PMID- 21651446 OWN - NLM STAT- MEDLINE DCOM- 20110928 LR - 20181201 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 12 IP - 10 DP - 2011 Jul TI - Pioglitazone: a valuable component of combination therapy for type 2 diabetes mellitus. PG - 1457-61 LID - 10.1517/14656566.2011.568477 [doi] AB - Several classes of drugs have been developed to treat type 2 diabetes mellitus (T2DM). Pioglitazone is now the only thiazolidinedione approved for the treatment of T2DM and can be administered in combination with metformin, sulfonylureas, exenatide, dipeptidyl peptidase 4 (DPP-4) inhibitors or insulin. It improves glycemic control with an extremely low incidence of hypoglycemia. In addition to reducing insulin resistance, it may also improve pancreatic beta-cell secretory function. Moreover, it exhibits a variety of favorable pleiotropic effects. The latter include anti-inflammatory, antioxidant, vasoprotective, antihypertensive and hypolipidemic actions. Finally, this agent has been shown to improve experimental diabetic neuropathy and alleviate neuropathic pain, as well as decreasing urinary albumin excretion in patients with diabetes. Thus, pioglitazone emerges as a valuable hypoglycemic agent for combination therapy in T2DM. Importantly, however, patients should be appropriately selected, especially to avoid those with heart failure, in order to minimize adverse events attributable to water retention. CI - (c) 2011 Informa UK, Ltd. FAU - Papanas, Nikolaos AU - Papanas N FAU - Katsiki, Niki AU - Katsiki N FAU - Hatzitolios, Apostolos I AU - Hatzitolios AI FAU - Maltezos, Efstratios AU - Maltezos E LA - eng PT - Comment PT - Editorial PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 0 (Thiazolidinediones) RN - X4OV71U42S (Pioglitazone) SB - IM CON - Expert Opin Pharmacother. 2011 Jul;12(10):1571-84. PMID: 21639813 MH - Blood Glucose/drug effects MH - Diabetes Mellitus, Type 2/*drug therapy/physiopathology MH - Drug Therapy, Combination MH - Humans MH - Hypoglycemia/chemically induced MH - Hypoglycemic Agents/administration & dosage/adverse effects/*pharmacology MH - Insulin Resistance MH - Pioglitazone MH - Thiazolidinediones/administration & dosage/adverse effects/*pharmacology EDAT- 2011/06/10 06:00 MHDA- 2011/09/29 06:00 CRDT- 2011/06/10 06:00 PHST- 2011/06/10 06:00 [entrez] PHST- 2011/06/10 06:00 [pubmed] PHST- 2011/09/29 06:00 [medline] AID - 10.1517/14656566.2011.568477 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2011 Jul;12(10):1457-61. doi: 10.1517/14656566.2011.568477.