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GLP-1 Agonists and DPP-4 Inhibitors How do they work? Part 7.

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Presentation on theme: "GLP-1 Agonists and DPP-4 Inhibitors How do they work? Part 7."— Presentation transcript:

1 GLP-1 Agonists and DPP-4 Inhibitors How do they work? Part 7

2 Incretin Therapy and Type 2 Diabetes Mellitus

3 Normalization of Diurnal Plasma Glucose Concentrations by Continuous IV GLP-1

4 Dose-Response Effectc of Exenatide on Plasma Glucose, Insulin, and Glucagon Concentration in T2DM

5 Effect of Exenatide on Glycemic Control in Metformin-Treated Type 2 Diabetes 4-week placebo run-in 4 weeks of exenatide (5 µg BID) or placebo 26 weeks of exenatide (10 µg BID) or placebo Metformin dose kept constant 336 metformin-treated patients with type 2 diabetes Age: 53±10y; BMI: 34.2±5.9 A1C: 8.2±1.1% Subjects: Protocol: DeFronzo RA, et al. Diabetes Care. 2005;28:1092-1100.

6 Effect of Exenatide on A1C

7 Effect of Exenatide on Body Weight

8 Effect of Exenatide on Postprandial Glucose and Insulin Concentrations

9 Change in Weight by Quartile at 82 Weeks

10 Change in A1C as a Function of Change in Weight at 82 Weeks

11 Change in Triglycerides and HDL-C as Function of Weight-Change Quartile at 82 Weeks

12 Change in Blood Pressure as Function of Weight-Change Quartile at 82 Weeks

13 Exenatide Treatment: 3.5-Year Follow-up

14 Comparison of Exenatide vs Glargine on Glycemic Control in T2DM on MET/SU Therapy

15 Exenatide Reduces Postmeal Glucose Excursio ns

16 Once-Weekly Exenatide (LAR) vs Twice-Daily Exenatide 75% achieved A1C <7.0% 8 lb weight loss with both Nausea occurred in only 20% of LAR 295 T2DM on SU/Metformin; A1C >7.0% Once-weekly exenatide LAR (2 mg) vs twice-daily Exenatide (10 µg) for 30 wks Decrement in A1C =1.9% LAR QW vs 1.5% Exenatide BID Subjects: Study Design: Results: LAR=Long-acting release.


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