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DPP-4 inhibitors are implemented into the treatment algorithms of type 2 diabetes in many national and international guidelines ( The various DPP-4 inhibitors do not form a homogenous class of molecules, and they show different interactions with the active site of the enzyme molecule

Subgroup analyses indicated that this risk was particularly elevated in individuals receiving high-dose treatment, in studies of long-acting agents, and in overweight/obese populations
