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Contraindications of incretin therapy: difference between revisions

Diff·revision 10 → 11·10:58, 31 Mar 2025

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Revision 10 — 13:44, 8 Mar 2025
INN_Ingrid (talk)
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Revision 11 — 10:58, 31 Mar 2025
HypoHildur (talk)
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31Renal considerations are indirect for most of this class: the peptides are not renally cleared to a degree requiring dose adjustment, but persistent vomiting and reduced intake can precipitate acute kidney injury in someone with limited reserve.{{r|ada2024}}31Renal considerations are indirect for most of this class: the peptides are not renally cleared to a degree requiring dose adjustment, but persistent vomiting and reduced intake can precipitate acute kidney injury in someone with limited reserve.{{r|ada2024}}
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+33Interaction with oral medicines is a rate rather than an extent effect for most drugs, arising from delayed emptying. See Drug interaction with oral absorption.{{r|nauck2016}} Trial populations excluded several of the groups listed above, so the evidence in them is correspondingly thin.{{r|wilding2021}}
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33== References ==35== References ==
34{{reflist}}36{{reflist}}
35<ref name="ada2024">American Diabetes Association. "Standards of Care in Diabetes." ''Diabetes Care'' 47(Suppl 1) (2024).</ref>37<ref name="ada2024">American Diabetes Association. "Standards of Care in Diabetes." ''Diabetes Care'' 47(Suppl 1) (2024).</ref>
36<ref name="drucker2018">Drucker DJ. "Mechanisms of action and therapeutic application of glucagon-like peptide-1." ''Cell Metabolism'' 27(4):740–756 (2018). PMID 29617641.</ref>38<ref name="drucker2018">Drucker DJ. "Mechanisms of action and therapeutic application of glucagon-like peptide-1." ''Cell Metabolism'' 27(4):740–756 (2018). PMID 29617641.</ref>
+39<ref name="nauck2016">Nauck MA, Meier JJ. "The incretin effect in healthy individuals and those with type 2 diabetes." ''The Lancet Diabetes & Endocrinology'' 4(6):525–536 (2016). PMID 26876794.</ref>
+40<ref name="wilding2021">Wilding JPH, Batterham RL, Calanna S, et al. "Once-weekly semaglutide in adults with overweight or obesity." ''New England Journal of Medicine'' 384(11):989–1002 (2021). PMID 33567185.</ref>
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38== See also ==42== See also ==