Metformin: Sex/Gender Differences in Its Uses and Effects—Narrative Review

Metformin (MTF) occupies a major and fundamental position in the therapeutic management of type 2 diabetes mellitus (T2DM). Gender differences in some effects and actions of MTF have been reported. Women are usually prescribed lower MTF doses compared to men and report more gastrointestinal side eff...

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Main Authors: Ioannis Ilias, Manfredi Rizzo, Lina Zabuliene
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/3/430
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author Ioannis Ilias
Manfredi Rizzo
Lina Zabuliene
author_facet Ioannis Ilias
Manfredi Rizzo
Lina Zabuliene
author_sort Ioannis Ilias
collection DOAJ
description Metformin (MTF) occupies a major and fundamental position in the therapeutic management of type 2 diabetes mellitus (T2DM). Gender differences in some effects and actions of MTF have been reported. Women are usually prescribed lower MTF doses compared to men and report more gastrointestinal side effects. The incidence of cardiovascular events in women on MTF has been found to be lower to that of men on MTF. Despite some promising results with MTF regarding pregnancy rates in women with PCOS, the management of gestational diabetes, cancer prevention or adjunctive cancer treatment and COVID-19, most robust meta-analyses have yet to confirm such beneficial effects.
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spelling doaj.art-73183b699b644697b3aa4c6073f7cce12023-11-30T21:26:53ZengMDPI AGMedicina1010-660X1648-91442022-03-0158343010.3390/medicina58030430Metformin: Sex/Gender Differences in Its Uses and Effects—Narrative ReviewIoannis Ilias0Manfredi Rizzo1Lina Zabuliene2Department of Endocrinology, Diabetes and Metabolism, Elena Venizelou Hospital, GR-11521 Athens, GreeceDepartment of Health Promotion Sciences, Maternal and Infantile Care, Internal Medicine and Medical Specialties (Promise), School of Medicine, University of Palermo, Via del Vespro, 141, 90127 Palermo, ItalyFaculty of Medicine, Vilnius University, M. K. Čiurlionio St. 21/27, LT-03101 Vilnius, LithuaniaMetformin (MTF) occupies a major and fundamental position in the therapeutic management of type 2 diabetes mellitus (T2DM). Gender differences in some effects and actions of MTF have been reported. Women are usually prescribed lower MTF doses compared to men and report more gastrointestinal side effects. The incidence of cardiovascular events in women on MTF has been found to be lower to that of men on MTF. Despite some promising results with MTF regarding pregnancy rates in women with PCOS, the management of gestational diabetes, cancer prevention or adjunctive cancer treatment and COVID-19, most robust meta-analyses have yet to confirm such beneficial effects.https://www.mdpi.com/1648-9144/58/3/430Metformingenderinsulin resistance
spellingShingle Ioannis Ilias
Manfredi Rizzo
Lina Zabuliene
Metformin: Sex/Gender Differences in Its Uses and Effects—Narrative Review
Medicina
Metformin
gender
insulin resistance
title Metformin: Sex/Gender Differences in Its Uses and Effects—Narrative Review
title_full Metformin: Sex/Gender Differences in Its Uses and Effects—Narrative Review
title_fullStr Metformin: Sex/Gender Differences in Its Uses and Effects—Narrative Review
title_full_unstemmed Metformin: Sex/Gender Differences in Its Uses and Effects—Narrative Review
title_short Metformin: Sex/Gender Differences in Its Uses and Effects—Narrative Review
title_sort metformin sex gender differences in its uses and effects narrative review
topic Metformin
gender
insulin resistance
url https://www.mdpi.com/1648-9144/58/3/430
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AT manfredirizzo metforminsexgenderdifferencesinitsusesandeffectsnarrativereview
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