The pathophysiologic basis of efficacy and clinical experience with the new oral antidiabetic agents.

Abstract:

:Type 2 diabetes results from the abnormal resistance of peripheral tissues to insulin and from the progressive insulin secretory failure of the pancreatic beta-cells. Treatment of type 2 diabetes has greatly improved due to the availability of new classes of oral antidiabetic drugs (OADs) and new insulin analogs. Three types of oral medications exert their antidiabetic action without directly stimulating insulin release: alpha-glucosidase inhibitors (e.g., acarbose) interfere with the digestion of dietary glucose precursors and the absorption of glucose; biguanides (e.g., metformin) inhibit hepatic gluconeogenesis, thereby lowering fasting blood glucose concentrations and increasing peripheral insulin sensitivity; and thiazolidinediones (e.g., rosiglitazone) improve the sensitivity of tissues to insulin-stimulated glucose disposal. In contrast, two classes of OADs stimulate insulin release from pancreatic beta-cells. Sulfonylureas (e.g., glyburide) have been used successfully for many years to treat type 2 diabetes, but their prolonged action may result in hypoglycemia. The third-generation sulfonylurea glimepiride is associated with a reduced risk of hypoglycemia and less weight gain than other sulfonylureas. Finally, the meglitinides (e.g., repaglinide) and D-phenylalanine derivatives (e.g., nateglinide) are powerful prandial insulin secretagogues. If the pancreatic beta-cells deteriorate to such an extent that insulin secretion is significantly impaired, treatment with additional exogenous insulin may be required.

authors

Rosak C

doi

10.1016/s1056-8727(01)00207-0

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

123-32

issue

1

eissn

1056-8727

issn

1873-460X

pii

S1056872701002070

journal_volume

16

pub_type

杂志文章,评审
  • Effects of structured testing versus routine testing of blood glucose in diabetes self-management: A randomized controlled trial.

    abstract:AIMS:To compare the effects of structured and routine testing regimens used in self-monitoring of blood glucose (SMBG) on glycemic control and diabetes self-management in insulin-naïve type 2 diabetes patients. METHODS:Sixty-two outpatients with insulin-naïve type 2 diabetes were randomly allocated into two less-frequ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jdiacomp.2016.08.019

    authors: Nishimura A,Harashima SI,Fujita Y,Tanaka D,Wang Y,Liu Y,Inagaki N

    更新日期:2017-01-01 00:00:00

  • Clinical resolution of glycogenic hepatopathy following improved glycemic control.

    abstract::Glycogenic hepatopathy is an underrecognized complication of long-standing poorly controlled diabetes mellitus. It is characterized by abnormal glycogen accumulation in hepatocytes, elevated liver enzymes and hepatomegaly. This is a distinct entity from other causes of hepatomegaly and elevated liver enzymes in diabet...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2007.11.004

    authors: Hudacko RM,Manoukian AV,Schneider SH,Fyfe B

    更新日期:2008-09-01 00:00:00

  • Effect of bitter gourd and spent turmeric on glycoconjugate metabolism in streptozotocin-induced diabetic rats.

    abstract:AIM:Changes in glycoconjugate metabolism during the development of diabetic complications and their modulation by feeding bitter gourd and spent turmeric as fiber-rich source. METHOD:This was studied by measuring the contents of total sugar, uronic acid, amino sugar, and sulfate in the streptozotocin-induced diabetic ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2007.09.005

    authors: Vijayalakshmi B,Kumar GS,Salimath PV

    更新日期:2009-01-01 00:00:00

  • The impact of sensory and/or sensorimotor neuropathy on lower limb muscle endurance, explosive and maximal muscle strength in patients with type 2 diabetes mellitus.

    abstract:AIMS:The purpose of this study was to investigate the impact of diabetic neuropathy (dNP) on lower limb endurance, explosive and maximal muscle strength in patients with Type 2 Diabetes Mellitus (T2DM). METHODS:Fifty-four participants, aged between 55 and 85, were enrolled in this observational comparative study. The ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2020.107562

    authors: Van Eetvelde BLM,Lapauw B,Proot P,Vanden Wyngaert K,Celie B,Cambier D,Calders P

