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.
引用
收藏
页码:3833 / 3848
页数:16
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