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| A J ScheenSummaryCountry: Belgium Publications
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Publications
Linagliptin for the treatment of type 2 diabetes (pharmacokinetic evaluation)Andre J Scheen
University of Liege, Division of Diabetes, Nutrition and Metabolic Disorders and Division of Clinical Pharmacology, Department of Medicine, CHU Sart Tilman B35, B 4000 Liege 1, Belgium
Expert Opin Drug Metab Toxicol 7:1561-76. 2011..EXPERT OPINION: Head-to-head comparative studies and/or increased clinical experience with DPP-4 inhibitors will determine the clinical advantage, if any, of one agent over another...
[Limited add-on value of oral glucose-lowering agents in type 1 diabetes]A J Scheen
Universite de Liege, Belgique
Rev Med Liege 68:16-21. 2013....
Efficacy and safety of Jentadueto® (linagliptin plus metformin)Andre J Scheen
University of Liege, Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman B35, B 4000 Liege 1, Belgium
Expert Opin Drug Saf 12:275-89. 2013..Even if linagliptin is safe in patients with renal impairment, the use of metformin (and thus of the linagliptin plus metformin FDC) is still controversial in this population...
Linagliptin plus metformin: a pharmacokinetic and pharmacodynamic evaluationAndre J Scheen
University of Liege, Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, B 4000 Liege 1, Belgium
Expert Opin Drug Metab Toxicol 9:363-77. 2013..That being said, the durability of the glucose-lowering effect of this combination needs to be further explored in long-term controlled trials...
Cardiovascular effects of gliptinsAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman B35, University of Liege, B 4000 Liege 1, Belgium
Nat Rev Cardiol 10:73-84. 2013..Major prospective clinical trials with predefined cardiovascular outcomes and involving various DPP-4 inhibitors are now underway in patients with T2DM and a high-risk cardiovascular profile...
Outcomes and lessons from the PROactive studyAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, and Division of Clinical Pharmacology, Department of Medicine, CHU Sart Tilman, University of Liege, Liege, Belgium
Diabetes Res Clin Pract 98:175-86. 2012....
[Use of oral glucose-lowering agents in patients with renal impairment]A J Scheen
Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, Departement de Medecine, Universite de Liege, CHU Sart Tilman 4000 Liege, Belgique
Rev Med Suisse 8:1614-20. 2012..Concerning new inhibitors of renal SGLT2 cotransporters, they have a reduced efficacy and their safety remains to be demonstrated in presence of CKD...
[Role of environment in complex diseases: air pollution and food contaminants]A J Scheen
Universite de Liege, Chef de Service, Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, CHU de Liege, Belgique
Rev Med Liege 67:226-33. 2012..The complex interrelationships between food and pollutants, on the one hand, and between gene and environmental pollutants, including the influence of epigenetics, on the other hand, deserve further careful studies...
[Epigenetics, interface between environment and genes: role in complex diseases]A J Scheen
Universite de Liege, Chef de Service, Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, CHU de Liege, Belgique
Rev Med Liege 67:250-7. 2012..In contrast to genetic predisposition, which is irreversible, epigenetic changes are potentially reversible, thus giving targets not only for prevention, but possibly also for the treatment of certain complex diseases...
[Type 2 diabetes: journey in the heart of a complex disease]A J Scheen
Universite de Liege, Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, CHU de Liege, Belgique
Rev Med Liege 67:326-31. 2012....
[Hypertension and diabetes: about a common but complex association]A J Scheen
Universite de Liege, Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, Departement de Medecine, CHU de Liege
Rev Med Liege 67:133-8. 2012....
DPP-4 inhibitors in the management of type 2 diabetes: a critical review of head-to-head trialsA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman B35, University of Liege, Liege, Belgium
Diabetes Metab 38:89-101. 2012..The role of DPP-4 inhibitors in the therapeutic armamentarium of type 2 diabetes is rapidly evolving as their potential strengths and weaknesses become better defined mainly through controlled clinical trials...
[Linagliptin (Trajenta): a selective DPP-4 inhibitor with limited renal elimination]A J Scheen
Universite de Liege, Service de Diabetologie, Nutrition et Maladies Metaboliques, CHU de Liege, Belgique
Rev Med Liege 67:91-7. 2012..Because of these favourable properties, linagliptin may be used without dose adjustment (5 mg once a day) in patients with renal impairment, as well as in elderly people...