    更新日期:2020-06-01 00:00:00

  • Consequences of delayed pump infusion line change in patients with type 1 diabetes mellitus treated with continuous subcutaneous insulin infusion.

    abstract:OBJECTIVE:To systematically investigate the effect of lack of adherence to the recommended change in insulin pump infusion line use beyond 48 h and determine whether the type of insulin made a difference. RESEARCH DESIGN AND METHODS:This was a double-blind, randomized, crossover trial with 20 patients with diabetes me...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jdiacomp.2009.03.002

    authors: Thethi TK,Rao A,Kawji H,Mallik T,Yau CL,Christians U,Fonseca V

    更新日期:2010-03-01 00:00:00

  • All-cause and cardiovascular mortality risk in U.S. adults with and without type 2 diabetes: Influence of physical activity, pharmacological treatment and glycemic control.

    abstract:AIMS:This study determined the joint association between physical activity, pharmacotherapy, and HbA1c control on all-cause and cardiovascular disease (CVD) mortality risk in adults with and without type 2 diabetes (T2D). METHODS:12,060 adults from NHANES III and NHANES continuous (1999-2002) surveys were used. Cox pr...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2013.06.005

    authors: Brown RE,Riddell MC,Macpherson AK,Canning KL,Kuk JL

    更新日期:2014-05-01 00:00:00

  • Diabetes mellitus increases the risk of rotator cuff tear repair surgery: A population-based cohort study.

    abstract:BACKGROUND:Rotator cuff tears are the most common cause of shoulder disability in people older than 50years, and surgical intervention is usually required for restoring functioning. However, in patients undergoing rotator cuff repair surgery, patients with DM had poorer functional outcomes than those without DM, and he...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2016.07.015

    authors: Huang SW,Wang WT,Chou LC,Liou TH,Chen YW,Lin HW

    更新日期:2016-01-01 00:00:00

  • Clustering of unhealthy lifestyle behaviors is associated with nonadherence to clinical preventive recommendations among adults with diabetes.

    abstract:AIM:Analyze clustering of unhealthy lifestyle behavior and its relationship with nonadherence to clinical preventive care services among Spanish diabetic adults. METHODS:Cross-sectional study including 2156 diabetic adults from the 2006 Spanish National Health Survey. Subjects were asked about their uptake of BP measu...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2010.04.002

    authors: Jiménez-García R,Esteban-Hernández J,Hernández-Barrera V,Jimenez-Trujillo I,López-de-Andrés A,Carrasco Garrido P

    更新日期:2011-03-01 00:00:00

  • Predictors of improvement and progression of diabetic polyneuropathy following treatment with α-lipoic acid for 4 years in the NATHAN 1 trial.

    abstract:AIMS:We aimed to analyze the impact of baseline factors on the efficacy of α-lipoic acid (ALA) over 4 years in the NATHAN 1 trial. METHODS:This was a post-hoc analysis of the NATHAN 1 trial, a 4-year randomized study including 460 diabetic patients with mild-to-moderate polyneuropathy using ALA 600 mg qd or placebo. A...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jdiacomp.2015.10.018

    authors: Ziegler D,Low PA,Freeman R,Tritschler H,Vinik AI

    更新日期:2016-03-01 00:00:00

  • Relationship between dipstick positive proteinuria and albumin:creatinine ratios.

    abstract::Currently, neither the American Diabetes Association nor the Kidney Foundation consider the results of a positive dipstick urine test for protein, a semi-quantitative measurement, in the final evaluation of diabetic nephropathy. Instead, they require a quantitative test. The object of this study was to assess whether ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/s1056-8727(98)00017-8

    authors: Davidson MB,Smiley JF

    更新日期:1999-01-01 00:00:00

  • Stratifying healthcare costs using the Diabetes Complication Severity Index.

