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Table 1 Comparison between GLP-1, GLP-1 analogues and DPP-4 inhibitors

From: The therapeutic potential of a venomous lizard: the use of glucagon-like peptide-1 analogues in the critically ill

 

GLP-1

GLP-1 analogues

DPP-4 inhibitors

Name(s)

GLP-1-(7-36)NH2

Exenatide

Sitagliptin

  

Liraglutide

Vildagliptin

   

Saxagliptin

Administration

Intravenous

Subcutaneous

Oral

Studied in the critically ill patient

Yes

Yes

No

Current cost

Prohibitive

Expensive

Expensive

Availability

Limited

Yes

Yes

Half-life

1 to 2 minutes

2 to 15 hours

2 to 14 hours

Additional effects mediated via inactive GLP-1

Yes

No

No

Nausea

Yes

Yes

No

Weight

Loss

Loss

Weight neutral

Gastric emptying

Slows

Slows

Minimal, if any, effect

  1. DPP-4, dipeptyl-peptidase-4; GLP-1, glucagon-like peptide-1.