二甲双胍:利弊

Shalini Sivadasan, Muthukumaravel Subramanian, R. Aiyalu
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引用次数: 0

摘要

二甲双胍于1958年在英国被批准用于治疗2型糖尿病,1972年在加拿大被批准,1995年在美国被FDA批准。二甲双胍是肥胖和2型糖尿病患者的首选药物。虽然二甲双胍最初被证明可以治疗高血糖,但二甲双胍的许多其他用途也被证明是有效的。还用于妊娠期糖尿病、肥胖症、卵巢雄激素分泌过多、多囊卵巢综合征、抗精神病治疗引起的体重增加、癌症治疗和抗衰老。二甲双胍导致食欲下降,因此已知对肥胖起作用。二甲双胍的另一个作用是降低胰岛素和胰岛素样生长因子1 (IGF-1)的循环水平,这与抗癌作用有关。关于二甲双胍抗衰老作用的研究正在进行中,并证明二甲双胍与抗衰老因子有关。与老化有关的三个主要因素是氧化、冰川作用和甲基化。二甲双胍和所有药物一样,也有副作用。二甲双胍的许多副作用被认为是轻微的,乳酸酸中毒和维生素B12缺乏症恰好是主要的。
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Metformin: Pros and Cons
Metformin was approved for the treatment of Type 2 Diabetes Mellitus in 1958 for UK, in 1972 for Canada and in 1995 by FDA in USA. Metformin is the drug of choice for patients who are obese and have type 2 diabetes mellitus. Though metformin was at first proven to treat hyperglycemia, many other uses of metformin are proven to be effective. It is also used for gestational diabetes mellitus, obesity, hyper secretion of ovarian androgen, poly-cystic ovary syndrome (PCOS), anti-psychotic therapy induced weight gain, cancer treatment and anti-aging. Metformin causes a decrease in appetite thus known to act on obesity. The other action of metformin is reduction of circulating levels of insulin and insulin like growth factor 1 (IGF-1) which is associated with anticancer action. There are ongoing researches about the effect of metformin on anti-aging properties and proved that metformin is linked with anti-aging factors. Three main factors that are related with aging are oxidation, glaciation and methylation. Metformin as all drugs, have unwanted effects as well. Many side effects of metformin are considered mild where lactic acidosis and vitamin B12 deficiency happens to be the major.
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