Effects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy

Diabetic neuropathy is a severe complication of diabetes mellitus (DM) that considerably worsens the patients quality of life and reduces life expectancy.The FIELD study for the first time demonstrated the ability of fenofibrate to prevent macro- and microvacular complications in patientswith DM2 re...

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Autores principales: Olga Nikolaevna Tkacheva, Irina Mikhailovna Novikova, Natalya Viktorovna Sharashkina, Khyadi Magometovna Torshkhoeva, Nadezhda Konstantinovna Runikhina
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Publicado: Endocrinology Research Centre 2010
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spelling oai:doaj.org-article:aa80eabb72264d718010560156b4bb372021-11-14T09:00:14ZEffects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy2072-03512072-037810.14341/2072-0351-6014https://doaj.org/article/aa80eabb72264d718010560156b4bb372010-03-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6014https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Diabetic neuropathy is a severe complication of diabetes mellitus (DM) that considerably worsens the patients quality of life and reduces life expectancy.The FIELD study for the first time demonstrated the ability of fenofibrate to prevent macro- and microvacular complications in patientswith DM2 regardless of glycated hemoglobin level and dyslipidemia at the early stage of the disease. Neuropathy being a manifestation of microangiopathy,it suggests the possibility to treat this disorder with fenofibrate.Aim. To study effects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy. Materials and methods. The present study included 73 patients with DM2 randomized into 2 groups to receive standard therapy (antihypertensiveand glucose control, statins) or fenofibrate (Tricor 145 mg, Solvay Pharma) in addition to the standard treatment. Results. Positive effect of fenofibrate on autonomous and peripheral neuropathy was apparent within 6 months after the onset of therapy when thesought parameters of AP, glycemia, and lipid spectrum were achieved. Fenofibrate improved cardiovascular function, reduced cardiac rhythm variability;QT length and dispersion, pain and paresthesia thereby enhancing quality of life and preventing cardiovascular catastrophes including death. Conclusion. It is concluded that supplementation of standard therapy of DM with fenofibrate is both safe and pathogenetically sound.Olga Nikolaevna TkachevaIrina Mikhailovna NovikovaNatalya Viktorovna SharashkinaKhyadi Magometovna TorshkhoevaNadezhda Konstantinovna RunikhinaEndocrinology Research Centrearticlediabetic neuropathydislipidemiafenofibrateNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 13, Iss 1, Pp 33-39 (2010)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetic neuropathy
dislipidemia
fenofibrate
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetic neuropathy
dislipidemia
fenofibrate
Nutritional diseases. Deficiency diseases
RC620-627
Olga Nikolaevna Tkacheva
Irina Mikhailovna Novikova
Natalya Viktorovna Sharashkina
Khyadi Magometovna Torshkhoeva
Nadezhda Konstantinovna Runikhina
Effects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy
description Diabetic neuropathy is a severe complication of diabetes mellitus (DM) that considerably worsens the patients quality of life and reduces life expectancy.The FIELD study for the first time demonstrated the ability of fenofibrate to prevent macro- and microvacular complications in patientswith DM2 regardless of glycated hemoglobin level and dyslipidemia at the early stage of the disease. Neuropathy being a manifestation of microangiopathy,it suggests the possibility to treat this disorder with fenofibrate.Aim. To study effects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy. Materials and methods. The present study included 73 patients with DM2 randomized into 2 groups to receive standard therapy (antihypertensiveand glucose control, statins) or fenofibrate (Tricor 145 mg, Solvay Pharma) in addition to the standard treatment. Results. Positive effect of fenofibrate on autonomous and peripheral neuropathy was apparent within 6 months after the onset of therapy when thesought parameters of AP, glycemia, and lipid spectrum were achieved. Fenofibrate improved cardiovascular function, reduced cardiac rhythm variability;QT length and dispersion, pain and paresthesia thereby enhancing quality of life and preventing cardiovascular catastrophes including death. Conclusion. It is concluded that supplementation of standard therapy of DM with fenofibrate is both safe and pathogenetically sound.
format article
author Olga Nikolaevna Tkacheva
Irina Mikhailovna Novikova
Natalya Viktorovna Sharashkina
Khyadi Magometovna Torshkhoeva
Nadezhda Konstantinovna Runikhina
author_facet Olga Nikolaevna Tkacheva
Irina Mikhailovna Novikova
Natalya Viktorovna Sharashkina
Khyadi Magometovna Torshkhoeva
Nadezhda Konstantinovna Runikhina
author_sort Olga Nikolaevna Tkacheva
title Effects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy
title_short Effects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy
title_full Effects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy
title_fullStr Effects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy
title_full_unstemmed Effects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy
title_sort effects of fenofibrate in patients with type 2 diabetes mellitus complicated by diabetic neuropathy
publisher Endocrinology Research Centre
publishDate 2010
url https://doaj.org/article/aa80eabb72264d718010560156b4bb37
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