Optimizing weight control in diabetes: antidiabetic drug selection

S Kalra1, B Kalra1, AG Unnikrishnan2, N Agrawal3, S Kumar41Bharti Hospital, Karnal; 2Amrita Institute of Medical Science, Kochi; 3Medical College, Gwalior; 4Excel Life Sciences, Noida, IndiaDate of preparation: 18th August 2010Conflict of interest: SK has received speaker fees from Novo Nordisk, san...

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Autores principales: S Kalra, B Kalra, AG Unnikrishnan, et al
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Publicado: Dove Medical Press 2010
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spelling oai:doaj.org-article:780c84b46b5e4852bc66635152f4d5b52021-12-02T07:37:56ZOptimizing weight control in diabetes: antidiabetic drug selection1178-7007https://doaj.org/article/780c84b46b5e4852bc66635152f4d5b52010-08-01T00:00:00Zhttp://www.dovepress.com/optimizing-weight-control-in-diabetes-antidiabetic-drug-selection-a5090https://doaj.org/toc/1178-7007S Kalra1, B Kalra1, AG Unnikrishnan2, N Agrawal3, S Kumar41Bharti Hospital, Karnal; 2Amrita Institute of Medical Science, Kochi; 3Medical College, Gwalior; 4Excel Life Sciences, Noida, IndiaDate of preparation: 18th August 2010Conflict of interest: SK has received speaker fees from Novo Nordisk, sanofi-aventis, MSD, Eli Lilly, BMS, and AstraZeneca.Clinical question: Which antidiabetic drugs provide optimal weight control in patients with type 2 diabetes?Results: Metformin reduces weight gain, and may cause weight loss, when given alone or in combination with other drugs. Pioglitazone and rosiglitazone use is associated with weight gain. Use of the glucagon-like peptide-1 (GLP-1) analogs, liraglutide and exenatide, is associated with weight loss. Dipeptidyl peptidase-4 (DPP-4) inhibitors are considered weight-neutral. Results with insulin therapy are conflicting. Insulin detemir provides weight control along with glycemic control.Implementation: • Weight gain is considered an inevitable part of good glycemic control using conventional modalities of treatment such as sulfonylureas.• Use of metformin, weight-sparing insulin analogs such as insulin detemir, and liraglutide, should be encouraged as monotherapy, or in combination with other drugs.Keywords: weight control, diabetes S KalraB KalraAG Unnikrishnanet alDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2010, Iss default, Pp 297-299 (2010)
institution DOAJ
collection DOAJ
language EN
topic Specialties of internal medicine
RC581-951
spellingShingle Specialties of internal medicine
RC581-951
S Kalra
B Kalra
AG Unnikrishnan
et al
Optimizing weight control in diabetes: antidiabetic drug selection
description S Kalra1, B Kalra1, AG Unnikrishnan2, N Agrawal3, S Kumar41Bharti Hospital, Karnal; 2Amrita Institute of Medical Science, Kochi; 3Medical College, Gwalior; 4Excel Life Sciences, Noida, IndiaDate of preparation: 18th August 2010Conflict of interest: SK has received speaker fees from Novo Nordisk, sanofi-aventis, MSD, Eli Lilly, BMS, and AstraZeneca.Clinical question: Which antidiabetic drugs provide optimal weight control in patients with type 2 diabetes?Results: Metformin reduces weight gain, and may cause weight loss, when given alone or in combination with other drugs. Pioglitazone and rosiglitazone use is associated with weight gain. Use of the glucagon-like peptide-1 (GLP-1) analogs, liraglutide and exenatide, is associated with weight loss. Dipeptidyl peptidase-4 (DPP-4) inhibitors are considered weight-neutral. Results with insulin therapy are conflicting. Insulin detemir provides weight control along with glycemic control.Implementation: • Weight gain is considered an inevitable part of good glycemic control using conventional modalities of treatment such as sulfonylureas.• Use of metformin, weight-sparing insulin analogs such as insulin detemir, and liraglutide, should be encouraged as monotherapy, or in combination with other drugs.Keywords: weight control, diabetes
format article
author S Kalra
B Kalra
AG Unnikrishnan
et al
author_facet S Kalra
B Kalra
AG Unnikrishnan
et al
author_sort S Kalra
title Optimizing weight control in diabetes: antidiabetic drug selection
title_short Optimizing weight control in diabetes: antidiabetic drug selection
title_full Optimizing weight control in diabetes: antidiabetic drug selection
title_fullStr Optimizing weight control in diabetes: antidiabetic drug selection
title_full_unstemmed Optimizing weight control in diabetes: antidiabetic drug selection
title_sort optimizing weight control in diabetes: antidiabetic drug selection
publisher Dove Medical Press
publishDate 2010
url https://doaj.org/article/780c84b46b5e4852bc66635152f4d5b5
work_keys_str_mv AT skalra optimizingweightcontrolindiabetesantidiabeticdrugselection
AT bkalra optimizingweightcontrolindiabetesantidiabeticdrugselection
AT agunnikrishnan optimizingweightcontrolindiabetesantidiabeticdrugselection
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