Department of Medicine, The University of Melbourne, Austin Health, 300 Waterdale Road, Heidelberg West, Melbourne, Victoria 3081, Australia.
Department of Medicine, The University of Melbourne, Austin Health, 300 Waterdale Road, Heidelberg West, Melbourne, Victoria 3081, Australia; Department of Endocrinology, Austin Health, 300 Waterdale Road, Heidelberg West, Melbourne, Victoria 3081, Australia.
Crit Care Clin. 2019 Apr;35(2):315-328. doi: 10.1016/j.ccc.2018.11.007. Epub 2019 Jan 23.
The Renaissance of glucose-lowering therapies has arrived with multiple agents that lower blood glucose and demonstrate cardiovascular and renal benefits in people with type 2 diabetes. This article summarizes these new classes of therapies, including the sodium glucose co-transporter-2 inhibitors, glucagon-like peptide-1 agonists, and dipeptidyl peptidase-4 inhibitors. Their cardiovascular safety profile, effects on glycemic, weight, and renal outcomes are discussed. As more options become available to treat type 2 diabetes, clinicians need to be aware of the advantages of each class of medications, beyond their glycemic lowering effects. The safety profiles are summarized in this article.
降糖疗法的复兴已经到来,多种药物可降低血糖,并在 2 型糖尿病患者中显示出心血管和肾脏获益。本文总结了这些新的治疗类别,包括钠-葡萄糖共转运蛋白 2 抑制剂、胰高血糖素样肽-1 激动剂和二肽基肽酶-4 抑制剂。讨论了它们的心血管安全性、对血糖、体重和肾脏结局的影响。随着更多的治疗 2 型糖尿病的选择出现,临床医生需要了解每类药物的优势,不仅仅是其降低血糖的作用。本文总结了这些药物的安全性概况。