DPP-4 Inhibitors as Treatments for Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis
Joint Authors
Qu, Hua
Zheng, Hongting
Wang, Qixian
Long, Min
Shen, Rufei
Zhang, Rui
Xu, Jing
Xiong, Xin
Wang, Hui
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-08
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Objective.
Several clinical studies have reported the application of dipeptidyl peptidase-4 (DPP-4) inhibitors as treatments for type 1 diabetes mellitus (T1DM).
This study aims to review the outcomes of these existing studies and to discuss the therapeutic effects of DPP-4 inhibitors on T1DM.
Methods.
We thoroughly searched the Medline, Embase, PubMed, and Cochrane Library databases and ClinicalTrials.gov for studies concerning the use of DPP-4 inhibitors in patients with T1DM.
Results.
In preclinical trials, DPP-4 inhibitors improved the pathogenesis of T1DM.
However, only a portion of the studies showed potential efficacy regarding clinical glycemic control and other clinical parameters.
From this meta-analysis, pooled data from 5 randomized controlled trials revealed that the additional use of DPP-4 inhibitors resulted in a greater decrease in glycated hemoglobin A1c (HbA1c) levels (0.07%, 95% CI (−0.37%–0.23%)) than insulin monotherapy, although the decrease was not significant.
A small decrease in postprandial glucose or insulin consumption was confirmed.
Conclusion.
Although DPP-4 inhibitors may be beneficial for T1DM, existing studies do not strongly support these positive effects in clinical practice.
Further optimized clinical trials are needed.
American Psychological Association (APA)
Wang, Qixian& Long, Min& Qu, Hua& Shen, Rufei& Zhang, Rui& Xu, Jing…[et al.]. 2018. DPP-4 Inhibitors as Treatments for Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis. Journal of Diabetes Research،Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1183675
Modern Language Association (MLA)
Wang, Qixian…[et al.]. DPP-4 Inhibitors as Treatments for Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis. Journal of Diabetes Research No. 2018 (2018), pp.1-10.
https://search.emarefa.net/detail/BIM-1183675
American Medical Association (AMA)
Wang, Qixian& Long, Min& Qu, Hua& Shen, Rufei& Zhang, Rui& Xu, Jing…[et al.]. DPP-4 Inhibitors as Treatments for Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis. Journal of Diabetes Research. 2018. Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1183675
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1183675