Cited by 83Diabetes Treatment and ManagementDiabetes Management and ResearchPancreatic function and diabetes

Novel agents for the treatment of type 2 diabetes

Open access
DeFronzo, Ralph A., Triplitt, Curtis L., Abdul-Ghani, Muhammad, Cersosimo, Eugenio·2014·Diabetes Spectrum

Abstract

In Brief Impaired insulin secretion, increased hepatic glucose production, and decreased peripheral glucose utilization are the core defects responsible for the development and progression of type 2 diabetes. However, the pathophysiology of this disease also includes adipocyte insulin resistance (increased lipolysis), reduced incretin secretion/sensitivity, increased glucagon secretion, enhanced renal glucose reabsorption, and brain insulin resistance/neurotransmitter dysfunction. Although current diabetes management focuses on lowering blood glucose, the goal of therapy should be to delay disease progression and eventual treatment failure. Recent innovative treatment approaches target the multiple pathophysiological defects present in type 2 diabetes. Optimal management should include early initiation of combination therapy using multiple drugs with different mechanisms of action. This review examines novel therapeutic options that hold particular promise.

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Registry

Crossref · 10.2337/diaspect.27.2.100

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27 of 27 references verified0 citation errors · 0 not checkable

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Authors
DeFronzo, R. A., Triplitt, C. L., Abdul-Ghani, M., & Cersosimo, E.
Affiliations
The University of Texas at San Antonio Health Science Center (US)
Venue
Diabetes Spectrum
Published
2014-05-01
Volume
27
Issue
2
Pages
100-112
ISSN
  • 1040-9165 (ISSN-L)
  • 1944-7353
OpenAlex
W2092933519
Cited by
83
References
27
Citations by year
2026: 3 · 2025: 6 · 2024: 7 · 2023: 11 · 2022: 7 · 2021: 7 · 2020: 10 · 2019: 7 · 2018: 4 · 2017: 7 · 2016: 10 · 2015: 4
FWCI
5.63
Type
journal article
Language
en
Open access
Locations
  • Diabetes Spectrum (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
Keywords
type 2 diabetes, insulin secretion, hepatic glucose production, peripheral glucose utilization, lipolysis, incretin secretion, glucagon, renal glucose reabsorption, brain insulin resistance, neurotransmitter dysfunction, combination therapy, disease progression

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