Incretin mimetics, which include glucagon-like peptide (GLP)-1 receptor agonists (such as exenatide and liraglutide), and dipeptidylpeptidase (DPP)-4 inhibitors (such as alogliptin and sitagliptin), are considered a major advancement in the management of type 2 diabetes, particularly given their dual mechanisms of action, in enhancing insulin secretion and suppressing glucagon, to reduce blood glucose; their low propensity to cause hypoglycaemia; and their beneficial effects on bodyweight. However, of recent times, there has been considerable debate and controversy regarding the potential for incretin mimetics to cause pancreatitis, pancreatic cancer and thyroid cancer.
Notes
see Reactions 1442 p3; 801161308
see Reactions 1450 p4; 801161350
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Scott, L. Debate continues over safety of incretin mimetics. Reactions Weekly 1461, 3 (2013). https://doi.org/10.1007/s40278-013-4523-6
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DOI: https://doi.org/10.1007/s40278-013-4523-6