PMID- 20571352 OWN - NLM STAT- MEDLINE DCOM- 20100830 LR - 20181201 IS - 1538-2990 (Electronic) IS - 0002-9629 (Linking) VI - 340 IP - 2 DP - 2010 Aug TI - Managing type 2 diabetes in the primary care setting: beyond glucocentricity. PG - 133-43 LID - 10.1097/MAJ.0b013e3181d64344 [doi] AB - Successful management of type 2 diabetes mellitus (T2DM) requires attention to additional conditions often associated with hyperglycemia including overweight or obesity, dyslipidemia and hypertension, as each has some relationship with microvascular or macrovascular complications. Because control of cardiovascular risk factors is as important as glucose control in T2DM, these risk factors need to be addressed, and it is critical that antidiabetes medications do not exacerbate these risk factors. A patient-centered approach to treatment in which clinicians maximize patient involvement in the selection of antidiabetes therapy may lead to increased adherence and improved clinical outcomes. The incretin hormones, which include glucagon-like peptide-1 (GLP-1), are involved in glucoregulation and have become an important focus of T2DM research and treatment. Incretin-based therapies, such as the glucagon-like peptide-1 receptor agonists and the dipeptidyl peptidase-IV inhibitors, have shown beneficial effects on hyperglycemia, weight, blood pressure and lipids with a low incidence of hypoglycemia. FAU - Kuritzky, Louis AU - Kuritzky L AD - University of Florida College of Medicine, Gainesville, 32601, USA. lkuritzky@aol.com LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Am J Med Sci JT - The American journal of the medical sciences JID - 0370506 RN - 0 (Blood Glucose) RN - 0 (Dipeptides) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 0 (Nitriles) RN - 0 (Peptides) RN - 0 (Piperidines) RN - 0 (Pyrazines) RN - 0 (Pyrrolidines) RN - 0 (Triazoles) RN - 0 (Venoms) RN - 2PHK27IP3B (taspoglutide) RN - 56HH86ZVCT (Uracil) RN - 5E7U48495E (rGLP-1 protein) RN - 839I73S42A (Liraglutide) RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - 9GB927LAJW (saxagliptin) RN - 9P1872D4OL (Exenatide) RN - I6B4B2U96P (Vildagliptin) RN - JHC049LO86 (alogliptin) RN - PJY633525U (Adamantane) RN - TS63EW8X6F (Sitagliptin Phosphate) SB - IM MH - Adamantane/analogs & derivatives/therapeutic use MH - Blood Glucose/metabolism MH - Diabetes Mellitus, Type 2/drug therapy/*therapy MH - Dipeptides/therapeutic use MH - Dipeptidyl-Peptidase IV Inhibitors/therapeutic use MH - Exenatide MH - Glucagon-Like Peptide 1/analogs & derivatives/therapeutic use MH - Humans MH - Hyperglycemia/drug therapy/therapy MH - Hypoglycemic Agents/administration & dosage/therapeutic use MH - Liraglutide MH - Nitriles/therapeutic use MH - Obesity/therapy MH - Patient Compliance MH - Peptides/administration & dosage/therapeutic use MH - Piperidines/therapeutic use MH - Precision Medicine MH - Primary Health Care MH - Pyrazines/therapeutic use MH - Pyrrolidines/therapeutic use MH - Risk Factors MH - Sitagliptin Phosphate MH - Triazoles/therapeutic use MH - Uracil/analogs & derivatives/therapeutic use MH - Venoms/administration & dosage/therapeutic use MH - Vildagliptin RF - 71 EDAT- 2010/06/24 06:00 MHDA- 2010/08/31 06:00 CRDT- 2010/06/24 06:00 PHST- 2010/06/24 06:00 [entrez] PHST- 2010/06/24 06:00 [pubmed] PHST- 2010/08/31 06:00 [medline] AID - S0002-9629(15)31519-6 [pii] AID - 10.1097/MAJ.0b013e3181d64344 [doi] PST - ppublish SO - Am J Med Sci. 2010 Aug;340(2):133-43. doi: 10.1097/MAJ.0b013e3181d64344.