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Clinical Medicine: Therapeutics

Synopsis: An open access, peer reviewed electronic journal that covers therapeutics in human clinical medicine.


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ISSN: 1179-1713



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Clinical Medicine: Therapeutics focuses on the role of therapeutics in human clinical medicine.

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Submissions, excluding editorials, letters to the editor and dedications, will be peer reviewed by two reviewers.  Reviewers are required to provide fair, balanced and constructive reports.  

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Present and Prospective Pharmacotherapy for the Management of Patients with Type 2 Diabetes

Authors: Leonor Corsino, Mary Elizabeth Cox, Jennifer Rowell and Jennifer B. Green
Publication Date: 27 Aug 2009
Clinical Medicine: Therapeutics 2009:1 1103-1119

Leonor Corsino, Mary Elizabeth Cox, Jennifer Rowell and Jennifer B. Green

Department of Medicine, Division of Endocrinology, Metabolism, and Nutrition. Duke University Medical Center, Durham, North Carolina, USA.

Abstract

Diabetes Mellitus is a chronic condition prevalent worldwide. Type 2 diabetes is the most common form of diabetes, comprising 90% to 95% of all cases. Over the last few decades, the importance of glycemic control and its impact on prevention of diabetes-related complications has been documented in multiple clinical trials. As most patients with type 2 diabetes will require pharmacologic intervention to achieve and maintain appropriate glycemic control, new medications targeting different aspects of the pathophysiology of type 2 diabetes have been a significant focus of research and development. During the last decade, multiple new medications for diabetes management have become available: these medications have novel mechanisms of action, differences in effectiveness, and varying side effect profiles which will be reviewed in this article. Some of these newer medications, such as the GLP‑1 analogues and DPP‑4 inhibitors, have become widely accepted as therapeutic options for the management of type 2 diabetes. Additional classes of glucose-lowering medications are expected to become available in the near future. This manuscript will summarize available data regarding these newer and prospective medications for the management of type 2 diabetes.



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