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Glucose-lowering Potential of Injection
Diabetes Therapies
Treatment FPG ↓ A1C ↓
Exenatide (Byetta BID) targets ppd 1 - 1.5%
Liraglutide (Victoza QD) targets ppd 1 - 1.5%
Pramlintide (Symlin TID/AC) targets ppd 1 - 2%
Exenatide ER (Bydureon QW) targets ppd 1 – 2%
Dulaglutide (Trulicity QW) targets ppd 1 – 2%
Insulin Limited by 1.5-3.5%
hypoglycemia
Intensifying Treatment
Beta-cell function declines as Type 2 diabetes progresses
100
Diagnosis Beta-cell decline exceeds 50%
75
by time of diagnosis
Beta-cell IGT Insulin
function (%) 50 initiation
Postprandial
25 Hyperglycemia Type 2 Diabetes
0
12 8 4 0 4 8 12
Years from diagnosis
Lebovitz H. Diabetes Rev 1999;7:139-153.
6