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Pharmacotherapy of type 2 diabetes: An update.

TitlePharmacotherapy of type 2 diabetes: An update.
Publication TypeJournal Article
Year of Publication2018
AuthorsUpadhyay, J., Polyzos S. A., Perakakis N., Thakkar B., Paschou S. A., Katsiki N., Underwood P., Park K-H., Seufert J., Kang E. Seok, Sternthal E., Karagiannis A., & Mantzoros C. S.
JournalMetabolism
Volume78
Pagination13-42
Date Published2018 01
ISSN1532-8600
KeywordsAnimals, Blood Glucose, Diabetes Mellitus, Type 2, Humans, Hypoglycemic Agents
Abstract

Type 2 diabetes (T2DM) is a leading cause of morbidity and mortality worldwide and a major economic burden. The prevalence of T2DM is rising, suggesting more effective prevention and treatment strategies are necessary. The aim of this narrative review is to summarize the pharmacologic treatment options available for patients with T2DM. Each therapeutic class is presented in detail, outlining medication effects, side effects, glycemic control, effect on weight, indications and contraindications, and use in selected populations (heart failure, renal insufficiency, obesity and the elderly). We also present representative cost for each antidiabetic category. Then, we provide an individualized guide for initiation and intensification of treatment and discuss the considerations and rationale for an individualized glycemic goal.

DOI10.1016/j.metabol.2017.08.010
Alternate JournalMetab. Clin. Exp.
PubMed ID28920861

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