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Saxagliptin is an inhibitor of the dipeptidyl peptidase–4 enzyme. By inhibiting DPP–4, saxagliptin slows the inactivation of the incretin hormones, which increases their concentrations in the bloodstream and reduces both fasting and postprandial glucose concentrations in a glucose–dependent manner. Saxagliptin was approved on July, 2009, for use as monotherapy or as part of combination therapy as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.

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