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Updated: Jun 16, 2026

Homogeneous Time-resolved Förster Resonance Energy Transfer-based Assay for Detection of Insulin Secretion
Published on: May 10, 2018
[Hypoglycemic risk of insulinotropic drugs]
Ruwen Böhm1, Ingolf Cascorbi, Thomas Herdegen
1Institut für Experimentelle und Klinische Pharmakologie, Hospitalstrasse 4, 24105 Kiel.
Abstract:
Orally available insulinotropics that directly close K(ATP)-channels, such as sulfonylureas and glinides, differ in their pharmacokinetics and -dynamics (PK/PD). This results in different risks for their incidence of hypoglycemic episodes. Glibenclamide (USAN: glyburide) has the highest risk, followed by glimepiride. Glinides reveal a low risk of hypoglycemia due to their short duration of drug effect. Apart from PK/PD, clinically more relevant factors determine incidences of hypoglycemia. Adequate supervision at initial prescription or switch of insulinotropic drugs, comedication and patient compliance superimpose these pharmacological differences.
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