Practical combination therapy based on pathophysiology of type 2 diabetes

Philip A Levin MODEL Clinical Research, Endocrinology, Department of Medicine, Greater Baltimore Medical Center, Baltimore, MD, USA Abstract: Type 2 diabetes is a complex, chronic, and progressive condition that often necessitates the use of multiple medications to achieve glycemic goals. Clinical g...

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Autor principal: Levin PA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
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Acceso en línea:https://doaj.org/article/d880000e07b84ec485688e6ac7a94a15
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spelling oai:doaj.org-article:d880000e07b84ec485688e6ac7a94a152021-12-02T07:53:25ZPractical combination therapy based on pathophysiology of type 2 diabetes1178-7007https://doaj.org/article/d880000e07b84ec485688e6ac7a94a152016-10-01T00:00:00Zhttps://www.dovepress.com/practical-combination-therapy-based-on-pathophysiology-of-type-2-diabe-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Philip A Levin MODEL Clinical Research, Endocrinology, Department of Medicine, Greater Baltimore Medical Center, Baltimore, MD, USA Abstract: Type 2 diabetes is a complex, chronic, and progressive condition that often necessitates the use of multiple medications to achieve glycemic goals. Clinical guidelines generally recommend intensifying pharmacotherapy if glycemic goals are not achieved after 3 months of treatment. However, for many patients with type 2 diabetes, treatment intensification is delayed or does not occur. Initiating combination therapy early in the disease course has the potential to delay disease progression and improve patient outcomes. Guidelines generally provide a list of agents that may be used in combination regimens and emphasize individualization of treatment. The purpose of this review is to discuss the rationale for combination therapy, considering treatment effects on pathophysiologic aspects of type 2 diabetes and individual drug profiles. The combination of newer antidiabetes therapies with complementary mechanisms of action provides the opportunity to target multiple sites of tissue, organ, and cellular dysfunction. Keywords: type 2 diabetes, combination therapy, oral antidiabetes drugs, insulinLevin PADove Medical PressarticleType 2 diabetescombination therapyoral antidiabetes drugsinsulinSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 9, Pp 355-369 (2016)
institution DOAJ
collection DOAJ
language EN
topic Type 2 diabetes
combination therapy
oral antidiabetes drugs
insulin
Specialties of internal medicine
RC581-951
spellingShingle Type 2 diabetes
combination therapy
oral antidiabetes drugs
insulin
Specialties of internal medicine
RC581-951
Levin PA
Practical combination therapy based on pathophysiology of type 2 diabetes
description Philip A Levin MODEL Clinical Research, Endocrinology, Department of Medicine, Greater Baltimore Medical Center, Baltimore, MD, USA Abstract: Type 2 diabetes is a complex, chronic, and progressive condition that often necessitates the use of multiple medications to achieve glycemic goals. Clinical guidelines generally recommend intensifying pharmacotherapy if glycemic goals are not achieved after 3 months of treatment. However, for many patients with type 2 diabetes, treatment intensification is delayed or does not occur. Initiating combination therapy early in the disease course has the potential to delay disease progression and improve patient outcomes. Guidelines generally provide a list of agents that may be used in combination regimens and emphasize individualization of treatment. The purpose of this review is to discuss the rationale for combination therapy, considering treatment effects on pathophysiologic aspects of type 2 diabetes and individual drug profiles. The combination of newer antidiabetes therapies with complementary mechanisms of action provides the opportunity to target multiple sites of tissue, organ, and cellular dysfunction. Keywords: type 2 diabetes, combination therapy, oral antidiabetes drugs, insulin
format article
author Levin PA
author_facet Levin PA
author_sort Levin PA
title Practical combination therapy based on pathophysiology of type 2 diabetes
title_short Practical combination therapy based on pathophysiology of type 2 diabetes
title_full Practical combination therapy based on pathophysiology of type 2 diabetes
title_fullStr Practical combination therapy based on pathophysiology of type 2 diabetes
title_full_unstemmed Practical combination therapy based on pathophysiology of type 2 diabetes
title_sort practical combination therapy based on pathophysiology of type 2 diabetes
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/d880000e07b84ec485688e6ac7a94a15
work_keys_str_mv AT levinpa practicalcombinationtherapybasedonpathophysiologyoftype2diabetes
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