Cooling down inflammation in type 2 diabetes: how strong is the evidence for cardiometabolic benefit?

Maria Ida Maiorino1, Giuseppe Bellastella2, Dario Giugliano2

  • 1Department of Medical, Surgical, Neurological, Metabolic Sciences and Aging, Endocrinology and Metabolic Diseases Unit, Second University of Naples, Piazza L. Miraglia n° 2, 80138, Naples, Italy. mariaida.maiorino@unina2.it.

Endocrine
|May 28, 2016
PubMed

Insights

Anti-inflammatory drugs show modest effects on glycemic control in type 2 diabetes patients. While promising, further research is needed to confirm benefits for cardiovascular complications and blood sugar management.

Area of Science:

  • Endocrinology
  • Cardiology
  • Immunology

Background:

  • Chronic inflammation is a key factor in cardiometabolic dysfunction associated with type 2 diabetes.
  • Numerous anti-inflammatory drugs have been investigated for their potential to manage type 2 diabetes complications.

Purpose of the Study:

  • To review evidence from randomized controlled trials on the efficacy of anti-inflammatory drugs in improving glycemic control and reducing cardiovascular events in type 2 diabetes patients.
  • To assess the current status and future directions of targeting inflammation for managing type 2 diabetes.

Main Methods:

  • Systematic review of randomized controlled trials published up to March 2016, sourced from PubMed.
  • Evaluation of drugs including hydroxychloroquine, anti-tumor necrosis factor therapies, salsalate, interleukin-1 antagonists, and CC-R2 antagonists.

Main Results:

  • Most clinical trials demonstrated only modest improvements in HbA1c or glucose control with anti-inflammatory agents.
  • A trial of losmapimod (p38 inhibitor) in acute myocardial infarction patients, including those with diabetes, did not reduce major ischemic cardiovascular events.

Conclusions:

  • Current evidence suggests limited clinical benefit of anti-inflammatory drugs on glycemic control in type 2 diabetes.
  • Further research is required to determine if targeting inflammation pathways can effectively reduce cardiovascular complications and improve glycemic control in type 2 diabetes.

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