author_facet Fujiwara, Yuki
Eguchi, Shunsuke
Murayama, Hiroki
Takahashi, Yuri
Toda, Mitsutoshi
Imai, Kota
Tsuda, Kinsuke
Fujiwara, Yuki
Eguchi, Shunsuke
Murayama, Hiroki
Takahashi, Yuri
Toda, Mitsutoshi
Imai, Kota
Tsuda, Kinsuke
author Fujiwara, Yuki
Eguchi, Shunsuke
Murayama, Hiroki
Takahashi, Yuri
Toda, Mitsutoshi
Imai, Kota
Tsuda, Kinsuke
spellingShingle Fujiwara, Yuki
Eguchi, Shunsuke
Murayama, Hiroki
Takahashi, Yuri
Toda, Mitsutoshi
Imai, Kota
Tsuda, Kinsuke
Endocrinology, Diabetes & Metabolism
Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
Endocrinology, Diabetes and Metabolism
author_sort fujiwara, yuki
spelling Fujiwara, Yuki Eguchi, Shunsuke Murayama, Hiroki Takahashi, Yuri Toda, Mitsutoshi Imai, Kota Tsuda, Kinsuke 2398-9238 2398-9238 Wiley Endocrinology, Diabetes and Metabolism http://dx.doi.org/10.1002/edm2.68 <jats:title>Abstract</jats:title><jats:p>The rapid rise in the prevalence of type 2 diabetes mellitus (T2DM) poses a huge healthcare burden across the world. Although there are several antihyperglycaemic agents (AHAs) available including addition of new drug classes to the treatment algorithm, more than 50% of patients with T2DM do not achieve glycaemic targets, suggesting an urgent need for treatment strategies focusing on prevention and progression of T2DM and its long‐term complications. Lifestyle changes including implementation of healthy diet and physical activity are cornerstones for the management of T2DM. The positive effects of diet and exercise on incretin hormones such as glucagon‐like peptide‐1 (GLP‐1) have been reported. We hypothesize an IDEP concept (Interaction between Diet/Exercise and Pharmacotherapy) aimed at modifying the diet and lifestyle, along with pharmacotherapy to enhance the GLP‐1 levels, would result in good glycaemic control in patients with T2DM. Consuming protein‐rich food, avoiding saturated fatty acids and making small changes in eating habits such as eating slowly with longer mastication time can have a positive impact on the GLP‐1 secretion and insulin levels. Further the type of physical activity (aerobic/resistance training), intensity of exercise, duration, time and frequency of exercise have shown to improve GLP‐1 levels. Apart from AHAs, a few antihypertensive drugs and lipid‐lowering drugs have also shown to increase endogenous GLP‐1 levels, however, due to quick degradation of GLP‐1 by dipeptidyl peptidase‐4 (DPP‐4) enzyme, treatment with DPP‐4 inhibitors would protect GLP‐1 from degradation and prolong its activity. Thus, IDEP concept can be a promising treatment strategy, which positively influences the GLP‐1 levels and provide additive benefits in terms of improving metabolic parameters in patients with T2DM and slowing the progression of T2DM and its associated complications.</jats:p> Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes Endocrinology, Diabetes & Metabolism
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title Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_unstemmed Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_full Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_fullStr Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_full_unstemmed Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_short Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_sort relationship between diet/exercise and pharmacotherapy to enhance the glp‐1 levels in type 2 diabetes
topic Endocrinology, Diabetes and Metabolism
url http://dx.doi.org/10.1002/edm2.68
publishDate 2019
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description <jats:title>Abstract</jats:title><jats:p>The rapid rise in the prevalence of type 2 diabetes mellitus (T2DM) poses a huge healthcare burden across the world. Although there are several antihyperglycaemic agents (AHAs) available including addition of new drug classes to the treatment algorithm, more than 50% of patients with T2DM do not achieve glycaemic targets, suggesting an urgent need for treatment strategies focusing on prevention and progression of T2DM and its long‐term complications. Lifestyle changes including implementation of healthy diet and physical activity are cornerstones for the management of T2DM. The positive effects of diet and exercise on incretin hormones such as glucagon‐like peptide‐1 (GLP‐1) have been reported. We hypothesize an IDEP concept (Interaction between Diet/Exercise and Pharmacotherapy) aimed at modifying the diet and lifestyle, along with pharmacotherapy to enhance the GLP‐1 levels, would result in good glycaemic control in patients with T2DM. Consuming protein‐rich food, avoiding saturated fatty acids and making small changes in eating habits such as eating slowly with longer mastication time can have a positive impact on the GLP‐1 secretion and insulin levels. Further the type of physical activity (aerobic/resistance training), intensity of exercise, duration, time and frequency of exercise have shown to improve GLP‐1 levels. Apart from AHAs, a few antihypertensive drugs and lipid‐lowering drugs have also shown to increase endogenous GLP‐1 levels, however, due to quick degradation of GLP‐1 by dipeptidyl peptidase‐4 (DPP‐4) enzyme, treatment with DPP‐4 inhibitors would protect GLP‐1 from degradation and prolong its activity. Thus, IDEP concept can be a promising treatment strategy, which positively influences the GLP‐1 levels and provide additive benefits in terms of improving metabolic parameters in patients with T2DM and slowing the progression of T2DM and its associated complications.</jats:p>
