Basal Insulin Use With GLP-1 Receptor Agonists
- PMID: 27574369
- PMCID: PMC5001217
- DOI: 10.2337/diaspect.29.3.152
Basal Insulin Use With GLP-1 Receptor Agonists
Abstract
IN BRIEF The combination of basal insulin and a glucagon-like peptide 1 receptor agonist is becoming increasingly common and offers several potential benefits to patients with type 2 diabetes. Clinical studies have demonstrated improved glycemic control and low risks of hypoglycemia and weight gain with the combination, which provides a safe and effective alternative to basal-bolus insulin with less treatment burden. Fixed-ratio combination products that administer both agents in a single injection are in the pipeline and will offer additional options for clinicians and patients. This review focuses on the rationale for, clinical evidence on, and implications of using this combination of therapies in the treatment of type 2 diabetes.
Similar articles
-
Rationale for a titratable fixed-ratio co-formulation of a basal insulin analog and a glucagon-like peptide 1 receptor agonist in patients with type 2 diabetes.Curr Med Res Opin. 2019 May;35(5):793-804. doi: 10.1080/03007995.2018.1541790. Epub 2018 Nov 27. Curr Med Res Opin. 2019. PMID: 30370783 Review.
-
Rationale for, Initiation and Titration of the Basal Insulin/GLP-1RA Fixed-Ratio Combination Products, IDegLira and IGlarLixi, for the Management of Type 2 Diabetes.Diabetes Ther. 2017 Aug;8(4):739-752. doi: 10.1007/s13300-017-0287-y. Epub 2017 Jul 18. Diabetes Ther. 2017. PMID: 28721686 Free PMC article. Review.
-
Adding prandial GLP-1 receptor agonists to basal insulin: a promising option for type 2 diabetes therapy.Curr Med Res Opin. 2018 Jan;34(1):1-10. doi: 10.1080/03007995.2017.1372118. Epub 2017 Sep 28. Curr Med Res Opin. 2018. PMID: 28836861 Review.
-
GLP-1 receptor agonists for type 2 diabetes mellitus: recent developments and emerging agents.Pharmacotherapy. 2014 Nov;34(11):1174-86. doi: 10.1002/phar.1507. Pharmacotherapy. 2014. PMID: 25382096 Review.
-
Insulin degludec/liraglutide (IDegLira) for the treatment of type 2 diabetes.Expert Rev Endocrinol Metab. 2016 Jan 2;11(1):7-19. doi: 10.1586/17446651.2016.1113129. Epub 2015 Nov 18. Expert Rev Endocrinol Metab. 2016. PMID: 27335581 Free PMC article.
Cited by
-
Real-world effectiveness of IDegLira compared with intensified conventional insulin therapy in adults with type 2 diabetes: a retrospective cohort study.BMC Endocr Disord. 2022 Sep 14;22(1):229. doi: 10.1186/s12902-022-01139-8. BMC Endocr Disord. 2022. PMID: 36104712 Free PMC article.
-
IDegLira for the Real-World Treatment of Type 2 Diabetes in Italy: Protocol and Interim Results from the REX Observational Study.Diabetes Ther. 2022 Aug;13(8):1483-1497. doi: 10.1007/s13300-022-01287-z. Epub 2022 Jun 18. Diabetes Ther. 2022. PMID: 35717487 Free PMC article.
-
Use of Premixed Insulin, Metformin, and a Glucagon-Like Peptide 1 Receptor Agonist as a Therapeutic Approach for Uncontrolled Type 2 Diabetes.Diabetes Spectr. 2020 May;33(2):182-189. doi: 10.2337/ds19-0025. Diabetes Spectr. 2020. PMID: 32425456 Free PMC article.
-
The Management of Type 2 Diabetes with Once-Weekly Semaglutide Versus Dulaglutide: A Long-Term Cost-Effectiveness Analysis in Slovakia.Adv Ther. 2019 Aug;36(8):2034-2051. doi: 10.1007/s12325-019-00965-y. Epub 2019 Jun 5. Adv Ther. 2019. PMID: 31168765 Free PMC article.
-
Retrospective Study of IDegLira, a New Fixed-Ratio Combination, in Japanese Patients With Type 2 Diabetes Mellitus: Analysis of Background Factors Affecting Effectiveness After 6 Months of Treatment.J Clin Med Res. 2023 Sep;15(8-9):406-414. doi: 10.14740/jocmr4995. Epub 2023 Sep 30. J Clin Med Res. 2023. PMID: 37822852 Free PMC article.
References
-
- Inzucchi SE, Bergenstal RM, Buse JB, et al. . Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care 2015;38:140–149 - PubMed
-
- Meier JJ. GLP-1 receptor agonists for individualized treatment of type 2 diabetes mellitus. Nat Rev Endocrinol 2012;8:728–742 - PubMed
-
- Cryer PE. Hypoglycemia: the limiting factor in glycemic management of type I and type II diabetes. Diabetologia 2002;45:937–948 - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources