Effect of add-on proton pump inhibitors on parameters of glycemic control in type-2 diabetic patients


  • Amruta P. Patil Department of Pharmacology, Dr. Vaishampayan Memorial Government Medical College, Solapur 413003, Maharashtra, India
  • Prashant A. Shirure Department of Pharmacology, Dr. Vaishampayan Memorial Government Medical College, Solapur 413003, Maharashtra, India




β cell neogenesis, Proton pump inhibitors, Raised gastrin level, Type 2 diabetes mellitus


Proton pump inhibitors (PPIs) block the parietal cell H+/K+ ATPase, are superior at suppressing acid secretion & promoting peptic ulcer healing, wildly used clinically for the therapy of gastro-esophageal reflex disease, gastritis due to excess stomach acid, and gastric ulcers. After blocking the production of gastric acid, the proton-pump inhibitors indirectly elevate serum gastrin levels via a negative feedback effect. Evidences are reported that gastrin promotes β cell neogenesis in pancreatic ductal complex, modest pancreatic β cell replication and improvement of glucose tolerance in animal models. Some recent clinical studies have shown improved glucose tolerance in type-2 diabetes mellitus (T2DM). Although PPIs may be possible candidates for a new approach in the therapy of diabetes, a prospective, long-term, randomized, double-blind, placebo-controlled study is needed to establish the effect of PPIs on glycemic control in a large number of patients with T2DM.


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How to Cite

Patil, A. P., & Shirure, P. A. (2017). Effect of add-on proton pump inhibitors on parameters of glycemic control in type-2 diabetic patients. International Journal of Basic & Clinical Pharmacology, 6(6), 1233–1237. https://doi.org/10.18203/2319-2003.ijbcp20172219



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