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The main side effects of exenatide use are gastrointestinal in nature, including acid or sour stomach, belching, diarrhea, heartburn, indigestion, nausea, and vomiting. [11] These tend to subside with time; [11] exenatide is therefore not meant for people with severe gastrointestinal disease.
Insulin degludec is a modified insulin that has one single amino acid deleted in comparison to human insulin, and is conjugated to hexadecanedioic acid via gamma-L-glutamyl spacer at the amino acid lysine at position B29. It is included on the World Health Organization's List of Essential Medicines [11] as an equivalent to insulin glargine.
Semaglutide is an anti-diabetic medication used for the treatment of type 2 diabetes and an anti-obesity medication used for long-term weight management. [ 23 ] [ 24 ] [ 25 ] It is a peptide similar to the hormone glucagon-like peptide-1 (GLP-1), modified with a side chain .
Lixisenatide is a peptide made of 44 amino acids, with an amide group on its C terminus. [ 3 ] has been described as "des-38-proline-exendin-4 ( Heloderma suspectum )-(1–39)-peptidylpenta- L -lysyl- L -lysinamide", meaning it is derived from the first 39 amino acids in the sequence of the peptide exendin-4 , that was isolated from the Gila ...
The amino acid sequence of animal insulins in different mammals may be similar to human insulin (insulin human INN), there is however considerable viability within vertebrate species. [16] Porcine insulin has only a single amino acid variation from the human variety, and bovine insulin varies by three amino acids.
Drugs used in diabetes treat types of diabetes mellitus by decreasing glucose levels in the blood. With the exception of insulin , most GLP-1 receptor agonists ( liraglutide , exenatide , and others), and pramlintide , all diabetes medications are administered orally and are thus called oral hypoglycemic agents or oral antihyperglycemic agents.
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