    abstract:OBJECTIVE:We aim to determine whether healthcare costs for patients diagnosed with Type 2 Diabetes Mellitus (T2DM) are associated with the severity of diabetes complications as measured by the Diabetes Complication Severity Index (DCSI). METHODS:Retrospective cohort analysis was performed on a 2007 primary care cohort...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2012.02.004

    authors: Wu CX,Tan WS,Toh MP,Heng BH

    更新日期:2012-03-01 00:00:00

  • Beta thalassemia and energy consumption in hemoglobin A1C formation: a model.

    abstract::Hemoglobin (Hb) A1C is the nonenzymatic glycated product of the Hb beta chain at the valine terminal residue. Recently, the nature of energy-consuming reaction in HbA1C formation was reported, and this was proposed as an underlying pathophysiology for poor nutritional status, muscle loss, and functional impairment in ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2006.05.002

    authors: Wiwanitkit V

    更新日期:2007-09-01 00:00:00

  • Body fluid abnormalities in severe hyperglycemia in patients on chronic dialysis: theoretical analysis.

    abstract::Hyperglycemic syndromes cause disturbances in the tonicity of body fluids, the distribution of body water between major body fluid compartments, and the external balance of body solute and water. The unique feature of dialysis-associated hyperglycemia (DH) is that, during its development, it can cause changes exclusiv...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2007.05.007

    authors: Tzamaloukas AH,Ing TS,Siamopoulos KC,Rohrscheib M,Elisaf MS,Raj DS,Murata GH

    更新日期:2007-11-01 00:00:00

  • Increased interleukin-18 content and angiogenic activity of sera from diabetic (Type 2) patients with background retinopathy.

    abstract::Hyperglycaemia increases inflammatory cytokine concentration in the blood. Elevated levels of interleukin-18 (IL-18), a cytokine belonging to the interleukin-1 (IL-1) family, were recently reported in patients with Type 2 diabetes mellitus (DM2) and nephropathy. The aim of the present work was an examination of IL-18 ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2005.02.008

    authors: Skopiński P,Rogala E,Duda-Król B,Lipińska A,Sommer E,Chorostowska-Wynimko J,Szaflik J,Partyka I,Skopińska-Rózewska E

    更新日期:2005-11-01 00:00:00

  • Preserved tissue-type plasminogen activator release and endothelium-dependent vasodilation in postmenopausal women with NIDDM.

    abstract::We have recently shown that the net release of tissue-type plasminogen activator (t-PA) antigen can be rapidly enhanced by the muscarinic receptor stimulation in healthy males. Since diabetes mellitus has been associated with endothelial dysfunction, the aim of the present study was to compare the endothelium-derived ...

    journal_title:Journal of diabetes and its complications

    pub_type: 临床试验,杂志文章

    doi:10.1016/s1056-8727(00)00058-1

    authors: Manhem K,Dotevall A,Wilhelmsen L,Jern S

    更新日期:2000-05-01 00:00:00

  • Serum apolipoprotein A-1 concentrations and the prevalence of cardiovascular autonomic neuropathy in individuals with type 2 diabetes.

    abstract:OBJECTIVE:To evaluate the relationship between levels of serum apolipoproteins and the prevalence of cardiovascular autonomic neuropathy (CAN) in type 2 diabetes. METHODS:In total, 3199 individuals with type 2 diabetes were investigated in a cross-sectional study. The diagnosis of CAN was made based on the results of ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2018.01.006

    authors: Chung JO,Park SY,Han JH,Cho DH,Chung DJ,Chung MY

    更新日期:2018-04-01 00:00:00

  • Insulin resistance is associated with Fibroblast Growth Factor-23 in stage 3-5 chronic kidney disease patients.

    abstract:AIM:To determine the associations between insulin resistance, fibroblast growth factor 23 (FGF-23), and coronary artery calcification (CAC) in chronic kidney disease (CKD) patients. INTRODUCTION:FGF-23 is associated with atherosclerosis and cardiovascular disease, but its association with insulin resistance in CKD has...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2013.09.004

    authors: Garland JS,Holden RM,Ross R,Adams MA,Nolan RL,Hopman WM,Morton AR

    更新日期:2014-01-01 00:00:00

  • Measurable deficit of autonomic and sensory nerve function in asymptomatic diabetic patients.

