dpp-4-inhibitors-in-the-management-of-patients-with-ty-a15372
spellingShingle Schweizer A
Halimi S
Dejager S
Experience with DPP-4 inhibitors in the management of patients with type 2 diabetes fasting during Ramadan
Vascular Health and Risk Management
title Experience with DPP-4 inhibitors in the management of patients with type 2 diabetes fasting during Ramadan
title_full Experience with DPP-4 inhibitors in the management of patients with type 2 diabetes fasting during Ramadan
title_fullStr Experience with DPP-4 inhibitors in the management of patients with type 2 diabetes fasting during Ramadan
title_full_unstemmed Experience with DPP-4 inhibitors in the management of patients with type 2 diabetes fasting during Ramadan
title_short Experience with DPP-4 inhibitors in the management of patients with type 2 diabetes fasting during Ramadan
title_sort experience with dpp 4 inhibitors in the management of patients with type 2 diabetes fasting during ramadan
url http://www.dovepress.com/experience-with-dpp-4-inhibitors-in-the-management-of-patients-with-ty-a15372
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