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Published on: April 23, 2018
Pharmacological approaches to the prevention of type 2 diabetes mellitus
Priyanka Majety1, Faustina Alejandra Lozada Orquera1, Dinesh Edem2
1Division of Endocrinology, Diabetes and Metabolism, Virginia Commonwealth University Health System, Richmond, VA, United States.
Abstract:
About 1 in 10 adults worldwide are estimated to have diabetes mellitus. They are at risk of developing life-threatening complications resulting in reduced quality of life, increased mortality and higher healthcare costs. The ability to prevent or delay type 2 diabetes mellitus (T2DM) by modifying some of its risk factors has been hypothesized for decades. The long and often gradual time-course of increasing dysglycemia prior to diabetes diagnosis suggests that interventions during that period could be effective in preventing T2DM. In addition to lifestyle modifications, certain drugs prevent or slow development of hyperglycemia. Recently, drugs used for obesity management were shown to prevent T2DM. In this review, we discuss various pharmacotherapeutic options for preventing T2DM.
Insights
Preventing type 2 diabetes mellitus (T2DM) is possible through lifestyle changes and medications. This review explores pharmacotherapeutic options, including recent obesity drugs, to delay or prevent T2DM and its complications.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Pharmacology
Background:
- Diabetes mellitus affects approximately 10% of the global adult population.
- Diabetes leads to severe complications, reduced quality of life, and increased mortality.
- The pre-diabetic period offers a window for interventions to prevent type 2 diabetes mellitus (T2DM).
Purpose of the Study:
- To review pharmacotherapeutic strategies for T2DM prevention.
- To highlight the role of obesity management drugs in preventing T2DM.
Main Methods:
- Literature review of pharmacotherapeutic options for T2DM prevention.
- Analysis of studies on drugs impacting hyperglycemia and T2DM development.
Main Results:
- Lifestyle modifications are a cornerstone of T2DM prevention.
- Several drug classes can prevent or delay the onset of hyperglycemia.
- Emerging evidence supports the use of obesity medications for T2DM prevention.
Conclusions:
- Pharmacotherapy represents a viable strategy to prevent T2DM.
- Targeting risk factors during the dysglycemic phase is crucial.
- Obesity drugs show promise in T2DM prevention, warranting further investigation.
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