Implications of Postprandial Hyperglycaemia and Role of Voglibose in Type 2 Diabetes Mellitus

Type 2 Diabetes Mellitus (T2DM) is a chronic disease which requires treatment to prevent further complications. The Diabetes Epidemiology: Collaborative analysis of Diagnostic criteria in Europe (DECODE) study and diabetic intervention study demonstrated that high Postprandial Glucose (PPG) increase...

Full description

Bibliographic Details
Main Authors: S R Pattanaik, Parag Shah, Abu Baker, Navin Sinha, Neeraj Kumar, Onkar C Swami
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2018-04-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/11399/32803_CE_F(AnG)_PF1(MJ_AP)_PFA(MJ_AP)_PB(MJ_AP)_PN(AP).pdf
_version_ 1819039259410038784
author S R Pattanaik
Parag Shah
Abu Baker
Navin Sinha
Neeraj Kumar
Onkar C Swami
author_facet S R Pattanaik
Parag Shah
Abu Baker
Navin Sinha
Neeraj Kumar
Onkar C Swami
author_sort S R Pattanaik
collection DOAJ
description Type 2 Diabetes Mellitus (T2DM) is a chronic disease which requires treatment to prevent further complications. The Diabetes Epidemiology: Collaborative analysis of Diagnostic criteria in Europe (DECODE) study and diabetic intervention study demonstrated that high Postprandial Glucose (PPG) increased the mortality and cardiovascular complications. Voglibose, an ɑ-glucosidase inhibitor, controls PPG level and have cardiovascular benefits. Objective of this article was to review postprandial hyperglycaemia and clinical evidences of voglibose in management of PPG in T2DM patients, its role in prediabetic condition and cardiovascular benefits. Extensive search work was conducted on Google, Google scholar and PubMed from January, 1990 to May, 2017. Studies relevant to pharmacology, efficacy and safety of voglibose were included in the article. Voglibose significantly reduces the PPG level in T2DM patients compared to other antidiabetic drugs. Superior control on PPG contributes to cardioprotective action. Beyond PPG regulation, voglibose has an effective role on prediabetic condition. Weak absorption of voglibose through intestine make it a drug of choice in elderly patients or in hepatic impairment and mild to moderate renal function impairments when other anti-diabetic agents are contraindicated. Clinical studies on voglibose, highlighted its role to control PPG level in T2DM patients and its cardiovascular benefits.
first_indexed 2024-12-21T08:50:22Z
format Article
id doaj.art-0ba6b03c35d94443b5b6ccbe8d4515df
institution Directory Open Access Journal
issn 2249-782X
0973-709X
language English
last_indexed 2024-12-21T08:50:22Z
publishDate 2018-04-01
publisher JCDR Research and Publications Private Limited
record_format Article
series Journal of Clinical and Diagnostic Research
spelling doaj.art-0ba6b03c35d94443b5b6ccbe8d4515df2022-12-21T19:09:41ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-04-01124OE08OE1210.7860/JCDR/2018/32803.11399Implications of Postprandial Hyperglycaemia and Role of Voglibose in Type 2 Diabetes MellitusS R Pattanaik0Parag Shah1Abu Baker2Navin Sinha3Neeraj Kumar4Onkar C Swami5Consultant Diabetologist and Endocrinologist, Cuttack, Odisha, India.Consultant Diabetologist and Endocrinologist, Ahmedabad, Gujarat, India.Consultant Diabetologist, Hyderabad, Telangana, India.Consultant Diabetologist, Patna, Bihar, India.Assistant Manager, Medical Services, Torrent Pharmaceuticals Limited, Ahmedabad, Gujarat, India.General Manager, Medical Services, Torrent Pharmaceuticals Limited, Ahmedabad, Gujarat, India.Type 2 Diabetes Mellitus (T2DM) is a chronic disease which requires treatment to prevent further complications. The Diabetes Epidemiology: Collaborative analysis of Diagnostic criteria in Europe (DECODE) study and diabetic intervention study demonstrated that high Postprandial Glucose (PPG) increased the mortality and cardiovascular complications. Voglibose, an ɑ-glucosidase inhibitor, controls PPG level and have cardiovascular benefits. Objective of this article was to review postprandial hyperglycaemia and clinical evidences of voglibose in management of PPG in T2DM patients, its role in prediabetic condition and cardiovascular benefits. Extensive search work was conducted on Google, Google scholar and PubMed from January, 1990 to May, 2017. Studies relevant to pharmacology, efficacy and safety of voglibose were included in the article. Voglibose significantly reduces the PPG level in T2DM patients compared to other antidiabetic drugs. Superior control on PPG contributes to cardioprotective action. Beyond PPG regulation, voglibose has an effective role on prediabetic condition. Weak absorption of voglibose through intestine make it a drug of choice in elderly patients or in hepatic impairment and mild to moderate renal function impairments when other anti-diabetic agents are contraindicated. Clinical studies on voglibose, highlighted its role to control PPG level in T2DM patients and its cardiovascular benefits.https://jcdr.net/articles/PDF/11399/32803_CE_F(AnG)_PF1(MJ_AP)_PFA(MJ_AP)_PB(MJ_AP)_PN(AP).pdfɑ-glucosidase inhibitorscardiovascularglucagon like peptide-1prediabetes
spellingShingle S R Pattanaik
Parag Shah
Abu Baker
Navin Sinha
Neeraj Kumar
Onkar C Swami
Implications of Postprandial Hyperglycaemia and Role of Voglibose in Type 2 Diabetes Mellitus
Journal of Clinical and Diagnostic Research
ɑ-glucosidase inhibitors
cardiovascular
glucagon like peptide-1
prediabetes
title Implications of Postprandial Hyperglycaemia and Role of Voglibose in Type 2 Diabetes Mellitus
title_full Implications of Postprandial Hyperglycaemia and Role of Voglibose in Type 2 Diabetes Mellitus
title_fullStr Implications of Postprandial Hyperglycaemia and Role of Voglibose in Type 2 Diabetes Mellitus
title_full_unstemmed Implications of Postprandial Hyperglycaemia and Role of Voglibose in Type 2 Diabetes Mellitus
title_short Implications of Postprandial Hyperglycaemia and Role of Voglibose in Type 2 Diabetes Mellitus
title_sort implications of postprandial hyperglycaemia and role of voglibose in type 2 diabetes mellitus
topic ɑ-glucosidase inhibitors
cardiovascular
glucagon like peptide-1
prediabetes
url https://jcdr.net/articles/PDF/11399/32803_CE_F(AnG)_PF1(MJ_AP)_PFA(MJ_AP)_PB(MJ_AP)_PN(AP).pdf
work_keys_str_mv AT srpattanaik implicationsofpostprandialhyperglycaemiaandroleofvogliboseintype2diabetesmellitus
AT paragshah implicationsofpostprandialhyperglycaemiaandroleofvogliboseintype2diabetesmellitus
AT abubaker implicationsofpostprandialhyperglycaemiaandroleofvogliboseintype2diabetesmellitus
AT navinsinha implicationsofpostprandialhyperglycaemiaandroleofvogliboseintype2diabetesmellitus
AT neerajkumar implicationsofpostprandialhyperglycaemiaandroleofvogliboseintype2diabetesmellitus
AT onkarcswami implicationsofpostprandialhyperglycaemiaandroleofvogliboseintype2diabetesmellitus