Should metformin still be the first-line of treatment in type 2 diabetes mellitus? A comprehensive review and suggested algorithm

For more than a century, the high occurrences of coronary and peripheral artery diseases in diabetes mellitus patients has been well recognised; despite that, the ability to improve CV event rates by optimizing glycaemic control has remained elusive. Nevertheless, the last decade has seen several ca...

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Veröffentlicht in:Diabetes & metabolic syndrome clinical research & reviews 2019-05, Vol.13 (3), p.1935-1942
Hauptverfasser: Bin Hussain, Azza Khalifa, Abdelgadir, Elamin, Rashid, Fauzia, Al Haj, Abeer, Thadani, Puja, Bashier, Alaaeldin M.K.
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container_end_page 1942
container_issue 3
container_start_page 1935
container_title Diabetes & metabolic syndrome clinical research & reviews
container_volume 13
creator Bin Hussain, Azza Khalifa
Abdelgadir, Elamin
Rashid, Fauzia
Al Haj, Abeer
Thadani, Puja
Bashier, Alaaeldin M.K.
description For more than a century, the high occurrences of coronary and peripheral artery diseases in diabetes mellitus patients has been well recognised; despite that, the ability to improve CV event rates by optimizing glycaemic control has remained elusive. Nevertheless, the last decade has seen several cardiovascular outcome clinical trials (CVOTs) of many antihyperglycemic agents that reported promising results for cardiovascular and renal outcomes. This leads to a hot debate on the ideal drug choice for first-line treatment in T2DM. The purpose of this paper is to review the evidence supporting the use of metformin, sodium-glucose cotransporter 2 (SGLT2) inhibitors and incretin-based therapies for the management of individuals with T2DM and, discuss the rationale for selection.
doi_str_mv 10.1016/j.dsx.2019.04.028
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Algorithms
Blood Glucose - analysis
Diabetes Mellitus, Type 2 - drug therapy
Humans
Hypoglycemic Agents - therapeutic use
Metformin - therapeutic use
Prognosis
Risk Factors
title Should metformin still be the first-line of treatment in type 2 diabetes mellitus? A comprehensive review and suggested algorithm
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