Title |
Practical combination therapy based on pathophysiology of type 2 diabetes
|
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Published in |
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, October 2016
|
DOI | 10.2147/dmso.s109216 |
Pubmed ID | |
Authors |
Philip A Levin |
Abstract |
Type 2 diabetes is a complex, chronic, and progressive condition that often necessitates the use of multiple medications to achieve glycemic goals. Clinical guidelines generally recommend intensifying pharmacotherapy if glycemic goals are not achieved after 3 months of treatment. However, for many patients with type 2 diabetes, treatment intensification is delayed or does not occur. Initiating combination therapy early in the disease course has the potential to delay disease progression and improve patient outcomes. Guidelines generally provide a list of agents that may be used in combination regimens and emphasize individualization of treatment. The purpose of this review is to discuss the rationale for combination therapy, considering treatment effects on pathophysiologic aspects of type 2 diabetes and individual drug profiles. The combination of newer antidiabetes therapies with complementary mechanisms of action provides the opportunity to target multiple sites of tissue, organ, and cellular dysfunction. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Australia | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Russia | 1 | 2% |
Unknown | 43 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 6 | 14% |
Other | 4 | 9% |
Student > Bachelor | 4 | 9% |
Researcher | 4 | 9% |
Student > Postgraduate | 4 | 9% |
Other | 7 | 16% |
Unknown | 15 | 34% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 14 | 32% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 9% |
Nursing and Health Professions | 3 | 7% |
Biochemistry, Genetics and Molecular Biology | 3 | 7% |
Immunology and Microbiology | 2 | 5% |
Other | 2 | 5% |
Unknown | 16 | 36% |