Open AccessPerspectives of impaired glucose tolerance management in patients with metabolic syndrome
Author(s) -
К. П. Иванов,
В. Б. Мычка,
Yu V Zhernakova,
Е. В. Тишина,
С. Н. Толстов,
Valerii P. Masenko,
И Е Чазова
Publication year - 2011
Publication title -
kardiovaskulârnaâ terapiâ i profilaktika
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.158
H-Index - 16
eISSN - 2619-0125
pISSN - 1728-8800
DOI - 10.15829/1728-8800-2011-4-77-82
Subject(s) - medicine , vildagliptin , postprandial , endocrinology , impaired glucose tolerance , blood pressure , metabolic syndrome , carbohydrate metabolism , lipid profile , obesity , weight loss , lipid metabolism , triglyceride , diabetes mellitus , cholesterol , insulin resistance , type 2 diabetes
Aim. To assess the effectiveness of vildagliptin, its effects on visceral obesity (VO), carbohydrate and lipid metabolism parameters, and circadian profile (CP) of blood pressure (BP) in patients with metabolic syndrome (MS), Stage I arterial hypertension (AH), and impaired glucose tolerance (IGT). Material and methods . The study included 30 patients, aged 18-60 years (16 men and 14 women). All patients had IGT, VO, and Stage I AH. Previously prescribed antihypertensive therapy (AHT) was not modified after the start of the study. In all participants, carbohydrate and lipid metabolism parameters, BP CP, and body weight were measured at baseline and after 24 weeks of vildagliptin treatment. Results. Vildagliptin therapy was associated with a significant reduction in body weight, waist circumference, postprandial and fasting glucose levels, the levels of total cholesterol and low-density lipoprotein cholesterol, as well as with a sustained reduction in systolic and diastolic BP levels. Conclusion. Vildagliptin therapy resulted in weight reduction, improved carbohydrate and lipid profiles, and target BP achievement, without inducing hypoglycemia episodes.