Dipeptidylpeptidase-4 (DPP-4) inhibitors are favourable to glucagon-like peptide-1 (GLP-1) receptor agonists: yesAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, University of Liege, Liege, Belgium
Eur J Intern Med 23:126-31. 2012....
Prevalence of the metabolic syndrome in Luxembourg according to the Joint Interim Statement definition estimated from the ORISCAV-LUX studyAla a Alkerwi
Centre de Recherche Public Santé CRP Santé, Centre d Etudes en Santé, Grand Duchy of Luxembourg
BMC Public Health 11:4. 2011....
The endocannabinoid system: a promising target for the management of type 2 diabetesAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders and Clinical Pharmacology Unit, CHU Sart Tilman, University of Liege, Liege, Belgium
Curr Protein Pept Sci 10:56-74. 2009..New trials are supposed to confirm the potential role of rimonabant (and other CB1 neutral antagonists or inverse agonists) in overweight/obese patients with type 2 diabetes and high risk cardiovascular disease...
New therapeutic approaches in type 2 diabetesA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, University of Liege, Liege, Belgium
Acta Clin Belg 63:402-7. 2008....
Inhibitors of cannabinoid receptors and glucose metabolismAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, CHU Sart Tilman, University of Liege, Liege, Belgium
Curr Opin Clin Nutr Metab Care 11:505-11. 2008....
CB1 receptor blockade and its impact on cardiometabolic risk factors: overview of the RIO programme with rimonabantA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders and Clinical Pharmacology Unit, CHU Sart Tilman, University of Liege, Liege, Belgium
J Neuroendocrinol 20:139-46. 2008..New trials are supposed to confirm the potential role of rimonabant in patients with abdominal adiposity, atherogenic dyslipidaemia and/or type-2 diabetes, i.e. at high cardiometabolic risk...
[Evaluation of insulinosecretion and insulinosensitivity]Andre J Scheen
Service de Diabetologie, Nutrition et Maladies Metaboliques, CHU Sart Tilman, Universite de Liege, Liege, Belgique
Therapie 62:311-8. 2007..Insulin secretion should ideally be measured according to the corresponding insulin sensitivity. Dynamic tests are generally more informative than static measurements in the fasting state...
[Diabetes mellitus: from clinical knowledge to public health concern]Andre J Scheen
Service de Diabetologie, Nutrition et Maladies Metaboliques, Departement de Medecine, CHU Sart Tilman, Liege, B 4000 Liege, Belgique
J Soc Biol 201:133-40. 2007..A multi-risk intervention is mandatory to improve the cardiovascular prognosis. The prevention of diabetes and its complications is a major public health objective...
[Does a "therapeutic memory" exist in cardiovascular prevention?]A J Scheen
Universite de Liege, Service de Diabetologie, Nutrition et Maladies Metaboliques, CHU Sart Tilman, B 4000 Liege I
Rev Med Suisse 3:1864-6, 1868-9. 2007..These intriguing results argue for a long-term memory of previous therapeutic interventions in cardiovascular prevention...
Abnormal glucose metabolism in patients treated with antipsychoticsA J Scheen
Department of Medicine, Division of Diabetes, Nutrition and Metabolic Disorders and Division of Clinical Pharmacology, CHU Sart Tilman B35, University of Liege, 4000 Liege I, Belgium
Diabetes Metab 33:169-75. 2007..When prescribing an atypical antipsychotic, a commitment to careful baseline screening and follow-up monitoring is essential in order to mitigate the risk of developing diabetes and associated complications...
[Drug interactions: from theory to practice]A J Scheen
Universite de Liege, Belgique
Rev Med Liege 61:471-82. 2006..Finally, we will illustrate these theoretical considerations with some examples of drug interactions, among the most dangerous and the most frequent in clinical practice...
[Advices for a better drug prescription]A J Scheen
Universite de Liege, Belgique
Rev Med Liege 61:488-93. 2006....