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author Fujiwara, Yuki, Eguchi, Shunsuke, Murayama, Hiroki, Takahashi, Yuri, Toda, Mitsutoshi, Imai, Kota, Tsuda, Kinsuke
author_facet Fujiwara, Yuki, Eguchi, Shunsuke, Murayama, Hiroki, Takahashi, Yuri, Toda, Mitsutoshi, Imai, Kota, Tsuda, Kinsuke, Fujiwara, Yuki, Eguchi, Shunsuke, Murayama, Hiroki, Takahashi, Yuri, Toda, Mitsutoshi, Imai, Kota, Tsuda, Kinsuke
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description <jats:title>Abstract</jats:title><jats:p>The rapid rise in the prevalence of type 2 diabetes mellitus (T2DM) poses a huge healthcare burden across the world. Although there are several antihyperglycaemic agents (AHAs) available including addition of new drug classes to the treatment algorithm, more than 50% of patients with T2DM do not achieve glycaemic targets, suggesting an urgent need for treatment strategies focusing on prevention and progression of T2DM and its long‐term complications. Lifestyle changes including implementation of healthy diet and physical activity are cornerstones for the management of T2DM. The positive effects of diet and exercise on incretin hormones such as glucagon‐like peptide‐1 (GLP‐1) have been reported. We hypothesize an IDEP concept (Interaction between Diet/Exercise and Pharmacotherapy) aimed at modifying the diet and lifestyle, along with pharmacotherapy to enhance the GLP‐1 levels, would result in good glycaemic control in patients with T2DM. Consuming protein‐rich food, avoiding saturated fatty acids and making small changes in eating habits such as eating slowly with longer mastication time can have a positive impact on the GLP‐1 secretion and insulin levels. Further the type of physical activity (aerobic/resistance training), intensity of exercise, duration, time and frequency of exercise have shown to improve GLP‐1 levels. Apart from AHAs, a few antihypertensive drugs and lipid‐lowering drugs have also shown to increase endogenous GLP‐1 levels, however, due to quick degradation of GLP‐1 by dipeptidyl peptidase‐4 (DPP‐4) enzyme, treatment with DPP‐4 inhibitors would protect GLP‐1 from degradation and prolong its activity. Thus, IDEP concept can be a promising treatment strategy, which positively influences the GLP‐1 levels and provide additive benefits in terms of improving metabolic parameters in patients with T2DM and slowing the progression of T2DM and its associated complications.</jats:p>
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spelling Fujiwara, Yuki Eguchi, Shunsuke Murayama, Hiroki Takahashi, Yuri Toda, Mitsutoshi Imai, Kota Tsuda, Kinsuke 2398-9238 2398-9238 Wiley Endocrinology, Diabetes and Metabolism http://dx.doi.org/10.1002/edm2.68 <jats:title>Abstract</jats:title><jats:p>The rapid rise in the prevalence of type 2 diabetes mellitus (T2DM) poses a huge healthcare burden across the world. Although there are several antihyperglycaemic agents (AHAs) available including addition of new drug classes to the treatment algorithm, more than 50% of patients with T2DM do not achieve glycaemic targets, suggesting an urgent need for treatment strategies focusing on prevention and progression of T2DM and its long‐term complications. Lifestyle changes including implementation of healthy diet and physical activity are cornerstones for the management of T2DM. The positive effects of diet and exercise on incretin hormones such as glucagon‐like peptide‐1 (GLP‐1) have been reported. We hypothesize an IDEP concept (Interaction between Diet/Exercise and Pharmacotherapy) aimed at modifying the diet and lifestyle, along with pharmacotherapy to enhance the GLP‐1 levels, would result in good glycaemic control in patients with T2DM. Consuming protein‐rich food, avoiding saturated fatty acids and making small changes in eating habits such as eating slowly with longer mastication time can have a positive impact on the GLP‐1 secretion and insulin levels. Further the type of physical activity (aerobic/resistance training), intensity of exercise, duration, time and frequency of exercise have shown to improve GLP‐1 levels. Apart from AHAs, a few antihypertensive drugs and lipid‐lowering drugs have also shown to increase endogenous GLP‐1 levels, however, due to quick degradation of GLP‐1 by dipeptidyl peptidase‐4 (DPP‐4) enzyme, treatment with DPP‐4 inhibitors would protect GLP‐1 from degradation and prolong its activity. Thus, IDEP concept can be a promising treatment strategy, which positively influences the GLP‐1 levels and provide additive benefits in terms of improving metabolic parameters in patients with T2DM and slowing the progression of T2DM and its associated complications.</jats:p> Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes Endocrinology, Diabetes & Metabolism
spellingShingle Fujiwara, Yuki, Eguchi, Shunsuke, Murayama, Hiroki, Takahashi, Yuri, Toda, Mitsutoshi, Imai, Kota, Tsuda, Kinsuke, Endocrinology, Diabetes & Metabolism, Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes, Endocrinology, Diabetes and Metabolism
title Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_full Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_fullStr Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_full_unstemmed Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_short Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
title_sort relationship between diet/exercise and pharmacotherapy to enhance the glp‐1 levels in type 2 diabetes
title_unstemmed Relationship between diet/exercise and pharmacotherapy to enhance the GLP‐1 levels in type 2 diabetes
topic Endocrinology, Diabetes and Metabolism
url http://dx.doi.org/10.1002/edm2.68