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Article Dans Une Revue Journal of Diabetes & Metabolism Année : 2017

Effects of anti-somatostatin agents on glucose metabolism

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Résumé

The anti-somatostatin agents used to treat acromegaly, Cushing's disease and neuroendocrine tumours also have hyperglycaemic effects. This is particularly true for pasireotide. Hyperglycaemic events are seen in 57–73% of patients with Cushing's treated with pasireotide, with a need to initiate antidiabetic treatment in about 50% of these patients. In acromegaly, treatment with pasireotide induces hyperglycaemia in 29–61% of patients. Pasireotide-induced hyperglycemia occurs early, within the first 3 months of treatment, due to a decrease in insulin secretion secondary to a fall in secretion of GLP-1 and GIP, and potentially also due to a direct inhibitory effect of pasireotide on beta cells. Close monitoring of blood glucose is mandatory in all patients during the first 3 months of treatment with pasireotide. Where necessary, antidiabetic treatment should be initiated, preferably with a DPP-4 inhibitor or a GLP-1 receptor agonist, both of which have proven efficacy in the control of hyperglycaemia induced by pasireotide.
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Dates et versions

hal-01678259 , version 1 (09-01-2018)

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Citer

B. Vergès. Effects of anti-somatostatin agents on glucose metabolism. Journal of Diabetes & Metabolism, 2017, 43 (5), pp.411 - 415. ⟨10.1016/j.diabet.2017.05.003⟩. ⟨hal-01678259⟩
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