Does the metabolic syndrome help to select patients requiring high statin dose?A J Scheen
Department of Medicine, CHU Sart Tilman B35, B 4000 Liege, Belgium
Lancet 368:893-4. 2006
[Rimonabant improves cardiometabolic risk profile in obese or overweight subjects: overview of RIO studies]A J Scheen
Universite de Liege, Service de Diabetologie, Nutrition et Maladies Metaboliques, CHU Sart Tilman, Liege, Belgique
Rev Med Suisse 2:1916-23. 2006..Almost half of the metabolic effects, including adiponectin increase, occur beyond weight loss, suggesting a direct peripheral effect of rimonabant...
Efficacy and tolerability of rimonabant in overweight or obese patients with type 2 diabetes: a randomised controlled studyAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, CHU Sart Tilman, University of Liege, Liege, Belgium
Lancet 368:1660-72. 2006..The aim of the RIO-Diabetes trial was to assess the efficacy and safety of rimonabant in overweight or obese patients with type 2 diabetes that was inadequately controlled by metformin or sulphonylureas...
Pharmacokinetic interactions with thiazolidinedionesAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders and Division of Clinical Pharmacology, Department of Medicine, CHU Sart Tilman, University of Liege, Liege, Belgium
Clin Pharmacokinet 46:1-12. 2007..Although some food components have also been shown to potentially interfere with drugs metabolised with the CYP system, no published study deals specifically with these possible CYP-mediated food-drug interactions with glitazones...
Drug-drug and food-drug pharmacokinetic interactions with new insulinotropic agents repaglinide and nateglinideAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders and Division of Clinical Pharmacology, Department of Medicine, CHU Sart Tilman, University of Liege, Liege, Belgium
Clin Pharmacokinet 46:93-108. 2007..Although no studies have been performed in patients with type 2 diabetes, the latter combination should be avoided in clinical practice...
Antidiabetic agents in subjects with mild dysglycaemia: prevention or early treatment of type 2 diabetes?A J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU de Sart Tilman B35, 4000 Liege I, Belgium
Diabetes Metab 33:3-12. 2007....
Use of cannabinoid CB1 receptor antagonists for the treatment of metabolic disordersAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman B35, University of Liege, B 4000 Liege, Belgium
Best Pract Res Clin Endocrinol Metab 23:103-16. 2009..Ongoing studies should demonstrate whether improved metabolic disorders with CB1 receptor antagonists (rimonabant, taranabant, etc.) would translate into fewer cardiovascular complications among high-risk individuals...
Long-term glycaemic control with metformin-sulphonylurea-pioglitazone triple therapy in PROactive (PROactive 17)A J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, University of Liege, B 4000 Liege, Belgium
Diabet Med 26:1033-9. 2009..placebo in patients with Type 2 diabetes treated with combined metformin-sulphonylurea therapy in the PROspective pioglitAzone Clinical Trial In macroVascular Events (PROactive)...
A review of gliptins in 2011Andre J Scheen
University of Liege, Division of Diabetes, Nutrition and Metabolic Disorders, and Division of Clinical Pharmacology, Department of Medicine, CHU Sart Tilman B35, B 4000 Liege 1, Belgium
Expert Opin Pharmacother 13:81-99. 2012..Future critical issues may include the durability of glucose control, resulting from better β-cell protection, positive effects on cardiovascular outcomes and long-term safety issues...
[Statins in the management of dyslipidemias]Andre J Scheen
Universite de Liege, Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, Departement de Medecine, CHU de Liege, 4000 Liege, Belgique
Rev Prat 61:1120-6. 2011..Tolerance and safety profile is rather good even if muscular and hepatic adverse events may occur. The prescription of statins should target high-risk individuals and both therapeutic inertia and drug non-compliance should be avoided...
[Renal SGLT2 inhibitors, new agents for the management of type 2 diabetes]A J Scheen
Service de Diabetologie, Nutrition et Maladies Metaboliques, Departement de Medecine, CHU Sart Tilman, Liege, Belgique
Rev Med Suisse 7:1621-4, 1626-9. 2011..Dapagliflozin should be the first medication of this new pharmacological class to be commercialized for the management of type 2 diabetes...
Squatting test: a dynamic postural manoeuvre to study baroreflex sensitivityAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Liege, University of Liege, Belgium
Clin Auton Res 22:35-41. 2012..Indeed, the shift from squatting to standing imposes a major orthostatic stress leading to rapid and large changes in arterial blood pressure (BP) and heart rate (HR) allowing precise baroreflex assessment...