    abstract::In a group of 46 consecutive outpatients attending the diabetic clinic of our Metabolic Department, 30 insulin-dependent and 16 non-insulin-dependent diabetic patients in stable metabolic control, and in 38 age-matched controls, we measured vibration perception threshold with biothesiometer and autonomic function, by ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/1056-8727(92)90030-o

    authors: Piaggesi A,Castro Lòpez E,Bini L,Benzi L,Giampietro O,Schipani E,Navalesi R

    更新日期:1992-07-01 00:00:00

  • Is hyperfiltration associated with higher urine albumin-to-creatinine ratio at follow up among Indigenous Australians? The eGFR follow-up study.

    abstract:BACKGROUND:Glomerular hyperfiltration is not able to be detected in clinical practice. We assessed whether hyperfiltration is associated with albuminuria progression among Indigenous Australians at high risk of diabetes and kidney disease to determine its role in kidney disease progression. METHODS:Longitudinal observ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2019.02.005

    authors: Ekinci EI,Barr ELM,Barzi F,Hughes JT,Lawton PD,Jones GRD,Hoy W,Cass A,Thomas M,Sinha A,Jerums G,O'Dea K,MacIsaac RJ,Maple-Brown LJ

    更新日期:2019-05-01 00:00:00

  • Cancer risks of anti-hyperglycemic drugs for type 2 diabetes treatment - a clinical appraisal.

    abstract:AIM:A clinical appraisal of existing scientific literature sought to assess the need for long-term prospective epidemiological studies to investigate an increased cancer risk of anti-hyperglycemic medication in type 2 diabetes. METHOD:A focus statement was formulated as: "With a higher risk of cancers in patients with...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章,评审

    doi:10.1016/j.jdiacomp.2017.06.003

    authors: Vora J,Ray K,Kosiborod M,Poulter NR,Rajagopalan S,Leiter LA

    更新日期:2017-09-01 00:00:00

  • Are there any glycemic thresholds for the serious microvascular diabetic complications?

    abstract::We randomized 102 patients with insulin-dependent diabetes to intensified treatment (n = 48 at baseline, n = 42 after 7.5 years) or standard treatment (n = 54 at baseline, n = 47 after 7.5 years). As has previously been reported, intensified treatment resulted in a retardation of retinopathy, nephropathy, and neuropat...

    journal_title:Journal of diabetes and its complications

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/1056-8727(94)00008-c

    authors: Reichard P

    更新日期:1995-01-01 00:00:00

  • Diabetes mellitus: The linkage between oxidative stress, inflammation, hypercoagulability and vascular complications.

    abstract:BACKGROUND:Vascular complications are the leading cause of morbidity and mortality among patients with type 1 and type 2 diabetes mellitus. These vascular abnormalities result of a chronic hyperglycemic state, which leads to an increase in oxidative stress and inflammatory responses. AIM:This review addresses the rela...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章,评审

    doi:10.1016/j.jdiacomp.2015.12.018

    authors: Domingueti CP,Dusse LM,Carvalho Md,de Sousa LP,Gomes KB,Fernandes AP

    更新日期:2016-05-01 00:00:00

  • Association between diabetes mellitus and hearing impairment in American and Korean populations.

    abstract:AIMS:The aim of this study was to evaluate ethnic- and sex-specific associations between DM and hearing impairment. METHODS:For this cross-sectional study using National Health and Nutrition Examination Survey in the U.S. and Korea, the total number of eligible participants included was 7081 in the U.S. and 15,704 in ...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2018.04.004

    authors: Moon S,Park JH,Yu JM,Choi MK,Yoo HJ

    更新日期:2018-07-01 00:00:00

  • Urinary miRNA-377 and miRNA-216a as biomarkers of nephropathy and subclinical atherosclerotic risk in pediatric patients with type 1 diabetes.

