Cardiovascular outcomes of antidiabetic drugs

Autor: Ranjit Kumar Nath, Neeraj Pandit, Ajay Raj, B.N Pandit, Vinod Kumar, Rajeev Bhardwaj, Ajay Pratap Singh, Ashok Thakur
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Asian Journal of Medical Sciences, Vol 12, Iss 3, Pp 98-106 (2021)
Druh dokumentu: article
ISSN: 2467-9100
2091-0576
DOI: 10.3126/ajms.v12i3.32477
Popis: Type 2 Diabetes Mellitus (T2DM) is associated with a high risk of atherosclerotic cardiovascular disease (ASCVD). Intensive blood glucose reduction with antidiabetic drugs significantly reduce microvascular complications but there is no strong evidence of reduction in cardiovascular (CV) events. In 2008, the US Food and Drug Administration (FDA) issued guidance to demonstrate cardiovascular safety of newer antidiabetic drugs in addition to reduction in blood glucose level. After which a number of CVOTs were conducted involving newer antidiabetic drugs. The newer drugs (e.g. GLP-1 RAs, SGLT2 inhibitors and DPP 4 inhibitors) might have potential effects on body weight, lipid parameters and blood pressure, as well as endothelial dysfunctions, inflammatory markers and oxidative stress. The current review summarizes the results of the main trials focused on the cardiovascular outcomes of traditional as well as newer antidiabetic drugs.
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