Cytochrome P450-mediated cardiovascular drug interactionsAndre J Scheen
University of Liege, Division of Diabetes, Nutrition and Metabolic Disorders, Division of Clinical Pharmacology, Department of Medicine, CHU Liege, Belgium
Expert Opin Drug Metab Toxicol 7:1065-82. 2011....
[Therapeutic approaches to improve blood glucose control in a patient with type 2 diabetes on a metformin-sulfonylurea combination]A J Scheen
Universite de Liege, Belgique
Rev Med Liege 66:215-21. 2011..We will provide the pro-contra arguments concerning each therapeutic alternative and describe the practical modalities of an appropriate management according to the patient's characteristics...
Central nervous system: a conductor orchestrating metabolic regulations harmed by both hyperglycaemia and hypoglycaemiaA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, University of Liege, Liege, Belgium
Diabetes Metab 36:S31-8. 2010..Functional imaging is of interest for exploring diabetes-associated cerebral abnormalities. Thus, the intimate relationship between the brain and diabetes is increasingly acknowledged in both research and clinical practice...
Cardiovascular risk-benefit profile of sibutramineA J Scheen
University of Liege, Department of Medicine, CHU Liege, Liege, Belgium
Am J Cardiovasc Drugs 10:321-34. 2010..In conclusion, concern still persists about the safety profile of sibutramine regarding cardiovascular outcomes, and the drug should not be prescribed for overweight/obese patients with a high cardiovascular risk profile...
[Multirisk approach of the type 2 diabetic patient: controversies surrounding target values after the ACCORD trial]Andre J Scheen
Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, Departement de Medecine, CHU Sart Tilman, 4000 Liege, Belgique
Rev Med Suisse 6:1582-7. 2010..These rather disappointing results should be interpreted to provide practical guidelines...
Efficacy and safety of saxagliptin in combination with metformin compared with sitagliptin in combination with metformin in adult patients with type 2 diabetes mellitusAndre J Scheen
University of Liege, Division of Diabetes, Nutrition and Metabolic Disorders and Clinical Pharmacology Unit, CHU Liege, Liege, Belgium
Diabetes Metab Res Rev 26:540-9. 2010....
Pharmacokinetic and pharmacodynamic evaluation of sitagliptin plus metforminAndre J Scheen
University of Liege, CHU Sart Tilman, Division of Diabetes, Nutrition and Metabolic Disorders and Division of Clinical Pharmacology, Department of Medicine, Liege, Belgium
Expert Opin Drug Metab Toxicol 6:1265-76. 2010..Adequate blood glucose control is necessary to minimize complications. DPP IV inhibitors (sitagliptin, vildagliptin, saxagliptin) offer new options for combined pharmacological therapy...
Dipeptidylpeptidase-4 inhibitors (gliptins): focus on drug-drug interactionsAndre J Scheen
Division of Clinical Pharmacology and Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, University of Liege, Liege, Belgium
Clin Pharmacokinet 49:573-88. 2010....
Pharmacokinetics of dipeptidylpeptidase-4 inhibitorsA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders and Division of Clinical Pharmacology, Department of Medicine, CHU Sart Tilman, University of Liege, Liege, Belgium
Diabetes Obes Metab 12:648-58. 2010....
Bariatric surgery in patients with type 2 diabetes: benefits, risks, indications and perspectivesA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, University of Liege, Liege, Belgium
Diabetes Metab 35:537-43. 2009..Thus, bariatric surgery may be said to be progressing towards so-called 'metabolic surgery', which merits further evaluation in patients with T2DM within a multidisciplinary approach that involves both surgeons and endocrinologists...
Metformin + saxagliptin for type 2 diabetesAndre J Scheen
University of Liege, Division of Diabetes, Nutrition and Metabolic Disorders, and Division of Clinical Pharmacology, Department of Medicine, CHU Sart Tilman B35, B 4000 Liege 1, Belgium
Expert Opin Pharmacother 13:139-46. 2012..EXPERT OPINION: The combination saxaglitpin plus metformin may be used as first-line or second-line therapy in the management of type 2 diabetes, especially as a valuable alternative to the classical metformin-sulfonylurea combination...
