Page 402 - CHHA Binder 2.3.20
P. 402

4/11/2019










                                      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.








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