    abstract:BACKGROUND:Urinary microRNAs (miRNAs) play a role in the pathogenesis of chronic kidney disease (CKD). AIM:To identify the expression of urinary miR-377 and miR-216a in 50 children and adolescents with type 1 diabetes (T1DM) compared with 50 healthy controls and assess their relation to the degree of albuminuria, glyc...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2017.10.014

    authors: El-Samahy MH,Adly AA,Elhenawy YI,Ismail EA,Pessar SA,Mowafy ME,Saad MS,Mohammed HH

    更新日期:2018-02-01 00:00:00

  • Diabetes Complications Severity Index (DCSI)-Update and ICD-10 translation.

    abstract:AIMS:The Diabetes Complications Severity Index (DCSI) converts diagnostic codes and laboratory results into a 14-level metric quantifying the long-term effects of diabetes on seven body systems. Adoption of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) necessitates tran...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2017.02.018

    authors: Glasheen WP,Renda A,Dong Y

    更新日期:2017-06-01 00:00:00

  • The 1h post glucose value best predicts future dysglycemia among normal glucose tolerance subjects.

    abstract:AIM:To analyse the OGTT glycemic parameters - fasting, 1h and 2h plasma glucose values singly and in various combinations; with respect to their prediction of future dysglycemia in subjects with normal glucose tolerance (NGT). METHODS:Electronic medical records of individuals who underwent an OGTT between 1991 and 201...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2017.07.017

    authors: Sai Prasanna N,Amutha A,Pramodkumar TA,Anjana RM,Venkatesan U,Priya M,Pradeepa R,Mohan V

    更新日期:2017-11-01 00:00:00

  • Glycemic control is impaired in the evening in prediabetes through multiple diurnal rhythms.

    abstract:AIMS:Recent studies suggest that circadian rhythms regulate glucose metabolism, weight loss, and even drug efficacy. Moreover, molecules targeted at the circadian clock show promise in treating metabolic disease. Therefore, this study set out to better characterize interactions among diurnal rhythms in prediabetes. ME...

    journal_title:Journal of diabetes and its complications

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jdiacomp.2014.04.001

    authors: Sonnier T,Rood J,Gimble JM,Peterson CM

    更新日期:2014-11-01 00:00:00

  • Oxidative stress pathway genes and chronic renal insufficiency in Asian Indians with Type 2 diabetes.

    abstract:BACKGROUND:There are significant regional variations in prevalence of diabetes and diabetic chronic renal insufficiency (CRI) in India. Oxidative stress plays an important role in the development of diabetic complications. To determine the importance of the polymorphisms in the genes involved in maintenance of cellular...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2007.10.003

    authors: Tiwari AK,Prasad P,B K T,Kumar KM,Ammini AC,Gupta A,Gupta R

    更新日期:2009-03-01 00:00:00

  • Immigration and dietary patterns in South Asian Canadians at risk for diabetes.

    abstract:AIM:To examine the relationship between immigration and dietary patterns among South Asian adults at risk for diabetes and living in Canada. METHODS:We recruited 428 South Asian adults affiliated with Sikh and Hindu temples in Metro Vancouver. Of the total sample, 422 completed self-report surveys including demographi...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/j.jdiacomp.2016.08.003

    authors: Kandola K,Sandhu S,Tang T

    更新日期:2016-01-01 00:00:00

  • Superoxide production and LDL oxidation by diabetic neutrophils.

    abstract::The mechanism(s) resulting in the premature atherosclerosis of diabetes is unknown. Increased phagocyte release of reactive oxygen species such as superoxide anion (O2.-), resulting in low-density lipoprotein (LDL) oxidation, could be one possible cause. The purpose of the present study was to compare the abilities of...

    journal_title:Journal of diabetes and its complications

    pub_type: 杂志文章

    doi:10.1016/1056-8727(95)00002-x

    authors: Fuller CJ,Agil A,Lender D,Jialal I

    更新日期:1996-07-01 00:00:00