Metformin - pathogenetic drug of first-line in the treatment of type 2 diabetes


Cite item

Full Text

Abstract

We consider the peculiarities of pathogenesis and clinical manifestation of type 2 diabetes mellitus (type 2 diabetes); it is emphasized that type 2 diabetes is part of the metabolic syndrome and it has a typical high risk of atherosclerotic disease of coronary and cerebral vessels. Due to cardio-and angioprotective actions of metformin, we provide the use of this drug in the first-line pharmacotherapy of type 2 diabetes. It is noted that in the major clinical recommendations metformin is considered as the first step in the pharmacotherapy of type 2 diabetes in patients with overweight and obesity.

About the authors

A V Zilov

A V Zilov

References

  1. UK Prospective Diabetes study Group. Intensive blood glucose control with sulphonylurea or insulin compared with conventional treatment and risk of complications in T2 DM (UKPDS 33). Lancet 1998;352:837-53.
  2. UK Prospective Diabetes study Group. Effect of intensive blood glucose control with metformin on complications in overweight patients with T2 DM (UKPDS 34). Lancet 1998;352:854-65.
  3. Daugherty A. Mouse models of atherosclerosis. Am J Med Sci 2002;323:3-10.
  4. Mamputu JC, Wiernsperger NF, Reiner G. Antiatherogenic properties of metformin: the experimental evidence. Diabetes Metab 2003;29:6S71-6S76.
  5. Hanssson GK. Inflammation and immune response to atherosclerosis. Curr Atheroscler Rep 1999;1:150-55.
  6. Beekhuizen H, van Furth R. Monocyte adherence to human vascular endothelium. J Leukoc Biol 1993;54:363-78.
  7. Wiernsperger NF, Bouskela E. Microcirculation in insulin resistance and diabetes: more than just a complication. Diabetes Metab 2003;29:6S77-6S87.
  8. Esposito K, et al. Cytokine milieu tends toward inflammation in type 2 diabetes. Diabetes care 2003;26:1647-48.
  9. Valensi P, et al. The effects of metformin on the capillary permeability to albumin in women patients with cyclic aedema. Angiology 1995;46:401-08.
  10. Kiesewetter H, et al. Rheological effect of metformin on the blood of patients with dietetically controlled T2 DM. Clin Hemorheol 1987;7:781-91.
  11. Jansson PAE, et al. The effect of metformin on adipose tissue metabolism and periferal blood flow in subjects with NIDDM. Diabetes Care 1996;19:160-64.
  12. Kelly JJ, et al. Metabolic and haemodynamic effects of short term metformin administration in normoternsive men. Asm J Hypertension 1995;8:G15
  13. Sirtory et al. Metformin improves peripheral vascular flow in nonhyperlipidaemic patients with arterial disease. J Cardiovascular Pharmacol 1984;6:914-23.
  14. Nathan D, et al Medical Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy. Diabetes Care 2008;31:1-11.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2009 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies