The Place of Dipeptidyl Peptidase-4 Inhibitors in Type 2 Diabetes Therapeutics: A “Me Too” or “the Special One” Antidiabetic Class?
Table 2
Main features of DPP-4 inhibitors versus other (non-incretin-based) oral antidiabetic drugs, Table 1.
Class
Mechanisms of action
Effects/advantages
Adverse reactions
ΔHbA1c (%)
DPP-4 inhibitors
Inhibit metabolism by DPP-4 enzyme Increase the endogenous bioactive form of GLP-1
Reduce blood glucose levels and the postprandial glucose excursion Have no effects on body weight Have possible effects on pancreatic β cells mass Perform oral administration
Abdominal pain Nausea and vomiting Diarrhoea Nasopharyngitis Respiratory infections Headache