Glucagon-Like Peptide-1 Receptor Agonists for the Treatment of Type 2 Diabetes Mellitus: A Position Statement of the Korean Diabetes Association

Hyun Jin Kim

doi:10.4093/jkd.2018.19.1.35

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Kim: Glucagon-Like Peptide-1 Receptor Agonists for the Treatment of Type 2 Diabetes Mellitus: A Position Statement of the Korean Diabetes Association

Focused Issue

The Journal of Korean Diabetes 2018; 19(1): 35-40.

Published online: 27 March 2018

DOI: https://doi.org/10.4093/jkd.2018.19.1.35

Glucagon-Like Peptide-1 Receptor Agonists for the Treatment of Type 2 Diabetes Mellitus: A Position Statement of the Korean Diabetes Association

Hyun Jin Kim

Division of Endocrinology and Metabolism, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.

Corresponding author: Hyun Jin Kim. Division of Endocrinology and Metabolism, Department of Internal Medicine, Chungnam National University School of Medicine, 266 Munhwa-ro, Jung-gu, Daejeon 35015, Korea, kimhj43@cnuh.co.kr

Received 28 January 2018 Accepted 2 February 2018

Korean Diabetes Association

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) were recommended as a monotherapy or combination therapy with oral hypoglycemic agents or basal insulin in the position statement of the Korean Diabetes Association 2017 for pharmacological therapy, which was a change from the previous guideline that recommended them only as a combination therapy. Many randomized clinical trials and systematic reviews report that GLP-1RAs have considerable glucose-lowering effect and lead to weight reduction and low risk of hypoglycemia when used as a monotherapy or combination therapy. The results of cardiovascular outcome trials of long-acting GLP-1RAs (liraglutide, semaglutide) have demonstrated cardiovascular benefits in subjects with type 2 diabetes mellitus and a high risk of cardiovascular disease. The GLP-1RAs may be a choice of therapy when weight control and avoidance of hypoglycemia are important, and patients with high risk of cardiovascular disease might also favor choosing GLP-1RA.

Keywords: Cardiovascular diseases, Diabetes mellitus, Glucagon-like peptide-1 receptor agonist, Hypoglycemia, Obesity, Practice guideline

Figures and Tables

Table 1

GLP-1 receptor agonists for patients with type 2 diabetes mellitus

Adapted from the article of Ko et al. Diabetes Metab J 2017;41:337-48 [1].

HbA1c, glycosylated hemoglobin; GLP-1, glucagon-like peptide-1; SC, subcutaneous; GI, gastrointestinal; MEN2, multiple endocrine neoplasia 2; MTC, medullary thyroid cancer.

^aMonotherapy.

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