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dpp-4 inhibitors vs. glp-1 agonist receptor versus inhibitor and kidney and cardiovascular outcomes in clinical practice in type-2 diabetes DPP-4 inhibitors and GLP-1RAs: cardiovascular
Description
Concerns have been expressed regarding the effects of these drugs on pancreatic and thyroid tissue, since animal studies and analyses of drug databases indicate an association of GLP-1 receptor agonists with pancreatitis, pancreatic cancer, and thyroid cancer

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doi: 10.1111/dom.12849 32 SimRChongCWLoganadanNKFongAYYNavaravongLHusseinZet al

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These results are the basis for a positioning of the DPP-4 inhibitors as second-line therapy for the treatment of type 2 diabetes, especially, when hypoglycaemia should strictly be avoided (see section below)
