SwePub
Sök i LIBRIS databas

  Utökad sökning

WFRF:(Eliasson M)
 

Sökning: WFRF:(Eliasson M) > One-year treatment ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004146naa a2200577 4500
001oai:gup.ub.gu.se/103058
003SwePub
008240910s2009 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/1030582 URI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Bunck, M. C.4 aut
2451 0a One-year treatment with exenatide improves beta-cell function, compared with insulin glargine, in metformin-treated type 2 diabetic patients: a randomized, controlled trial
264 1c 2009
520 a OBJECTIVE: Traditional blood glucose-lowering agents do not sustain adequate glycemic control in most type 2 diabetic patients. Preclinical studies with exenatide have suggested sustained improvements in beta-cell function. We investigated the effects of 52 weeks of treatment with exenatide or insulin glargine followed by an off-drug period on hyperglycemic clamp-derived measures of beta-cell function, glycemic control, and body weight. RESEARCH DESIGN AND METHODS: Sixty-nine metformin-treated patients with type 2 diabetes were randomly assigned to exenatide (n = 36) or insulin glargine (n = 33). beta-Cell function was measured during an arginine-stimulated hyperglycemic clamp at week 0, at week 52, and after a 4-week off-drug period. Additional end points included effects on glycemic control, body weight, and safety. RESULTS: Treatment-induced change in combined glucose- and arginine-stimulated C-peptide secretion was 2.46-fold (95% CI 2.09-2.90, P < 0.0001) greater after a 52-week exenatide treatment compared with insulin glargine treatment. Both exenatide and insulin glargine reduced A1C similarly: -0.8 +/- 0.1 and -0.7 +/- 0.2%, respectively (P = 0.55). Exenatide reduced body weight compared with insulin glargine (difference -4.6 kg, P < 0.0001). beta-Cell function measures returned to pretreatment values in both groups after a 4-week off-drug period. A1C and body weight rose to pretreatment values 12 weeks after discontinuation of either exenatide or insulin glargine therapy. CONCLUSIONS: Exenatide significantly improves beta-cell function during 1 year of treatment compared with titrated insulin glargine. After cessation of both exenatide and insulin glargine therapy, beta-cell function and glycemic control returned to pretreatment values, suggesting that ongoing treatment is necessary to maintain the beneficial effects of either therapy.
653 a Arginine/pharmacology
653 a Blood Glucose/metabolism
653 a Body Mass Index
653 a C-Peptide/blood
653 a Diabetes Mellitus
653 a Type 2/blood/*drug therapy/physiopathology
653 a Female
653 a Hemoglobin A
653 a Glycosylated/metabolism
653 a Humans
653 a Hypoglycemic Agents/*therapeutic use
653 a Insulin/*analogs & derivatives/*secretion/therapeutic use
653 a Insulin-Secreting Cells/drug effects/*physiology
653 a Kinetics
653 a Male
653 a Metformin/*therapeutic use
653 a Middle Aged
653 a Peptides/*therapeutic use
653 a Venoms/*therapeutic use
700a Diamant, M.4 aut
700a Corner, A.4 aut
700a Eliasson, Björn,d 1959u Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine4 aut0 (Swepub:gu)xelibj
700a Malloy, J. L.4 aut
700a Shaginian, R. M.4 aut
700a Deng, W.4 aut
700a Kendall, D. M.4 aut
700a Taskinen, M. R.4 aut
700a Smith, Ulf,d 1943u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xsmiul
700a Yki-Jarvinen, H.4 aut
700a Heine, R. J.4 aut
710a Göteborgs universitetb Institutionen för medicin4 org
773t Diabetes Careg 32:5, s. 762-8q 32:5<762-8x 1935-5548
8564 8u https://gup.ub.gu.se/publication/103058

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy