Intervention with Therapeutic Agents, Understanding the Path to Remission to Type 2 Diabetes: Part 2

Endocrinol Metab Clin North Am. 2023 Mar;52(1):39-47. doi: 10.1016/j.ecl.2022.07.004. Epub 2022 Nov 18.

Abstract

Type 2 diabetes is characterized by progressive decline in pancreatic β-cell function. Newer agents, such as glucagon-like peptide-1 receptor agonist (GLP-1RA) and dual incretin agonists, can augment β-cell function and delay the need for additional antihyperglycemics. However, the effect on β-cell function ceases after stopping the medications. When combined with intensive lifestyle modifications, higher doses of GLP-1RA than those used for diabetes treatment can be used to induce weight loss. More research is needed on whether the weight loss achieved with GLP1-RA can be sustained after stopping medication and in turn can sustain diabetes remission.

Keywords: Diabetes remission; Drug-free remission; Type 2 diabetes mellitus; β-Cell preservation.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus, Type 2* / drug therapy
  • Glucagon-Like Peptide-1 Receptor / agonists
  • Glucagon-Like Peptide-1 Receptor / therapeutic use
  • Humans
  • Hypoglycemic Agents / pharmacology
  • Hypoglycemic Agents / therapeutic use
  • Weight Loss

Substances

  • Glucagon-Like Peptide-1 Receptor
  • Hypoglycemic Agents