Treatment of type 2 diabetes, lifestyle, GLP1 agonists and DPP4 inhibitors  

作　　者：Gerald H Tomkin 

机构地区：[1]Diabetes Institute of Ireland Beacon Hospital Sandyford Dublin 18 Ireland [2]Department of Diabetes and Endocrinology Trinity College Dublin 2 Ireland

出　　处：《World Journal of Diabetes》2014年第5期636-650,共15页世界糖尿病杂志（英文版）（电子版）

摘　　要：In recent years the treatment focus for type 2 diabetes has shifted to prevention by lifestyle change and to more aggressive reduction of blood sugars during the early stage of treatment. Weight reduction is an important goal for many people with type 2 diabetes.Bariatric surgery is no longer considered a last resort treatment. Glucagon-like peptide-1 agonists given by injection are emerging as a useful treatment since they not only lower blood sugar but are associated with a modest weight reduction. The role of the oral dipeptidyl peptidase 4 inhibitors is emerging as second line treatment ahead of sulphonylureas due to a possible beneficial effect on the beta cell and weight neutrality.Drugs which inhibit glucose re-absorption in the kidney,sodium/glucose co-transport 2 inhibitors, may have a role in the treatment of diabetes. Insulin treatment still remains the cornerstone of treatment in many patients with type 2 diabetes.In recent years the treatment focus for type 2 diabetes has shifted to prevention by lifestyle change and to more aggressive reduction of blood sugars during the early stage of treatment. Weight reduction is an important goal for many people with type 2 diabetes.Bariatric surgery is no longer considered a last resort treatment. Glucagon-like peptide-1 agonists given by injection are emerging as a useful treatment since they not only lower blood sugar but are associated with a modest weight reduction. The role of the oral dipeptidyl peptidase 4 inhibitors is emerging as second line treatment ahead of sulphonylureas due to a possible beneficial effect on the beta cell and weight neutrality.Drugs which inhibit glucose re-absorption in the kidney,sodium/glucose co-transport 2 inhibitors, may have a role in the treatment of diabetes. Insulin treatment still remains the cornerstone of treatment in many patients with type 2 diabetes.

关 键 词：Type 2 diabetes LIFESTYLE modification Dipeptidyl PEPTIDASE 4 INHIBITORS Glucagon-like peptide-1 AGONISTS INSULIN 

分 类 号：R587.1[医药卫生—内分泌]