Risk management in the treatment of type 2 diabetes with pioglitazone

Giuseppe Derosa, Sibilla AT SalvadeoDepartment of Internal Medicine and Therapeutics, University of Pavia, Pavia, ItalyIntroduction: Type 2 diabetes mellitus is one of the most important cardiovascular risk factors. Insulin-resistance represents the common mechanism that leads to type 2 diabetes in...

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Main Authors: Giuseppe Derosa, Sibilla AT Salvadeo
Format: Article
Language:English
Published: Dove Medical Press 2009-07-01
Series:Diabetes, Metabolic Syndrome and Obesity
Online Access:http://www.dovepress.com/risk-management-in-the-treatment-of-type-2-diabetes-with-pioglitazone-a3327
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author Giuseppe Derosa
Sibilla AT Salvadeo
author_facet Giuseppe Derosa
Sibilla AT Salvadeo
author_sort Giuseppe Derosa
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description Giuseppe Derosa, Sibilla AT SalvadeoDepartment of Internal Medicine and Therapeutics, University of Pavia, Pavia, ItalyIntroduction: Type 2 diabetes mellitus is one of the most important cardiovascular risk factors. Insulin-resistance represents the common mechanism that leads to type 2 diabetes in obese subjects. Pioglitazone is an insulin-sensitizing agent available for treatment of type 2 diabetes. Large clinical trials have demonstrated the effectiveness of pioglitazone in achieving metabolic control and reducing cardiovascular morbidity and mortality.Aim: The purpose of this article is to review the effectiveness and tolerability of pioglitazone in the prevention and management of atherosclerosis in patients with type 2 diabetes. Evidence review: We reviewed the main monotherapy and comparative studies of pioglitazone, and particularly the recent evidence in the field of atherosclerosis and cardiovascular prevention.Place in therapy: The current evidence shows that pioglitazone is an effective option in the treatment of type 2 diabetes. More studies are needed to establish a role for pioglitazone in atherosclerosis prevention beyond glycemic control.Keywords: pioglitazone, diabetes mellitus, glycated hemoglobin, cardiovascular prevention
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spelling doaj.art-c410b88baeb944b1938c2742260003aa2023-02-02T06:08:37ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072009-07-012009default5160Risk management in the treatment of type 2 diabetes with pioglitazoneGiuseppe DerosaSibilla AT SalvadeoGiuseppe Derosa, Sibilla AT SalvadeoDepartment of Internal Medicine and Therapeutics, University of Pavia, Pavia, ItalyIntroduction: Type 2 diabetes mellitus is one of the most important cardiovascular risk factors. Insulin-resistance represents the common mechanism that leads to type 2 diabetes in obese subjects. Pioglitazone is an insulin-sensitizing agent available for treatment of type 2 diabetes. Large clinical trials have demonstrated the effectiveness of pioglitazone in achieving metabolic control and reducing cardiovascular morbidity and mortality.Aim: The purpose of this article is to review the effectiveness and tolerability of pioglitazone in the prevention and management of atherosclerosis in patients with type 2 diabetes. Evidence review: We reviewed the main monotherapy and comparative studies of pioglitazone, and particularly the recent evidence in the field of atherosclerosis and cardiovascular prevention.Place in therapy: The current evidence shows that pioglitazone is an effective option in the treatment of type 2 diabetes. More studies are needed to establish a role for pioglitazone in atherosclerosis prevention beyond glycemic control.Keywords: pioglitazone, diabetes mellitus, glycated hemoglobin, cardiovascular preventionhttp://www.dovepress.com/risk-management-in-the-treatment-of-type-2-diabetes-with-pioglitazone-a3327
spellingShingle Giuseppe Derosa
Sibilla AT Salvadeo
Risk management in the treatment of type 2 diabetes with pioglitazone
Diabetes, Metabolic Syndrome and Obesity
title Risk management in the treatment of type 2 diabetes with pioglitazone
title_full Risk management in the treatment of type 2 diabetes with pioglitazone
title_fullStr Risk management in the treatment of type 2 diabetes with pioglitazone
title_full_unstemmed Risk management in the treatment of type 2 diabetes with pioglitazone
title_short Risk management in the treatment of type 2 diabetes with pioglitazone
title_sort risk management in the treatment of type 2 diabetes with pioglitazone
url http://www.dovepress.com/risk-management-in-the-treatment-of-type-2-diabetes-with-pioglitazone-a3327
work_keys_str_mv AT giuseppederosa riskmanagementinthetreatmentoftype2diabeteswithpioglitazone
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