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Cited by 278

The DOI matches its Crossref record; 199 of the 199 references it cites were found in a registry or an index.

Therapeutic Use of Metformin in Prediabetes and Diabetes Prevention

Open access
Hostalek, Ulrike, Gwilt, Mike, Hildemann, Steven·2015·Drugs

Abstract

People with elevated, non-diabetic, levels of blood glucose are at risk of progressing to clinical type 2 diabetes and are commonly termed 'prediabetic'. The term prediabetes usually refers to high-normal fasting plasma glucose (impaired fasting glucose) and/or plasma glucose 2 h following a 75 g oral glucose tolerance test (impaired glucose tolerance). Current US guidelines consider high-normal HbA1c to also represent a prediabetic state. Individuals with prediabetic levels of dysglycaemia are already at elevated risk of damage to the microvasculature and macrovasculature, resembling the long-term complications of diabetes. Halting or reversing the progressive decline in insulin sensitivity and β-cell function holds the key to achieving prevention of type 2 diabetes in at-risk subjects. Lifestyle interventions aimed at inducing weight loss, pharmacologic treatments (metformin, thiazolidinediones, acarbose, basal insulin and drugs for weight loss) and bariatric surgery have all been shown to reduce the risk of progression to type 2 diabetes in prediabetic subjects. However, lifestyle interventions are difficult for patients to maintain and the weight loss achieved tends to be regained over time. Metformin enhances the action of insulin in liver and skeletal muscle, and its efficacy for delaying or preventing the onset of diabetes has been proven in large, well-designed, randomised trials, such as the Diabetes Prevention Program and other studies. Decades of clinical use have demonstrated that metformin is generally well-tolerated and safe. We have reviewed in detail the evidence base supporting the therapeutic use of metformin for diabetes prevention.

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Metadata

Authors
Hostalek, U., Gwilt, M., & Hildemann, S.
Venue
Drugs
Published
2015-06-10
Volume
75
Issue
10
Pages
1071-1094
ISSN
  • 0012-6667 (ISSN-L)
  • 1179-1950
OpenAlex
W564948178
Cited by
278
References
199
FWCI
15.95
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Therapeutic Use of Metformin in Prediabetes and Diabetes Prevention. https://app.cochat.ai/papers/10.1007/s40265-015-0416-8
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Hostalek, U., Gwilt, M., & Hildemann, S. (2015). Therapeutic Use of Metformin in Prediabetes and Diabetes Prevention. Drugs. https://doi.org/10.1007/s40265-015-0416-8

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.