Current management strategies for coexisting diabetes mellitus and obesityAndre J Scheen
Division of Diabetes, Department of Medicine, Nutrition and Metabolic Disorders, CHU Sart Tilman, Liege, Belgium
Drugs 63:1165-84. 2003..This objective justifies more aggressive weight reduction programmes, including very-low-calorie diets and bariatric surgery, but only within a multidisciplinary approach and long-term strategy...
Renin-angiotensin system inhibition prevents type 2 diabetes mellitus. Part 1. A meta-analysis of randomised clinical trialsA J Scheen
Department of Medicine, Division of Diabetes, Nutrition and Metabolic Disorders, CHU Sart Tilman B35, B 4000 Liege 1, Belgium
Diabetes Metab 30:487-96. 2004..Considering the pandemic of T2DM, such pharmacological approach deserves further attention among the strategies aiming at preventing T2DM...
Hepatotoxicity with thiazolidinediones: is it a class effect?A J Scheen
Department of Medicine, CHU Sart Tilman, Liege, Belgium
Drug Saf 24:873-88. 2001....
Pathophysiology of insulin secretionA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman B35, B 4000 Liege 1, Belgium
Ann Endocrinol (Paris) 65:29-36. 2004..The better understanding of the pathophysiology of the disease should lead to the development of new strategies to preserve beta-cell function in both type 1 and type 2 diabetes mellitus...
Drug interactions of clinical importance with antihyperglycaemic agents: an updateAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, Liege, Belgium
Drug Saf 28:601-31. 2005..In addition, some case reports have evidenced potential drug-drug interactions with various antihyperglycaemic agents that are usually associated with a higher risk of hypoglycaemia...
Renin-angiotensin system inhibition prevents type 2 diabetes mellitus. Part 2. Overview of physiological and biochemical mechanismsA J Scheen
Department of Medicine, Division of Diabetes, Nutrition and Metabolic Disorders, CHU Sart Tilman B35, B 4000 Liege 1, Belgium
Diabetes Metab 30:498-505. 2004..What might be the main mechanism in the overall protection effect of ACEIs or ARBs remains an open question...
Prevention of type 2 diabetes mellitus through inhibition of the Renin-Angiotensin systemAndre J Scheen
Division of Diabetes, Department of Medicine, Nutrition and Metabolic Disorders, CHU Sart Tilman, Liege, Belgium
Drugs 64:2537-65. 2004..From a practical point of view, they may offer a new strategy to reduce the ongoing epidemic and burden of type 2 diabetes...
Is there a role for alpha-glucosidase inhibitors in the prevention of type 2 diabetes mellitus?Andre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, Liege, Belgium
Drugs 63:933-51. 2003..However, the best dosage of acarbose for this specific indication remains to be specified, especially when all three important parameters, efficacy, tolerance and cost, are taken into consideration...
[The insulin sensitivity concept]A J Scheen
Service de Diabetologie, Nutrition et Maladies Metaboliques, Departement de Medecine, CHU Sart Tilman, Liege, Belgique
Diabetes Metab 27:193-200. 2001....
Management of the metabolic syndromeA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, Liege, Belgium
Minerva Endocrinol 29:31-45. 2004..The growing prevalence and high-risk nature of MetS highlights the need to identify individuals with this condition and to treat them with an aggressive multitargeted approach...
Pathophysiology of type 2 diabetesA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, Liege, Belgium
Acta Clin Belg 58:335-41. 2003..These two paradigms constitute the framework for the study of the interplay between insulin resistance and beta-cell dysfunction in type 2 diabetes as well as between our obesogenic environment and diabetes risk in the next decade...
Treatment of type 2 diabetesAndre J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, B 4000 Liege I, Belgium
Acta Clin Belg 58:318-24. 2003....
New antiobesity agents in type 2 diabetes: overview of clinical trials with sibutramine and orlistatA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Division of Clinical Pharmacology and Therapeutics, Department of Medicine, CHU Sart Tilman, Liege, Belgium
Diabetes Metab 28:437-45. 2002....
Thiazolidinediones and liver toxicityA J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, Liege, Belgium
Diabetes Metab 27:305-13. 2001....
[Triple oral therapy in type 2 diabetes]A J Scheen
Departement de Medecine, CHU Sart Tilman, 4000 Liege I, Belgique
Rev Med Suisse 1:1942, 1944-6, 1948. 2005..Recent clinical trials have shown both the efficacy and safety of this triple oral therapy. However, its precise place remains to be better specified in the overall management of type 2 diabetes...
