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Author Spotlight: Unlocking the Mysteries of Oral Potential Malignancies
Published on: August 11, 2023
New oral antidiabetic agents
Paolo Cavallo Perin1, Paolo Fornengo
1Department of Internal Medicine, University of Torino, Corso AM Dogliotti 14, Turin, Italy. paolo.cavalloperin@unito.it
Abstract:
The pathophysiology of hyperglycemia in type 2 diabetes (T2DM) involves 3 main defects: insulin deficiency, excess hepatic glucose output, and insulin resistance. Oral anti-diabetic agents act in a variety of ways. These include agents that stimulate insulin secretion, reduce hepatic glucose production, delay digestion and absorption of intestinal carbohydrate or improve insulin action. Because of improved knowledge of pathophysiology, new drugs with mechanisms of action focussed on specific pathophysiological alterations have appeared, in order to utilize all the possibilities of treating this condition. Here, we focus on the new agents used in the latest years and the overcoming ones in future, in particular incretin-based therapies, drugs inhibiting kidney glucose reabsorption (SGLT2 inhibitors), and glucokinase activators. The strategy for new drug development advocated here is to establish a broad range of anti-diabetic medicines with different mechanisms of action and potential opportunities for effective combination therapies.
Insights
New oral anti-diabetic agents target specific type 2 diabetes (T2DM) defects like insulin deficiency and resistance. Future strategies focus on incretin-based therapies, SGLT2 inhibitors, and glucokinase activators for combination treatments.
Area of Science:
- Endocrinology
- Pharmacology
- Metabolic Diseases
Background:
- Type 2 diabetes (T2DM) pathophysiology involves insulin deficiency, excess hepatic glucose production, and insulin resistance.
- Oral anti-diabetic agents target these defects through various mechanisms, including stimulating insulin secretion, reducing glucose production, and improving insulin action.
Purpose of the Study:
- To review novel oral anti-diabetic agents and future therapeutic strategies for T2DM.
- To highlight the importance of targeting specific pathophysiological alterations in T2DM management.
Main Methods:
- Focus on recent advancements in oral anti-diabetic drug development.
- Discussion of incretin-based therapies, SGLT2 inhibitors, and glucokinase activators.
- Exploration of combination therapy potential.
Main Results:
- Newer agents offer targeted mechanisms for T2DM pathophysiology.
- Incretin-based therapies, SGLT2 inhibitors, and glucokinase activators represent key advancements.
- Combination therapies hold promise for improved glycemic control.
Conclusions:
- A broad range of anti-diabetic medications with diverse mechanisms is essential.
- Future drug development should focus on effective combination strategies for T2DM.
- Personalized treatment approaches leveraging new drug classes are crucial for managing T2DM.
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