使用新药物疗法治疗 2 型糖尿病的最新进展。

IF 3.1 The Kaohsiung journal of medical sciences Pub Date : 2024-03-01 Epub Date: 2024-01-06 DOI:10.1002/kjm2.12800
Keong Chong, Jack Keng-Jui Chang, Lee-Ming Chuang
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摘要

最近取得的几项进展为 2 型糖尿病(T2DM)患者带来了多种健康益处。药物治疗取决于以人为本的因素,包括合并症和治疗目标。患有 T2DM 的成人,如果已确定/高风险罹患动脉粥样硬化性心血管疾病、心力衰竭和/或慢性肾脏疾病,则需要采用一种治疗方案,其中包括经证实可降低心肾风险的药物。体重管理对 T2DM 患者的降糖治疗起着关键作用。降糖治疗方案必须考虑体重管理。葡萄糖钠协同转运体 2(SGLT2)抑制剂可降低心力衰竭、心血管和肾脏事件的风险。胰高血糖素样肽-1(GLP-1)受体激动剂可更好地控制血糖、促进体重减轻并降低心血管事件的风险。与 GLP-1 受体激动剂相比,新的葡萄糖依赖性胰岛素多肽(GIP)和 GLP-1 双激动剂可激活 GIP 和 GLP-1 受体,改善血糖控制并促进体重减轻。目前有几种新型药物正处于临床开发阶段。本综述涉及 2 型糖尿病药物治疗的最新进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Recent advances in the treatment of type 2 diabetes mellitus using new drug therapies.

Several recent advances provide multiple health benefits to individuals with type 2 diabetes mellitus (T2DM). Pharmacological therapy is governed by person-centered factors, including comorbidities and treatment goals. Adults with T2DM who have an established/high risk of atherosclerotic cardiovascular disease, heart failure, and/or chronic kidney disease, require a treatment regimen that includes agents that are proven to reduce cardiorenal risk. Weight management plays a key role in reducing glucose for patients with T2DM. A glucose-reduction treatment regimen must consider weight management. Sodium glucose co-transporter 2 (SGLT2) inhibitors reduce the risk of heart failure, cardiovascular and renal events. Glucagon-like peptide-1 (GLP-1) receptor agonists allow better control of glycemia, promote weight loss and reduce the risk of cardiovascular events. Newer Glucose-dependent insulinotropic polypeptide (GIP) and GLP-1 dual agonist, which activate GIP and GLP-1 receptors improve glycemic control and promote greater weight loss than GLP-1 receptor agonists. Several novel drugs are in the clinical development phase. This review pertains to recent advances in pharmacological management of type 2 diabetes.

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