[Insulin detemir (Levemir)]A J Scheen
Service de Diabetologie, Nutrition et Maladies Metaboliques, Departement de Medecine, CHU Sart Tilman, Liege
Rev Med Liege 60:814-9. 2005....
Severe/extreme obesity: a medical disease requiring a surgical treatment?A J Scheen
Service de Diabetologie, Nutrition et Maladies Metaboliques, CHU Sart Tilman, Liege, Belgique
Acta Clin Belg 54:154-61. 1999....
From obesity to diabetes: why, when and who?A J Scheen
Departement de Medecine, CHU Sart Tilman, Liege, Belgique
Acta Clin Belg 55:9-15. 2000..The evolution from obesity to diabetes represents a continuum that progresses through different phases in which defects in both insulin action and insulin secretion play a critical interaction and must be looked at in concert...
Diabetes mellitus in the elderly: insulin resistance and/or impaired insulin secretion?A J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, University of Liege, Liege, Belgium
Diabetes Metab 31:5S27-5S34. 2005..Weight loss, especially reduction of abdominal adiposity, and increased physical activity may contribute to improve insulin sensitivity and glucose tolerance, and prevent the development of type 2 diabetes in elderly people...
Medications in the kidneyA J Scheen
Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, Departement de Medecine, CHU Sart Tilman, Liege, Belgique
Acta Clin Belg 63:76-80. 2008..Appropriate drug selection and dosing in patients with CKD is imperative to avoid drug adverse events and to ensure optimal patient outcomes...
[Diabetic neuropathy: epidemiologic and predictive data]A J Scheen
Departement de Medecine, CHU Sart Tilman B35, Liege, Belgique
Diabetes Metab 24:45-9. 1998..Once neuropathy is diagnosed, the physician should provide specific advice to diabetic patients in order to prevent possible dramatic complications...
Oral antidiabetic agents. A guide to selectionA J Scheen
Department of Medicine, CHU Sart Tilman, Liege, Belgium
Drugs 55:225-36. 1998....
[Which indications for statins besides their cholesterol-lowering effect?]A J Scheen
Service de Diabetologie, Nutrition et Maladies Metaboliques, Departement de Medecine, CHU Sart Tilman, 4000 Liege I, Belgique
Rev Med Suisse 1:1954, 1956-9. 2005..New prospective studies are mandatory before accepting such new potential indications of statins...
Antiobesity pharmacotherapy in the management of type 2 diabetesA J Scheen
Division of Diabetes, Nutrition and Metabolic Diseases, Department of Medicine, University of Liege, CHU Sart Tilman, B 4000 Liege 1, Belgium
Diabetes Metab Res Rev 16:114-24. 2000..However, until now, results regarding efficacy and/or safety have been disappointing or preliminary in humans...
[Prevention of restenosis and of cardiac events after coronary angioplasty in diabetics]A Nyssen
Universite de Liege, Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, Departement de Medecine, CHU Sart Tilman, 4000 Liege, Belgique
Rev Med Suisse 5:1638-43. 2009..Whenever possible, we will focus our attention on the results obtained in the diabetic population...
Long-term glycaemic effects of pioglitazone compared with placebo as add-on treatment to metformin or sulphonylurea monotherapy in PROactive (PROactive 18)A J Scheen
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, University of Liege, Liege, Belgium
Diabet Med 26:1242-9. 2009..placebo in diabetic patients receiving metformin or sulphonylurea monotherapy at baseline in the PROspective pioglitAzone Clinical Trial in macroVascular Events (PROactive)...
[Incidence of restenosis and cardiac events after coronary angioplasty in diabetic patients: reduction by systemic pharmacological approaches]A Nyssen
Universite de Liege, Belgique
Rev Med Liege 64:192-8. 2009..Whenever possible, we will focus our attention on the results obtained in the diabetic population...
[NAVIGATOR: A trial of prevention of cardiovascular complications and type 2 diabetes with valsartan and/or nateglinide]A J Scheen
Universite de Liege, Belgique
Rev Med Liege 65:217-23. 2010..In contrast, valsartan reduced the incidence of type 2 diabetes by 14%, confirming the potential interest of the blockade of the renin-angiotensin system in this high-risk population...
