Clinically, gliptins have been demonstrated to be efficient antidiabetic drugs, which reduce dose-dependently the HbA1c by 0.5–1.0% in type 2 DM and have an excellent safety profile with a hypoglycemia incidence similar to placebo level (32–35). Of note, gliptins have also been shown to be both safe and effective in CKD, as well as in patients on maintenance hemodialysis that comprise a uniquely sensitive population with regard to hypoglycemia (36–39). These unique characteristics along with the particularpathophysiologyof NODAT(7) indicate apotential suitability of DPP-4 inhibition in the treatment of overt NODAT patients, especially those with CKD.