Cited by 197Diabetes Treatment and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsDiabetes Management and Research

Assessing the potential for α-glucosidase inhibitors in prediabetic states

Holman, Rury R·1998·Diabetes Research and Clinical Practice

Abstract

Type 2 diabetes often has an insidious onset with hyperglycaemia being present for many years before diagnosis is made. It is a progressive disease, due in part to loss of beta-cell function, with the reduction in function probably commencing 10-12 years prior to diagnosis and being aggravated by increasing fasting plasma glucose levels. Earlier intervention in those at risk from type 2 diabetes, aimed at minimizing hyperglycaemia, may prevent or delay overt diabetes and the associated development of micro- and macrovascular disease. Six-year follow-up data from the UK Prospective Diabetes Study, confirm that sulphonylurea, metformin and insulin therapy can reduce hyperglycaemia in individuals with type 2 diabetes. Although none of these agents prevent the subsequent progressive increase in fasting glucose levels, preliminary results with acarbose show that fasting plasma glucose levels can be maintained over 1 year of therapy. Three large-scale studies are currently investigating whether treatment with acarbose at an earlier stage of the disease process, in subjects with varying degrees of glucose intolerance, may be beneficial in helping to prevent or delay the onset of diabetes.

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Registry

Crossref · 10.1016/s0168-8227(98)00038-2

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Authors
Holman, R. R.
Affiliations
University of Oxford (GB)
Corresponding author
Holman, Rury R
Venue
Diabetes Research and Clinical Practice
Publisher
Elsevier BV
Published
1998-07
Volume
40
Pages
S21-S25
ISSN
0168-8227 (ISSN-L)
OpenAlex
W2084644316
Cited by
197
References
24
Citations by year
2026: 6 · 2025: 5 · 2024: 9 · 2023: 3 · 2022: 3 · 2021: 9 · 2020: 8 · 2019: 6 · 2018: 3 · 2017: 12 · 2016: 9 · 2015: 8 · 2014: 18 · 2013: 6 · 2012: 11
FWCI
1.24
Type
journal article
Language
en
Open access
closed
Locations
  • Diabetes Research and Clinical Practice (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
alpha-glucosidase inhibitors, acarbose, prediabetes, type 2 diabetes prevention, impaired glucose tolerance, hyperglycemia, beta-cell function, UK Prospective Diabetes Study, sulfonylureas, metformin, insulin therapy
MeSH terms
Diabetes Mellitus, Type 2, Enzyme Inhibitors, Glucosidases, Humans, Hypoglycemic Agents, Prediabetic State, Trisaccharides, Randomized Controlled Trials as Topic, Acarbose

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