Haidinger et al
The present trial has several limitations including the small sample size and the relatively short treatment duration. Inclusion criteria and the primary endpoint were based on OGTT, a method that is regarded as the gold standard for NODAT detection and diagnosis (57). However, only one OGTT was performed in the present study at baseline as well as 3 and 4 months thereafter. Whether continuous treatment with DPP-4 inhibitors may prove beneficial in NODAT patients will also need to be examined further.
However, we were able to demonstrate that the DPP-4 inhibitor vildagliptin was highly efficient in achieving adequate glycemic control after short-term treatment. Furthermore, vildagliptin was expectably safe regarding hypoglycemic episodes. Adverse events were mild and appeared at similar rates in both study arms. Thus, vildagliptin proved to be a safe and efficient treatment option against NODAT in KTRs, and provides a suitable alternative for this specific form of diabetes.
Haidinger et alThe present trial has several limitations including the small sample size and the relatively short treatment duration. Inclusion criteria and the primary endpoint were based on OGTT, a method that is regarded as the gold standard for NODAT detection and diagnosis (57). However, only one OGTT was performed in the present study at baseline as well as 3 and 4 months thereafter. Whether continuous treatment with DPP-4 inhibitors may prove beneficial in NODAT patients will also need to be examined further.However, we were able to demonstrate that the DPP-4 inhibitor vildagliptin was highly efficient in achieving adequate glycemic control after short-term treatment. Furthermore, vildagliptin was expectably safe regarding hypoglycemic episodes. Adverse events were mild and appeared at similar rates in both study arms. Thus, vildagliptin proved to be a safe and efficient treatment option against NODAT in KTRs, and provides a suitable alternative for this specific form of diabetes.
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