Practical combination therapy based on pathophysiology of type 2 diabetes

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Practical combination therapy based on pathophysiology of type 2 diabetes

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 ...

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Combination lipid therapy in type 2 diabetes.

To the Editor: In the Action to Control Car­ diovascular Risk in Diabetes (ACCORD) trial (ClinicalTrials.gov number, NCT00000620) report­ ed on by Ginsberg et al. (April 29 issue),1 the use of fenofibrate in patients with type 2 diabetes mellitus who were receiving simvastatin and who were at high risk for cardiovascular disease great­ ly reduced triglyceride levels but hardly increased levels ...

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Pathophysiology of type 2 diabetes.

Type 2 diabetes mellitus is a heterogeneous syndrome characterized by abnormalities in carbohydrate and fat metabolism. The causes of type 2 diabetes are multi-factorial and include both genetic and environmental elements that affect beta-cell function and tissue (muscle, liver, adipose tissue, pancreas) insulin sensitivity. Although there is considerable debate as to the relative contributions...

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Effects of combination lipid therapy in type 2 diabetes mellitus.

BACKGROUND We investigated whether combination therapy with a statin plus a fibrate, as compared with statin monotherapy, would reduce the risk of cardiovascular disease in patients with type 2 diabetes mellitus who were at high risk for cardiovascular disease. METHODS We randomly assigned 5518 patients with type 2 diabetes who were being treated with open-label simvastatin to receive either ...

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[Pathophysiology of type 2 diabetes mellitus].

The development of type 2 diabetes is usually associated with a combination of pancreatic β-cell dysfunction and insulin resistance in various insulin target tissues such as the liver, muscle and adipocytes. Normal β-cells can compensate for insulin resistance by increasing insulin secretion or β-cell mass, but insufficient compensation leads to the onset of glucose intolerance. Once hyperglyce...

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ژورنال

عنوان ژورنال: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy

سال: 2016

ISSN: 1178-7007

DOI: 10.2147/dmso.s109216