Paradigm shift in the pharmacological treatment of type 2 diabetes mellitus

The options for pharmacological management of type 2 diabetes mellitus have exploded over the last decade or so. Availability of a variety of new drugs, oral as well as injectable, has made the choice of treatment more complex and challenging. Over a decade or so ago, glycemic (glucometabolic) contr...

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Main Author: Tejal Lathia
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Mahatma Gandhi Institute of Medical Sciences
Subjects:
Online Access:http://www.jmgims.co.in/article.asp?issn=0971-9903;year=2020;volume=25;issue=1;spage=11;epage=14;aulast=
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author Tejal Lathia
author_facet Tejal Lathia
author_sort Tejal Lathia
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description The options for pharmacological management of type 2 diabetes mellitus have exploded over the last decade or so. Availability of a variety of new drugs, oral as well as injectable, has made the choice of treatment more complex and challenging. Over a decade or so ago, glycemic (glucometabolic) control was the main target of treatment in patients with type 2 diabetes mellitus – usually with metformin, sulfonylureas (SU), thiazolidinediones, and insulin (the traditional quartet). There is conflicting evidence on the cardiovascular (CV) effects of the traditional quartet of drugs. The almost serendipitous benefit of sodium-glucose transporter 2 (SGLT2) inhibitors on CVD and kidney disease in patients with type 2 diabetes mellitus has revolutionized the way we view the treatment of diabetes. . What the physician needs to remember when prescribing this drug is – right patient and right intent.
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spelling doaj.art-a3d75bb8f3b749e5994fa87a6c35a6542022-12-22T00:35:08ZengWolters Kluwer Medknow PublicationsJournal of Mahatma Gandhi Institute of Medical Sciences0971-99032020-01-01251111410.4103/jmgims.jmgims_40_19Paradigm shift in the pharmacological treatment of type 2 diabetes mellitusTejal LathiaThe options for pharmacological management of type 2 diabetes mellitus have exploded over the last decade or so. Availability of a variety of new drugs, oral as well as injectable, has made the choice of treatment more complex and challenging. Over a decade or so ago, glycemic (glucometabolic) control was the main target of treatment in patients with type 2 diabetes mellitus – usually with metformin, sulfonylureas (SU), thiazolidinediones, and insulin (the traditional quartet). There is conflicting evidence on the cardiovascular (CV) effects of the traditional quartet of drugs. The almost serendipitous benefit of sodium-glucose transporter 2 (SGLT2) inhibitors on CVD and kidney disease in patients with type 2 diabetes mellitus has revolutionized the way we view the treatment of diabetes. . What the physician needs to remember when prescribing this drug is – right patient and right intent.http://www.jmgims.co.in/article.asp?issn=0971-9903;year=2020;volume=25;issue=1;spage=11;epage=14;aulast=cardiovascular outcome trialsglp1 analogssodium-glucose transporter 2 inhibitors
spellingShingle Tejal Lathia
Paradigm shift in the pharmacological treatment of type 2 diabetes mellitus
Journal of Mahatma Gandhi Institute of Medical Sciences
cardiovascular outcome trials
glp1 analogs
sodium-glucose transporter 2 inhibitors
title Paradigm shift in the pharmacological treatment of type 2 diabetes mellitus
title_full Paradigm shift in the pharmacological treatment of type 2 diabetes mellitus
title_fullStr Paradigm shift in the pharmacological treatment of type 2 diabetes mellitus
title_full_unstemmed Paradigm shift in the pharmacological treatment of type 2 diabetes mellitus
title_short Paradigm shift in the pharmacological treatment of type 2 diabetes mellitus
title_sort paradigm shift in the pharmacological treatment of type 2 diabetes mellitus
topic cardiovascular outcome trials
glp1 analogs
sodium-glucose transporter 2 inhibitors
url http://www.jmgims.co.in/article.asp?issn=0971-9903;year=2020;volume=25;issue=1;spage=11;epage=14;aulast=
work_keys_str_mv AT tejallathia paradigmshiftinthepharmacologicaltreatmentoftype2diabetesmellitus