Table 1. Glucagon-like peptide 1 receptor agonists for patients with type 2 diabetes mellitus.
Mechanism and common use | Weight gain | Hypoglycemiaa | HbA1c reduction, %a | Side effects | Caution | |
---|---|---|---|---|---|---|
GLP-1 receptor agonist (exenatide, liraglutide, albiglutide, lixisenatide, dulaglutide) | ↑ Glucose-dependent insulin secretion, ↓ postprandial glucagon secretion, ↓ postprandial hyperglycemia, delay gastric emptying, ↑ satiety | No | No | 0.6–1.9 | GI side effects (nausea, vomiting, diarrhea) | Acute pancreatitis, C-cell hyperplasia, MEN2/MTC family or past history, severe renal or severe bowel disease |
Once or twice daily or once weekly SC injection |
Adapted from Ko et al. [11].
HbA1c, glycosylated hemoglobin; GLP-1, glucagon-like peptide 1; SC, subcutaneous; GI, gastrointestinal; MEN2, multiple endocrine neoplasia 2; MTC, medullary thyroid cancer.
aMonotherapy.