Dermatologic Implications of Glycemic Control Medications for Patients with Type 2 Diabetes Mellitus.

IF 2.7 4区 医学 Q3 DERMATOLOGY Cutis Pub Date : 2025-01-01 DOI:10.12788/cutis.1148
Mayra Betancourt Ponce, Bridget E Shields
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Abstract

Type 2 diabetes mellitus (T2DM) is a chronic disease with a rising prevalence worldwide that is characterized by hyperglycemia and insulin resistance. Metformin, which improves blood glucose levels and insulin sensitivity, is considered the first-line therapy for T2DM. In patients with T2DM who are overweight or obese, glucagonlike peptide 1 (GLP-1) and dual GLP-1/gastric inhibitory peptide (GIP) agonists are used as adjunct or alternative therapies given their dual benefits for insulin sensitivity and weight loss. Beyond the metabolic implications of T2DM medications, these agents also have hormonal and immunologic effects that may impact dermatologic diseases (eg, psoriasis, hidradenitis suppurativa [HS]). In this review, we highlight the dermatologic adverse effects and potential therapeutic benefits of metformin as well as GLP-1 and GLP-1/GIP agonists.

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血糖控制药物对2型糖尿病患者的皮肤病学意义。
2型糖尿病(T2DM)是一种以高血糖和胰岛素抵抗为特征的全球患病率不断上升的慢性疾病。二甲双胍可以改善血糖水平和胰岛素敏感性,被认为是治疗2型糖尿病的一线药物。在超重或肥胖的T2DM患者中,胰高血糖素样肽1 (GLP-1)和GLP-1/胃抑制肽(GIP)双激动剂被用作辅助或替代治疗,因为它们在胰岛素敏感性和体重减轻方面具有双重益处。除了T2DM药物的代谢影响外,这些药物还具有激素和免疫作用,可能影响皮肤疾病(如牛皮癣、化脓性汗腺炎[HS])。在这篇综述中,我们强调二甲双胍以及GLP-1和GLP-1/GIP激动剂的皮肤不良反应和潜在的治疗益处。
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来源期刊
Cutis
Cutis 医学-皮肤病学
CiteScore
1.10
自引率
0.00%
发文量
191
审稿时长
6-12 weeks
期刊介绍: Published since 1965, Cutis is a peer-reviewed clinical journal for the dermatologist, allergist, and general practitioner. The journal is published monthly and focuses on concise clinical articles that present the practical side of dermatology. Referenced in Index Medicus/MEDLINE, it is respected and enjoyed by both specialists and derm-active generalists, enabling its readers to get what they need quickly and efficiently. Furthermore, Cutis is read by more physicians actively involved in the day-to-day treatment of dermatologic conditions than any other dermatology publication. Covering a broad range of pertinent and timely topics, Cutis is written and edited by industry leaders. For information on article submissions, please see our Information for Authors.
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