Lipid Effects and Cardiovascular Disease Risk Associated with Glucose-Lowering Medications

被引:2
|
作者
Staehli, Barbara E. [1 ]
Gebhard, Catherine [1 ]
Tardif, Jean-Claude [1 ,2 ]
机构
[1] Montreal Heart Inst, Montreal, PQ H1T 1C8, Canada
[2] Univ Montreal, Dept Med, Montreal, PQ H3C 3J7, Canada
关键词
Diabetes; Glucose-lowering medications; Lipids; Cardiovascular diseases; Metformin; Insulin secretagogues; Thiazolidinediones; Alpha-glucosidase inhibitors; Glucagon-like peptide-1 agonists; DPP-4; inhibitors; SGLT2; Insulin; TYPE-2; DIABETES-MELLITUS; GLUCAGON-LIKE PEPTIDE-1; CORONARY-ARTERY-DISEASE; INTIMA-MEDIA THICKNESS; DIPEPTIDYL PEPTIDASE-4 INHIBITORS; RANDOMIZED CLINICAL-TRIALS; IMPROVES GLYCEMIC CONTROL; LONG-TERM EFFICACY; HEART-FAILURE; MYOCARDIAL-INFARCTION;
D O I
10.1007/s11886-015-0608-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetes is a global epidemic, associated with a high burden of complications and 4.6 million deaths annually worldwide. As a result of decreasing levels of physical activity and increasing rates of obesity, diabetes is shifting from a disease affecting the elderly to one that affects younger patients or even children. Thus, aggressive treatment and optimal control of risk factors is the key to improve outcomes in those patients. Accumulating evidence of the cardiovascular and lipid effects of glucose-lowering medications suggest that treatment efficacy in diabetes can be further improved. This review provides an overview of the lipid effects and cardiovascular disease risk of current anti-diabetic medications and highlights opportunities and challenges in clinical practice.
引用
收藏
页数:9
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