Use of continuous glucose monitoring when initiating glucagon-like peptide-1 receptor agonist therapy in insulin-treated diabetes.

IF 8.3 2区 材料科学 Q1 MATERIALS SCIENCE, MULTIDISCIPLINARY ACS Applied Materials & Interfaces Pub Date : 2024-08-28 DOI:10.1111/dom.15883
Irl B Hirsch, Christopher G Parkin, Tricia Santos Cavaiola, Richard M Bergenstal
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Abstract

Glucagon-like peptide-1 receptor agonist (GLP-1RA) medications have been shown to be effective in achieving optimal glucose control and reducing all-cause death, cardiovascular death, nonfatal myocardial infarction, hospitalization for heart failure, and end-stage kidney disease in individuals with type 1 (T1D) and type 2 diabetes (T2D). However, use of these medications has been associated with increased hypoglycaemia risk in patients treated with concomitant antihyperglycaemic medications. The risk is particularly high in patients with T1D due to their loss of glucagon counter-regulatory response. This article reviews the effect of GLP-1RA formulations on the development of hypoglycaemia in individuals with T1D and T2D treated with insulin therapy, discusses the benefits of continuous glucose monitoring with GLP-1RA treatment, and presents strategies for safely initiating GLP-1RA therapy in these individuals.

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在胰岛素治疗的糖尿病患者开始接受胰高血糖素样肽-1 受体激动剂治疗时使用连续血糖监测。
研究表明,胰高血糖素样肽-1 受体激动剂(GLP-1RA)药物可有效实现最佳血糖控制,减少 1 型糖尿病(T1D)和 2 型糖尿病(T2D)患者的全因死亡、心血管死亡、非致命性心肌梗死、心力衰竭住院和终末期肾病。然而,在同时接受降糖药物治疗的患者中,使用这些药物与低血糖风险增加有关。T1D患者由于丧失了胰高血糖素的反调节反应,低血糖风险尤其高。本文回顾了GLP-1RA制剂对接受胰岛素治疗的T1D和T2D患者发生低血糖的影响,讨论了在GLP-1RA治疗中进行连续血糖监测的益处,并介绍了在这些患者中安全启动GLP-1RA治疗的策略。
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来源期刊
ACS Applied Materials & Interfaces
ACS Applied Materials & Interfaces 工程技术-材料科学:综合
CiteScore
16.00
自引率
6.30%
发文量
4978
审稿时长
1.8 months
期刊介绍: ACS Applied Materials & Interfaces is a leading interdisciplinary journal that brings together chemists, engineers, physicists, and biologists to explore the development and utilization of newly-discovered materials and interfacial processes for specific applications. Our journal has experienced remarkable growth since its establishment in 2009, both in terms of the number of articles published and the impact of the research showcased. We are proud to foster a truly global community, with the majority of published articles originating from outside the United States, reflecting the rapid growth of applied research worldwide.
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