PMID- 23176691 OWN - NLM STAT- MEDLINE DCOM- 20130506 LR - 20221109 IS - 1744-8298 (Electronic) IS - 1479-6678 (Linking) VI - 8 IP - 6 DP - 2012 Nov TI - The impact of current and novel anti-diabetic therapies on cardiovascular risk. PG - 895-912 LID - 10.2217/fca.12.68 [doi] AB - Type 2 diabetes mellitus (T2DM) has become an overwhelming health condition that is no longer just a threat to developed nations, but to undeveloped nations as well. Current therapies for T2DM are relatively effective in controlling hyperglycemia; examples include metformin, thiazolidinediones, sulfonylurea derivatives, alpha-glucosidase inhibitors, glucagon-like peptide-1 receptor agonists and dipeptidyl peptidase-4 inhibitors. Despite their efficacy in controlling hyperglycemia, due to recent findings of increased cardiovascular risk following treatment with either rosiglitazone or intensive glucose lowering, new guidelines from the US FDA recommend that new therapies for diabetes not only improve glycemia, but exert no adverse cardiovascular effects. Based on cardiovascular risk profiles, metformin appears to be the superior anti-diabetic therapy, although studies in humans with glucagon-like peptide-1 receptor agonists are encouraging. As patients with T2DM also often have cardiovascular disease, the increased rigor in drug development should ultimately reduce the health burden of both of these conditions. FAU - Ussher, John R AU - Ussher JR AD - Samuel Lunenfeld Research Institute, Mount Sinai Hospital, University of Toronto, Canada. ussher@lunenfeld.ca FAU - Sutendra, Gopinath AU - Sutendra G FAU - Jaswal, Jagdip S AU - Jaswal JS LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Future Cardiol JT - Future cardiology JID - 101239345 RN - 0 (Hypoglycemic Agents) RN - 9100L32L2N (Metformin) SB - IM MH - Animals MH - Cardiovascular Diseases/*complications MH - Diabetes Mellitus, Type 2/*drug therapy MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Metformin/therapeutic use EDAT- 2012/11/28 06:00 MHDA- 2013/05/07 06:00 CRDT- 2012/11/27 06:00 PHST- 2012/11/27 06:00 [entrez] PHST- 2012/11/28 06:00 [pubmed] PHST- 2013/05/07 06:00 [medline] AID - 10.2217/fca.12.68 [doi] PST - ppublish SO - Future Cardiol. 2012 Nov;8(6):895-912. doi: 10.2217/fca.12.68.