Pharmacological regulation of blood glucose levels in non-insulin-dependent diabetes mellitus

被引:57
作者
Bressler, R [1 ]
Johnson, DG [1 ]
机构
[1] UNIV ARIZONA, ARIZONA HLTH SCI CTR, DEPT PHARMACOL, TUCSON, AZ 85724 USA
关键词
D O I
10.1001/archinte.157.8.836
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Non-insulin-dependent diabetes mellitus is a metabolic disease that is common and is characterized by insulin insufficiency and resistance. Measures such as body weight reduction and exercise improve the metabolic defects, but pharmacological therapy is the most frequently used and successful therapy. The sulphonylureas stimulate insulin secretion. Metformin and troglitazone increase disposal and decrease hepatic glucose output without causing hypoglycemia. Acarbose is a dietary aid that spreads the dietary carbohydrate challenge to endogenous insulin oar time. These pharmacological agents, either alone or in combination, can improve blood glucose regulation in patients with non-insulin-dependent diabetes mellitus.
引用
收藏
页码:836 / 848
页数:13
相关论文
共 234 条
[1]  
AGUILAR CA, 1992, REV INVEST CLIN, V44, P71
[2]   CLONING OF THE BETA-CELL HIGH-AFFINITY SULFONYLUREA RECEPTOR - A REGULATOR OF INSULIN-SECRETION [J].
AGUILARBRYAN, L ;
NICHOLS, CG ;
WECHSLER, SW ;
CLEMENT, JP ;
BOYD, AE ;
GONZALEZ, G ;
HERRERASOSA, H ;
NGUY, K ;
BRYAN, J ;
NELSON, DA .
SCIENCE, 1995, 268 (5209) :423-426
[3]  
*AM DIAB ASS, 1979, DIABETES, V28, P168
[4]   THE EFFECT OF FOOD ON THE BIOAVAILABILITY AND PHARMACODYNAMICS OF TOLBUTAMIDE IN DIABETIC-PATIENTS [J].
ANTAL, EJ ;
GILLESPIE, WR ;
PHILLIPS, JP ;
ALBERT, KS .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1982, 22 (05) :459-462
[5]  
ASPLUND K, 1983, DIABETOLOGIA, V24, P412
[6]   METFORMIN-INDUCED LACTIC-ACIDOSIS IN PRESENCE OF ACUTE RENAL-FAILURE [J].
ASSAN, R ;
HEUCLIN, C ;
GANEVAL, D ;
BISMUTH, C ;
GEORGE, J ;
GIRARD, JR .
DIABETOLOGIA, 1977, 13 (03) :211-217
[7]   METFORMIN - AN UPDATE [J].
BAILEY, CJ .
GENERAL PHARMACOLOGY, 1993, 24 (06) :1299-1309
[8]   BIGUANIDES AND NIDDM [J].
BAILEY, CJ .
DIABETES CARE, 1992, 15 (06) :755-772
[9]   EFFECT OF METFORMIN ON GLUCOSE-METABOLISM IN THE SPLANCHNIC BED [J].
BAILEY, CJ ;
WILCOCK, C ;
DAY, C .
BRITISH JOURNAL OF PHARMACOLOGY, 1992, 105 (04) :1009-1013
[10]   COMBINATION THERAPY WITH INSULIN AND SULFONYLUREAS FOR TYPE-II DIABETES [J].
BAILEY, TS ;
MEZITIS, NHE .
DIABETES CARE, 1990, 13 (06) :687-695