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Diabetes Monotherapies versus Metformin-Based Combination Therapy for the Treatment of Type 2 Diabetes
被引:18
作者:
Singh, Awadhesh K.
[1
]
Singh, Ritu
[1
]
Chakraborty, Partha Pratim
[2
]
机构:
[1] GD Hosp & Diabet Inst, Dept Diabet & Endocrinol, Kolkata, India
[2] Med Coll, Dept Endocrinol & Metab, Kolkata, India
关键词:
type;
2;
diabetes;
monotherapy;
combination therapies;
efficacy;
safety outcomes;
DIPEPTIDYL PEPTIDASE-4 INHIBITORS;
ADD-ON;
MELLITUS;
EFFICACY;
SAFETY;
D O I:
10.2147/IJGM.S295459
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Step-wise addition of antihyperglycemic agents (AHA) after the initiation of metformin monotherapy has been the traditional approach for the treatment of type 2 diabetes mellitus (T2DM) world-wide. Emerging evidence increasingly suggests that metformin-based combination therapy, especially with the newer AHA that lowers HbA1c glucose-dependently and do not potentiate hypoglycemia, could be a potentially better option for durable glycemic control with good tolerability compared to diabetes monotherapy. In this review, we descriptively analyzed the evidence available from the systematic reviews and meta-analyses of randomized head-to-head trials that reported the efficacy and safety outcomes of diabetes monotherapy, metformin-based combination therapies, and monotherapy versus metformin-based combination therapies.
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页码:3833 / 3848
页数:16
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