Second line therapy in type 2 diabetes: legacy effect activation

Type 2 diabetes causes hundred thousand deaths worldwide every year. Though new antidiabetic drugs appear annually and new classes of drugs are invented approximately every ten years still a lot of type 2 diabetic patients remain to be out of the target glycemic levels. According to most of the gui...

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Autor principal: Ekaterina A. Shestakova
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RU
Publicado: Endocrinology Research Centre 2017
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Acceso en línea:https://doaj.org/article/effa23afa59d45be871c37adb10145d3
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spelling oai:doaj.org-article:effa23afa59d45be871c37adb10145d32021-11-14T09:00:21ZSecond line therapy in type 2 diabetes: legacy effect activation2072-03512072-037810.14341/DM8793https://doaj.org/article/effa23afa59d45be871c37adb10145d32017-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/8793https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Type 2 diabetes causes hundred thousand deaths worldwide every year. Though new antidiabetic drugs appear annually and new classes of drugs are invented approximately every ten years still a lot of type 2 diabetic patients remain to be out of the target glycemic levels. According to most of the guidelines for type 2 diabetes,treatment metformin is the first line therapy for this disease. The choice of second-line antidiabetic drug usually depends on doctors’ preference. That is why defining the correct drug for exact patient is still an urgent question. This review provides data on antidiabetic drugspotential for preventing the progression of micro- and macrovascular complications.The question of the potential of early antidiabetic therapy intensification to activate legacy effect is debated. Early and lasting compensation of diabetes with the use of multiple drugs can become a basis for primary prevention of cardiovascular disease in such patients.Ekaterina A. ShestakovaEndocrinology Research Centrearticletype 2 diabeteshypoglycemic drugsdpp-4 inhibitorssglt-2 inhibitorsmicrovascular complicationsmacrovascular complicationslegacy effectNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 20, Iss 5, Pp 356-362 (2017)
institution DOAJ
collection DOAJ
language EN
RU
topic type 2 diabetes
hypoglycemic drugs
dpp-4 inhibitors
sglt-2 inhibitors
microvascular complications
macrovascular complications
legacy effect
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle type 2 diabetes
hypoglycemic drugs
dpp-4 inhibitors
sglt-2 inhibitors
microvascular complications
macrovascular complications
legacy effect
Nutritional diseases. Deficiency diseases
RC620-627
Ekaterina A. Shestakova
Second line therapy in type 2 diabetes: legacy effect activation
description Type 2 diabetes causes hundred thousand deaths worldwide every year. Though new antidiabetic drugs appear annually and new classes of drugs are invented approximately every ten years still a lot of type 2 diabetic patients remain to be out of the target glycemic levels. According to most of the guidelines for type 2 diabetes,treatment metformin is the first line therapy for this disease. The choice of second-line antidiabetic drug usually depends on doctors’ preference. That is why defining the correct drug for exact patient is still an urgent question. This review provides data on antidiabetic drugspotential for preventing the progression of micro- and macrovascular complications.The question of the potential of early antidiabetic therapy intensification to activate legacy effect is debated. Early and lasting compensation of diabetes with the use of multiple drugs can become a basis for primary prevention of cardiovascular disease in such patients.
format article
author Ekaterina A. Shestakova
author_facet Ekaterina A. Shestakova
author_sort Ekaterina A. Shestakova
title Second line therapy in type 2 diabetes: legacy effect activation
title_short Second line therapy in type 2 diabetes: legacy effect activation
title_full Second line therapy in type 2 diabetes: legacy effect activation
title_fullStr Second line therapy in type 2 diabetes: legacy effect activation
title_full_unstemmed Second line therapy in type 2 diabetes: legacy effect activation
title_sort second line therapy in type 2 diabetes: legacy effect activation
publisher Endocrinology Research Centre
publishDate 2017
url https://doaj.org/article/effa23afa59d45be871c37adb10145d3
work_keys_str_mv AT ekaterinaashestakova secondlinetherapyintype2diabeteslegacyeffectactivation
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