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Review of current and emerging therapies in type 2 diabetes mellitus
1College of Pharmacy and Allied Health Professions, St. John's University, Queens, and North Shore University Hospital, Manhasset, NY, USA. mazzolan@stjohns.edu
Abstract:
Significant advances in the treatment of type 2 diabetes mellitus (T2DM) include the implementation of prevention efforts aimed at delaying progression of glucose intolerance to overt diabetes mellitus (DM) and the development of new classes of blood glucose-lowering medications to supplement existing therapies. While the current management approach for T2DM continues to encompass traditional drugs that focus on β-cell failure and/or insulin resistance, newer agents that target other defects (eg, incretin deficiency/resistance) are increasingly incorporated. Furthermore, the effect of therapies on associated comorbidities (eg, dyslipidemia, hypertension, obesity, hypercoagulability) has become an additional therapeutic focus. This article provides a discussion of specific pharmacologic agents, based on guidelines from the American Diabetes Association/European Association for the Study of Diabetes and relevant clinical studies. An extensive update on the newest drugs (eg, incretin-based therapies, amylin agonists) and managed care aspects of diabetes care is also included.
Insights
Advances in type 2 diabetes mellitus (T2DM) treatment include prevention strategies and new glucose-lowering medications targeting various defects. Management now also focuses on comorbidities like dyslipidemia and hypertension.
Area of Science:
- Endocrinology
- Pharmacology
Background:
- Type 2 diabetes mellitus (T2DM) management has evolved with prevention and novel drug classes.
- Current T2DM therapies address beta-cell failure and insulin resistance.
- Emerging treatments target other defects like incretin deficiency.
Purpose of the Study:
- To discuss pharmacologic agents for T2DM based on current guidelines.
- To provide an update on the newest diabetes medications.
- To include managed care aspects of T2DM treatment.
Main Methods:
- Review of guidelines from the American Diabetes Association/European Association for the Study of Diabetes.
- Analysis of relevant clinical studies on T2DM pharmacotherapies.
- Discussion of specific drug classes, including incretin-based therapies and amylin agonists.
Main Results:
- Newer agents targeting incretin deficiency/resistance are increasingly used.
- Therapeutic focus now includes managing comorbidities such as dyslipidemia, hypertension, and obesity.
- Updated information on novel drugs and managed care is presented.
Conclusions:
- T2DM treatment incorporates prevention, traditional drugs, and newer agents targeting diverse defects.
- Comorbidity management is a key aspect of modern T2DM pharmacotherapy.
- This review offers an update on T2DM drug therapies and care strategies.
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