Dipeptidyl peptidase-4 inhibitors use in clinical practice

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Abstract

According to modern view treatment of patients with diabetes mellitus is aimed not only at reaching target glycemic control levels but also at preventing development and progressing of late diabetes mellitus complications, improvement of quality of life and increase of life expectancy of patients. The relevance of the diabetes treatment research is explained with growing disorder prevalence including its prevalence in older population. Over the last years new classes of antihyperglycemic medications came into use: dipeptidyl peptidase-4 (DPP-4) inhibitors, glucagon-like peptide-1 agonists, and sodium-glucose linked transporter-2 inhibitors. Long-term experience of DPP-4 inhibitors use allows to conclude not only of effectiveness of medications of this class but also of their safety. Several studies of DPP-4 inhibitors use in older patients with comorbid disorders and renal impairment have been conducted including studies in real clinical practice. Results of studies of cardiovascular safety of medications from DPP-4 inhibitors class in patients with diabetes mellitus type 2 have been published. The article discusses the issues of antihyperglycemic therapy choice and the place of DPP-4 inhibitors in clinical practice.

About the authors

Tatiana B. Morgunova

I.M.Sechenov First Moscow State Medical University (Sechenov University)

Email: tanmorgun@mail
Cand. Sci. (Med.)

Valentin V. Fadeyev

I.M.Sechenov First Moscow State Medical University (Sechenov University)

Corr. Memb. RAS, D. Sci. (Med.), Full Prof.

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