[Sugar: results of a Belgian observational study on the use of sitagliptin in patients with type 2 diabetes]A J Scheen
Universite de Liege, Chef de Service, Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, CHU de Liege, Belgique
Rev Med Liege 65:127-32. 2010..After 3-6 months of follow up, more than 95% of patients still received sitagliptin, arguing for both the efficacy and the good tolerance of this new oral antidiabetic agent in clinical practice...
[Fitness versus fatness: respective cardiometabolic impacts at different age ranges]N Esser
Universite de Liege, Belgique
Rev Med Liege 65:199-205. 2010....
[Metabolically obese normal-weight individuals and metabolically healthy, but obese, subjects]E Beck
Universite de Liege, Service de Diabetologie, Nutrition et Maladies Metaboliques, Departement de Medecine, CHU Sart Tilman, 4000 Liege, Belgique
Rev Med Suisse 5:1644-6, 1648-9. 2009....
[Info-congress. Prevention of type 2 diabetes in obese patients: first results with orlistat in the XENDOS study]A J Scheen
, , , CHU Sart Tilman,
Rev Med Liege 57:617-21. 2002..XENDOS is the first study demonstrating that an antiobesity agent, like orlistat, is able to reduce the progression to diabetes in obese subjects as compared with lifestyle changes alone...
[Cardiometabolic effects of rimonabant in obese/overweight subjects with dyslipidaemia or type 2 diabetes]A J Scheen
Service de Diabetologie, Nutrition et Maladies Metaboliques, CHU Sart Tilman, Liege, Belgique
Rev Med Liege 62:81-5. 2007..Rimonabant is indicated in Europe as an adjunct to diet and exercise for the treatment of obese patients, or overweight patients with associated risk factor(s), such as type 2 diabetes or dyslipidaemia...
[Insulin sensitizers]A J Scheen
, , ,
Rev Med Liege 60:409-13. 2005....
[Clinical trial of the month. ADVANCE: improved survival and better vascular and renal outcomes with a fixed combination of perindopril and indapamide in patients with type 2 diabetes]A J Scheen
Universite de Liege, Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, CHU Sart Tilman, Liege, Belgique
Rev Med Liege 62:639-43. 2007..There was no evidence that the effects of the study treatment differed by initial blood pressure level or concomitant use of other treatments at baseline...
[ADOPT study: which first-line glucose-lowering oral medication in type 2 diabetes?]A J Scheen
Universite de Liege, Belgique
Rev Med Liege 62:48-52. 2007..The potential risks and benefits, the profile of adverse events, and the costs of the three drugs should all be considered to help inform the choice of pharmacotherapy for patients with type 2 diabetes...
[Medication of the month. Rosiglitazone (Avandia)]A J Scheen
, , ,
Rev Med Liege 57:236-9. 2002..As all glitazones, rosiglitazone moderately promotes weight gain. It can also induce some fluid retention which may reveal or aggravate heart failure in at risk patients...
Pulse pressure and cardiovascular autonomic neuropathy according to duration of type 1 diabetesJ C Philips
Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine, CHU Sart Tilman, Liege, Belgium
Diabetes Metab Res Rev 25:442-51. 2009..To evaluate changes in pulse pressure (PP) and markers of cardiovascular autonomic neuropathy (CAN) according to duration of type 1 diabetes mellitus (T1DM)...
[Metabolically obese with normal weight individuals: an intriguing phenotype]E Beck
Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, Departement de Medecine, CHU de Liege
Rev Med Liege 64:16-24. 2009..The present paper aims at better understanding the etiopathogenesis and pathophysiology of this particular phenotype, at evaluating its potential clinical consequences and at describing the main principles of its therapeutic management...
[Clinical study of the month. Premature interruption of ASCOT and CARDS clinical trials of cardiovascular prevention with atorvastatin in patients with arterial hypertension or diabetes mellitus: compromise between ethics and statistics in evidence-based A J Scheen
, , , CHU Sart Tilman,
Rev Med Liege 58:585-90. 2003....
[Info-Meeting. Pharmacologic prevention of the progression from impaired glucose tolerance to type 2 diabetes: favorable effects of metformin and acarbose]A J Scheen
, , ,
Rev Med Liege 56:727-30. 2001..002). These results are, however, less marked than those obtained with lifestyle modifications including better dietary habits and increased physical exercise (-58% versus control group, p < 0.001)...
