scholarly journals Incretins and their influence on the course of type 2 diabetes in patients with morbid obesity after bariatric oper

2012 ◽  
Vol 9 (2) ◽  
pp. 3-10 ◽  
Author(s):  
I I Dedov ◽  
Yu I Yashkov ◽  
E V Ershova

Most researchers support the important role of incretins, particularly glucagon-like peptide-1 in improving metabolic control in patients with type 2 diabetes after bariatric operations, mostly involving shunting. A positive effect of bariatric surgery for type 2 diabetes is known from numerous publications on the results of surgical treatment of morbid obesity and in this review we try to analyze the mechanisms of this effect.


2019 ◽  
Vol 22 (3) ◽  
pp. 383-392 ◽  
Author(s):  
Cong Xie ◽  
Xuyi Wang ◽  
Karen L. Jones ◽  
Michael Horowitz ◽  
Zilin Sun ◽  
...  


2020 ◽  
Vol 23 (1) ◽  
pp. 61
Author(s):  
Corigliano, G.

Metformin was introduced in the market about 60 years ago and is definitely the most used drug in people with type 2 diabetes mellitus at the moment. In fact, it has insulin-sensitizing properties, through which it provides not only doubtless glucose lowering effects but also some protection against ADRD and cancer and especially significant cardiovascular benefits. We hereby briefly review the literature behind the above mentioned extra-glycemic effects and, based on expected additional benefits, suggest to refrain from delaying metformin utilization in addition to first class drugs like inhibitors of type 2 sodiumglucose cotransport (SGLT-2i) and /or glucagon-like peptide 1 receptor agonists (GLP1-RA) in people at high cardiovascular risk with newly diagnosed type 2 diabetes. KEY WORDS metformin; diabetes mellitus; cardiovascular disease; ADRD; cancer



2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Alessandra Puddu ◽  
François Mach ◽  
Alessio Nencioni ◽  
Giorgio Luciano Viviani ◽  
Fabrizio Montecucco

Glucagon-like peptide-1 (GLP-1) is a gut hormone produced in the intestinal epithelial endocrine L cells by differential processing of the proglucagon gene. Released in response to the nutrient ingestion, GLP-1 plays an important role in maintaining glucose homeostasis. GLP-1 has been shown to regulate blood glucose levels by stimulating glucose-dependent insulin secretion and inhibiting glucagon secretion, gastric emptying, and food intake. These antidiabetic activities highlight GLP-1 as a potential therapeutic molecule in the clinical management of type 2 diabetes, (a disease characterized by progressive decline of beta-cell function and mass, increased insulin resistance, and final hyperglycemia). Since chronic hyperglycemia contributed to the acceleration of the formation of Advanced Glycation End-Products (AGEs, a heterogeneous group of compounds derived from the nonenzymatic reaction of reducing sugars with free amino groups of proteins implicated in vascular diabetic complications), the administration of GLP-1 might directly counteract diabetes pathophysiological processes (such as pancreaticβ-cell dysfunction). This paper outlines evidence on the protective role of GLP-1 in preventing the deleterious effects mediated by AGEs in type 2 diabetes.



Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1969-P
Author(s):  
LAURA S. HANSEN ◽  
LÆRKE S. GASBJERG ◽  
ANDREAS BRØNDEN ◽  
NIELS B. DALSGAARD ◽  
EMILIE BAHNE ◽  
...  


Sign in / Sign up

Export Citation Format

Share Document