PMID- 19017837 OWN - NLM STAT- MEDLINE DCOM- 20081224 LR - 20220331 IS - 1469-0756 (Electronic) IS - 0032-5473 (Linking) VI - 84 IP - 996 DP - 2008 Oct TI - Recent advances in the management of type 2 diabetes mellitus: a review. PG - 524-31 LID - 10.1136/pgmj.2008.067918 [doi] AB - Type 2 diabetes mellitus (T2DM) is a progressive disorder caused by a combination of insulin resistance and beta cell dysfunction. It is associated with an increased and premature risk of cardiovascular disease as well as specific microvascular complications such as retinopathy, nephropathy and neuropathy. In the last 5 years new glucose lowering drugs acting on novel pathways have been developed, licensed and launched, such as the glucagon-like peptide (GLP-1) agonists (exenatide) and dipeptidyl peptidase (DPP-IV) inhibitors such as sitagliptin and vildagliptin. This review looks at these new agents in terms of their mode of action, pharmacokinetics and use in clinical practice. This review also includes new agents in the area of weight loss that may have a positive effect for glucose management-for example, rimonabant. FAU - Srinivasan, B T AU - Srinivasan BT AD - Department of Diabetes Research, University Hospitals of Leicester NHS Trust, Leicester, UK. FAU - Jarvis, J AU - Jarvis J FAU - Khunti, K AU - Khunti K FAU - Davies, M J AU - Davies MJ LA - eng PT - Journal Article PT - Review PL - England TA - Postgrad Med J JT - Postgraduate medical journal JID - 0234135 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 0 (Incretins) RN - 0 (Piperidines) RN - 0 (Pyrazoles) RN - EC 3.4.14.- (Dipeptidyl-Peptidases and Tripeptidyl-Peptidases) RN - RML78EN3XE (Rimonabant) SB - IM MH - Diabetes Mellitus, Type 2/*therapy MH - Dipeptidyl-Peptidase IV Inhibitors/therapeutic use MH - Dipeptidyl-Peptidases and Tripeptidyl-Peptidases/antagonists & inhibitors MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Incretins/antagonists & inhibitors MH - Piperidines/therapeutic use MH - Pyrazoles/therapeutic use MH - Rimonabant RF - 59 EDAT- 2008/11/20 09:00 MHDA- 2008/12/25 09:00 CRDT- 2008/11/20 09:00 PHST- 2008/11/20 09:00 [pubmed] PHST- 2008/12/25 09:00 [medline] PHST- 2008/11/20 09:00 [entrez] AID - 84/996/524 [pii] AID - 10.1136/pgmj.2008.067918 [doi] PST - ppublish SO - Postgrad Med J. 2008 Oct;84(996):524-31. doi: 10.1136/pgmj.2008.067918.