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Apports des agonistes du récepteur du GLP-1 (GLP1-RA) dans le traitement du diabète et la protection cardiovasculaire par le Pr B. Charbonnel. Le Pr. Charbonnel a d’abord rappelé que le diabète était avant tout une maladie vasculaire, avec des complications à la fois microvasculaires (rétinopathie, neuropathie, néphropathie) et macrovasculaires (cardiaques) et qu’un bon contrôle glycémique (valeur cible d’HbA1C ≤7%) permettait de réduire ces complications (surtout microvasculaires). A côté des antidiabétiques classiques, une nouvelle classe de médicaments, les incrétines, permet d’atteindre cette cible : il s’agit des agonistes du récepteur du GLP-1 (glucagon-like peptide-1). Le GLP-1 est une hormone digestive, produite au moment des repas, qui stimule l’insuline et freine le glucagon. Donnée d’importance, son action est glucorégulée, ç.à.d. que lorsque la glycémie approche de la normale, cette hormone n’est plus stimulée, ce qui évite le risque d’hypoglycémie. Il existe deux approches pharmacologiques pour augmenter le GLP-1 : soit maintenir le taux de GLP-1 endogène en recourant à des inhibiteurs de sa dégradation enzymatique, soit remplacer l’hormone par des agonistes du récepteur de GLP-1 (GLP-1 RA). Deux principaux agonistes : le liraglutide (commercialisé en France) qui agit sur environ 24 heures et requiert donc une injection sous-cutanée quotidienne, et le dulaglutide qui agit sur plus d’une semaine. A côté de leur efficacité hyplogycémiante puissante, ces composés entraînent une perte pondérale. Ils sont globalement bien tolérés (troubles digestifs dans 20% des cas). Mais outre un antidiabétique, le GLP-1-RA est aussi un protecteur cardiovasculaire, ainsi qu’il a été démontré pour le liraglutide par l’étude LEADER portant sur 9340 patients atteints d’un diabète de type 2. Le mécanisme de cet effet reste à élucider. Il est possible qu’à côté d’une sommation de bénéfices métaboliques (réduction de la glycémie, du poids, de la tension artérielle), le GLP-1 exerce une action directement vasculaire. Ainsi émerge aujourd’hui un nouveau paradigme pour lutter contre les complications du diabète de type 2 : non seulement réduire l’hyperglycémie mais recourir à des médicaments antidiabétiques ayant démontré un bénéfice cardiovasculaire dont le liraglutide. Retrouvez l'intégralité de la séance ➡️ http://www.academie-medecine.fr/seance-commune-du-10-avril-2018-des-commissions-therapeutique-pharmacologie-toxicologie-medicaments-et-autres-produits-de-sante-et-maladies-cardiovasculaires-et-appareil-digestif-nutrit/ Et suivez l'actualité de l'Académie nationale de médecine sur TWITTER : @acadmed

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How to Incorporate Advanced Keto Gummies Into Your Routine

If you’re ready to start advancing your keto diet with Advanced Keto Gummies, it’s important to know how to incorporate them into your daily routine for maximum effectiveness. The recommended dose of these gummies is one to two per day, preferably before a meal. You can take them in the morning to kickstart your ketosis or in the afternoon to boost your energy levels and curb cravings.

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Conclusion

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FAQ:

Q: Are Advanced Keto Gummies safe to use?

A: Yes, Advanced Keto Gummies are made with natural ingredients and are generally safe for most individuals to use. However, it’s always a good idea to consult with your healthcare provider before starting any new supplement regimen, especially if you have underlying health conditions or are taking medications.

Q: How long does it take to see results with Advanced Keto Gummies?

A: Results can vary from person to person, but many individuals report seeing improvements in their energy levels, focus, and weight loss within a few weeks of taking Advanced Keto Gummies. Consistent use of these gummies, combined with a healthy diet and exercise routine, can help you achieve your weight loss goals more quickly.

Q: Can I take Advanced Keto Gummies if I’m not following a keto diet?

A: While Advanced Keto Gummies are specifically formulated to support a ketogenic diet, you can still take them even if you’re not following a strict keto regimen. The ingredients in these gummies can help support weight loss and energy levels, regardless of your current diet. However, for optimal results, it’s recommended to follow a low-carb, high-fat diet while taking these gummies.

Q: Are there any side effects of taking Advanced Keto Gummies?

A: Some individuals may experience mild side effects when first starting to take Advanced Keto Gummies, such as digestive issues or headaches. These side effects are usually temporary and can be minimized by starting with a lower dose and gradually increasing over time. If you experience persistent or severe side effects, discontinue use and consult with your healthcare provider.

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