[Pharma-clinics. Medication of the month. Sibutramine (Reductil)]A J Scheen
, , ,
Rev Med Liege 56:656-9. 2001..The impact of sibutramine on cardiovascular morbidity and mortality of obese nondiabetic and diabetic patients will be studied soon in a large international prospective clinical trial...
[Optimizing the managment of patients with diabetes mellitus: selected clinical trials from the 2004 Congress of the American Diabetes Association]A J Scheen
, , , CHU Sart Tilman,
Rev Med Liege 59:407-12. 2004..The main results and conclusions of these trials are briefly presented as they open new perspectives in the management of patients with type 1 or type 2 diabetes mellitus...
[DREAM study: prevention of type 2 diabetes with ramipril and/or rosiglitazone in persons with dysglycaemia but no cardiovascular desease]A J Scheen
, Belgique
Rev Med Liege 61:728-32. 2006....
[How I explore ... the risk of a patient developing type 2 diabetes]A J Scheen
, CHU Sart Tilman,
Rev Med Liege 57:113-5. 2002..We summarize the most useful indices based on anamnesis, clinical examination and biological assays that can help to detect subjects at high risk of progression towards type 2 diabetes...
[Postprandial hyperglycemia. II. Pharmacological approaches]A J Scheen
, , , CHU Sart Tilman
Rev Med Liege 57:196-201. 2002..Asp B28) or inhated insulin the action of which is faster than that of subcutaneous insulin. Post-prandial glucagon secretion can be inhibited by amylin. GLP-1 or insulin while other glucagon antagonists are currently in development...
[Towards a tripple oral therapy in the pharmacological treatment of type 2 diabetes?]A J Scheen
Universite de Liege, Service de Diabetologie, Nutrition et Maladies Metaboliques, Departement de Medecine
Rev Med Liege 60:414-8. 2005....
[Clinical study of the month. The CALM study assessing the combination of an angiotensin-converting enzyme inhibitor and an angiotensin II receptor antagonist in the treatment of diabetic nephropathy]J C Philips
, CHU Sart Tilman,
Rev Med Liege 56:126-8. 2001..No comparison is made between this "new" association and the more frequently used biotherapy (i.e. ACE-I plus thiazidic diuretic) and therefore its usefulness in regular practice is still to be determined...
[Glucagon-like peptide-1 (GLP-1), new target for the treatment of type 2 diabetes]A J Scheen
Universite de Liege, Service de Diabetologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, CHU Liege, Belgique
Rev Med Liege 62:217-21. 2007..These agents should occupy a key place in the overall pharmacological strategy of type 2 diabetes in a near future, especially if the additional favourable effects on B cells are confirmed in clinical practice...
[What about the controversy regarding rosiglitazone]A J Scheen
Universite de Liege, Departement de Medecine, CHU Sart Tilman, Liege, Belgique
Rev Med Liege 62:560-5. 2007..We will conclude, referring to the recent position statement of the Advisory Committee of the Food and Drug Administration, by providing some practical recommendations...
[Drug of the month. Ezetimibe/simvastatin tablet (Inegy)]A J Scheen
Universite de Liege, Departement de Medecine, CHU Sart Tilman, Liege, Belgique
Rev Med Liege 62:585-90. 2007..Ongoing trials aim at proving the efficacy of such a fixed combination in reducing cardiovascular morbidity and mortality...
[Sitagliptine (Januvia): incretin enhancer potentiating insulin secretion for the treatment of type 2 diabetes]A J Scheen
Universite de Liege, Belgique
Rev Med Liege 63:105-9. 2008..In Belgium, sitagliptin is currently reimbursed in patients with type 2 diabetes not adequately controlled with diet and metformin monotherapy...
[Clinical study of the month. Attempt at preservation of B cells during the initial phase of type 1 diabetes: negative results with ultralente insulin, but promising results with an anti-CD3 monoclonal antibody]J C Philips
, , , CHU Sart Tilman,
Rev Med Liege 57:413-7. 2002..Besides a better understanding of the natural history of the disease, these clinical trials open new perspectives for prevention of type 1 diabetes mellitus, currently assessed by the Belgian Diabetes Registry...
