The SA Journal Diabetes & Vascular Disease Vol 11 No 3 (September 2014) - page 44

Target the incretin system in your
type 2 patient not at goal
‹ *VU[YVS NS`JHLTPH ^P[O H SV^ YPZR VM O`WVNS`JHLTPH
1
‹ :\Z[HPU YLK\J[PVUZ PU /I(
J
PU WH[PLU[Z UV[ H[ NVHS VU TL[MVYTPU
2,3
A choice between two effective
incretin-based treatment options:
‹ 6UJL KHPS` VYHS HKTPUPZ[YH[PVU
5
‹ ;^PJL KHPS` :* PUQLJ[PVUZ
6
‹ >LPNO[ UL\[YHS
4
‹ 7YVTV[LZ ^LPNO[ SVZZ
4
,HYSPLY HUK TVYL MYLX\LU[ \ZL VM PUJYL[PU IHZLK
[OLYHWPLZ PZ YLJVTTLUKLK LZWLJPHSS` MVY [OVZL PU ^OVT
L_JLZZ ^LPNO[ VY O`WVNS`JHLTPH HYL WYVISLTH[PJ
1,4
: 65.3@A(
®
;HISL[ ,HJO 65.3@A(
®
[HISL[ JVU[HPUZ ZH_HNSPW[PU O`KYVJOSVYPKL LX\P]HSLU[ [V TN ZH_HNSPW[PU MYLL IHZL : 65.3@A(
®
;HISL[ ,HJO 65.3@A(
®
[HISL[ JVU[HPUZ ZH_HNSPW[PU O`KYVJOSVYPKL
LX\P]HSLU[ [V TN ZH_HNSPW[PU MYLL IHZL 9LN 5V 65.3@A(
®
!
9LN 5V 65.3@A(
®
!
65.3@A(
®
PZ H YLNPZ[LYLK [YHKLTHYR VM )YPZ[VS 4`LYZ :X\PII 4HYRL[LK I`! (Z[YHALULJH
7OHYTHJL\[PJHSZ 7[` 3PTP[LK 9LN 5V
)\PSKPUN 5VY[OKV^UZ 6MÄJL 7HYR .LVYNPHU *YLZJLU[ >LZ[ )Y`HUZ[VU :V\[O (MYPJH 7YP]H[L )HN ? )Y`HUZ[VU
;LS!
-H_!
^^^ HZ[YHaLULJH JV aH -VY M\SS KL[HPSZ YLSH[PUN [V HU` PUMVYTH[PVU TLU[PVULK HIV]L WSLHZL YLMLY [V [OL WHJRHNL PUZLY[
9LMLYLUJLZ!
9\ZZLSS : 0UJYL[PU IHZLK [OLYHWPLZ MVY [`WL KPHIL[LZ TLSSP[\Z! H YL]PL^ VM KPYLJ[ JVTWHYPZVUZ VM LMÄJHJ` ZHML[` HUK WH[PLU[ ZH[PZMHJ[PVU
0U[ 1 *SPU 7OHYT
"
!
+LMYVUaV 9( +\HU 9@ /PZZH
45
et al.
;OL LMÄJHJ` HUK ZHML[` VM ZH_HNSPW[PU ^OLU HKKLK [V TL[MVYTPU [OLYHW` PU WH[PLU[Z ^P[O PUHKLX\H[LS` JVU[YVSSLK [`WL KPHIL[LZ ^P[O TL[MVYTPU HSVUL
+PHI *HYL
"
!
+L-YVUaV 9( 9H[ULY 9,
/HU 1
et al.
,MMLJ[Z VM L_LUH[PKL L_[LUKPU VU NS`JHLTPJ JVU[YVS HUK ^LPNO[ V]LY
^LLRZ PU TL[MVYTPU [YLH[LK WH[PLU[Z ^P[O [`WL KPHIL[LZ
+PHI *HYL
"
!
.HYILY (1 0UJYL[PU IHZLK [OLYHWPLZ PU [OL
THUHNLTLU[ VM [`WL KPHIL[LZ! YH[PVUHSL HUK YLHSP[` PU H THUHNLK JHYL ZL[[PUN
(T 1 4HUHN *HYL
"
:\WWS !: 6UNS`aH
®
WHJRHNL PUZLY[
)`L[[H
®
WHJRHNL PUZLY[
: )`L[[H
®
:VSU MVY 0UQ ,HJO TS JVU[HPUZ L_LUH[PKL ›N
›N KVZL
TS WYLÄSSLK WLU 9LN 5V!
/VSKLY VM JLY[PÄJH[L VM YLNPZ[YH[PVU! ,SP 3PSS` :( 7[` 3[K 4HYRL[LK I`! (Z[YHALULJH
7OHYTHJL\[PJHSZ 7[` 3PTP[LK 9LN 5V
)\PSKPUN 5VY[OKV^UZ 6MÄJL 7HYR .LVYNPHU *YLZJLU[ >LZ[ )Y`HUZ[VU :V\[O (MYPJH 7YP]H[L )HN ? )Y`HUZ[VU
;LS!
-H_!
^^^ HZ[YHaLULJH JV aH ,_WPY` +H[L! +LJLTILY
(J[P]P[` 0+!
9LJVTTLUKLK I` [OL ((*, (*,
1...,34,35,36,37,38,39,40,41,42,43 44
Powered by FlippingBook