REDUCTION OF CARDIOVASCULAR COMPLICATIONS OF MODERN HYPOGLYCEMIC THERAPY OF DIABETES MELLITUS TYPE 2: "FLORENTINE HERESY"
The classic hypoglycemic agents include biguanides, sulfonylurea drugs, meglitinides, glitazones and alpha-glucosidase inhibitors. Modern algorithm of hypoglycemic therapy in the first step considers lifestyle modification and metformin monotherapy, the second step — the combined therapy. However, t...
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Столичная издательская компания
2016-01-01
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Series: | Рациональная фармакотерапия в кардиологии |
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Online Access: | https://www.rpcardio.online/jour/article/view/930 |
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author | A. A. Aleksandrov |
author_facet | A. A. Aleksandrov |
author_sort | A. A. Aleksandrov |
collection | DOAJ |
description | The classic hypoglycemic agents include biguanides, sulfonylurea drugs, meglitinides, glitazones and alpha-glucosidase inhibitors. Modern algorithm of hypoglycemic therapy in the first step considers lifestyle modification and metformin monotherapy, the second step — the combined therapy. However, the effect of combined hypoglycemic therapy on long-term cardiovascular prognosis in patients with type 2 diabetes mellitus is studied insufficiently. Combined therapy with glibenclamide and metformin can result in adverse cardiovascular effects, so that long term therapy should be avoided in patients with coronary heart disease. Adequate pharmacological approaches to hyperglycemia correction should be elaborated. |
format | Article |
id | doaj-art-de1c0ca8c04a4606937d724b3ba9f3e5 |
institution | Matheson Library |
issn | 1819-6446 2225-3653 |
language | English |
publishDate | 2016-01-01 |
publisher | Столичная издательская компания |
record_format | Article |
series | Рациональная фармакотерапия в кардиологии |
spelling | doaj-art-de1c0ca8c04a4606937d724b3ba9f3e52025-07-03T07:28:29ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-01-016684385210.20996/1819-6446-2010-6-6-843-852929REDUCTION OF CARDIOVASCULAR COMPLICATIONS OF MODERN HYPOGLYCEMIC THERAPY OF DIABETES MELLITUS TYPE 2: "FLORENTINE HERESY"A. A. Aleksandrov0Endocrinological Scientific CentreThe classic hypoglycemic agents include biguanides, sulfonylurea drugs, meglitinides, glitazones and alpha-glucosidase inhibitors. Modern algorithm of hypoglycemic therapy in the first step considers lifestyle modification and metformin monotherapy, the second step — the combined therapy. However, the effect of combined hypoglycemic therapy on long-term cardiovascular prognosis in patients with type 2 diabetes mellitus is studied insufficiently. Combined therapy with glibenclamide and metformin can result in adverse cardiovascular effects, so that long term therapy should be avoided in patients with coronary heart disease. Adequate pharmacological approaches to hyperglycemia correction should be elaborated.https://www.rpcardio.online/jour/article/view/930diabeteshypoglycemic combined therapymetforminsulfonylurea drugs |
spellingShingle | A. A. Aleksandrov REDUCTION OF CARDIOVASCULAR COMPLICATIONS OF MODERN HYPOGLYCEMIC THERAPY OF DIABETES MELLITUS TYPE 2: "FLORENTINE HERESY" Рациональная фармакотерапия в кардиологии diabetes hypoglycemic combined therapy metformin sulfonylurea drugs |
title | REDUCTION OF CARDIOVASCULAR COMPLICATIONS OF MODERN HYPOGLYCEMIC THERAPY OF DIABETES MELLITUS TYPE 2: "FLORENTINE HERESY" |
title_full | REDUCTION OF CARDIOVASCULAR COMPLICATIONS OF MODERN HYPOGLYCEMIC THERAPY OF DIABETES MELLITUS TYPE 2: "FLORENTINE HERESY" |
title_fullStr | REDUCTION OF CARDIOVASCULAR COMPLICATIONS OF MODERN HYPOGLYCEMIC THERAPY OF DIABETES MELLITUS TYPE 2: "FLORENTINE HERESY" |
title_full_unstemmed | REDUCTION OF CARDIOVASCULAR COMPLICATIONS OF MODERN HYPOGLYCEMIC THERAPY OF DIABETES MELLITUS TYPE 2: "FLORENTINE HERESY" |
title_short | REDUCTION OF CARDIOVASCULAR COMPLICATIONS OF MODERN HYPOGLYCEMIC THERAPY OF DIABETES MELLITUS TYPE 2: "FLORENTINE HERESY" |
title_sort | reduction of cardiovascular complications of modern hypoglycemic therapy of diabetes mellitus type 2 florentine heresy |
topic | diabetes hypoglycemic combined therapy metformin sulfonylurea drugs |
url | https://www.rpcardio.online/jour/article/view/930 |
work_keys_str_mv | AT aaaleksandrov reductionofcardiovascularcomplicationsofmodernhypoglycemictherapyofdiabetesmellitustype2florentineheresy |