Combined insulin detemir and liraglutide therapy in type 2 diabetic patients: a base for an alliance

Combined glucose-lowering therapy, comprising of basal insulin with glucagon-like peptide-1 (GLP-1) analogues, has become central to the treatment of type 2 diabetes both at the start of insulin therapy, and as an alternative to basal-bolus insulin. The combination of insulin detemir (insulin analog...

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Autores principales: Lyudmila Alexandrovna Ruyatkina, Maxim Sorokin
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RU
Publicado: Endocrinology Research Centre 2017
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Acceso en línea:https://doaj.org/article/3e6b1c403d2245b08a42415262fb3420
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spelling oai:doaj.org-article:3e6b1c403d2245b08a42415262fb34202021-11-14T09:00:21ZCombined insulin detemir and liraglutide therapy in type 2 diabetic patients: a base for an alliance2072-03512072-037810.14341/7875https://doaj.org/article/3e6b1c403d2245b08a42415262fb34202017-06-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/8296https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Combined glucose-lowering therapy, comprising of basal insulin with glucagon-like peptide-1 (GLP-1) analogues, has become central to the treatment of type 2 diabetes both at the start of insulin therapy, and as an alternative to basal-bolus insulin. The combination of insulin detemir (insulin analogue) with liraglutide (GLP-1 analogue) reduces fasting and postprandial glycaemia, lowers the risk of hypoglycaemia and does not have a negative impact on body weight. In this literature review, the pharmacodynamic and pharmacokinetic profiles, as well as the potential benefits of combined insulin detemir and liraglutide therapy on diabetic nephropathy and high cardiovascular disease risk were determined. Data from randomised clinical trials and the National Registry were used to assess the clinical efficacy of combined insulin detemir and liraglutide therapy. The different mechanistic actions of insulin detemir and liraglutide resulted in an additive glucose-lowering effect, which did not affect the pharmacodynamic and pharmacokinetic profiles of each therapeutic agent.Lyudmila Alexandrovna RuyatkinaMaxim SorokinEndocrinology Research Centrearticlediabetes mellitusinsulinotherapyinsulin detemirliraglutideNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 20, Iss 2, Pp 142-150 (2017)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetes mellitus
insulinotherapy
insulin detemir
liraglutide
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetes mellitus
insulinotherapy
insulin detemir
liraglutide
Nutritional diseases. Deficiency diseases
RC620-627
Lyudmila Alexandrovna Ruyatkina
Maxim Sorokin
Combined insulin detemir and liraglutide therapy in type 2 diabetic patients: a base for an alliance
description Combined glucose-lowering therapy, comprising of basal insulin with glucagon-like peptide-1 (GLP-1) analogues, has become central to the treatment of type 2 diabetes both at the start of insulin therapy, and as an alternative to basal-bolus insulin. The combination of insulin detemir (insulin analogue) with liraglutide (GLP-1 analogue) reduces fasting and postprandial glycaemia, lowers the risk of hypoglycaemia and does not have a negative impact on body weight. In this literature review, the pharmacodynamic and pharmacokinetic profiles, as well as the potential benefits of combined insulin detemir and liraglutide therapy on diabetic nephropathy and high cardiovascular disease risk were determined. Data from randomised clinical trials and the National Registry were used to assess the clinical efficacy of combined insulin detemir and liraglutide therapy. The different mechanistic actions of insulin detemir and liraglutide resulted in an additive glucose-lowering effect, which did not affect the pharmacodynamic and pharmacokinetic profiles of each therapeutic agent.
format article
author Lyudmila Alexandrovna Ruyatkina
Maxim Sorokin
author_facet Lyudmila Alexandrovna Ruyatkina
Maxim Sorokin
author_sort Lyudmila Alexandrovna Ruyatkina
title Combined insulin detemir and liraglutide therapy in type 2 diabetic patients: a base for an alliance
title_short Combined insulin detemir and liraglutide therapy in type 2 diabetic patients: a base for an alliance
title_full Combined insulin detemir and liraglutide therapy in type 2 diabetic patients: a base for an alliance
title_fullStr Combined insulin detemir and liraglutide therapy in type 2 diabetic patients: a base for an alliance
title_full_unstemmed Combined insulin detemir and liraglutide therapy in type 2 diabetic patients: a base for an alliance
title_sort combined insulin detemir and liraglutide therapy in type 2 diabetic patients: a base for an alliance
publisher Endocrinology Research Centre
publishDate 2017
url https://doaj.org/article/3e6b1c403d2245b08a42415262fb3420
work_keys_str_mv AT lyudmilaalexandrovnaruyatkina combinedinsulindetemirandliraglutidetherapyintype2diabeticpatientsabaseforanalliance
AT maximsorokin combinedinsulindetemirandliraglutidetherapyintype2diabeticpatientsabaseforanalliance
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