PMID- 25931824 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150501 LR - 20201001 IS - 1176-6336 (Print) IS - 1178-203X (Electronic) IS - 1176-6336 (Linking) VI - 11 DP - 2015 TI - Continual evolution of type 2 diabetes: an update on pathophysiology and emerging treatment options. PG - 621-32 LID - 10.2147/TCRM.S67387 [doi] AB - Diabetes is a complex and progressive disease that has a major societal and economic impact. The most common form of diabetes, type 2 diabetes mellitus (T2DM), is a multifactorial disease, the pathophysiology of which involves not only the pancreas but also the liver, skeletal muscle, adipose tissue, gastrointestinal tract, brain, and kidney. Novel therapies with mechanisms of action that are different from most existing drugs are emerging. One such class consists of compounds that inhibit renal sodium-glucose cotransporter 2, which is responsible for the bulk of glucose reabsorption by the kidneys. This new class of compounds improves glycemic control independently of insulin and promotes weight reduction, providing an additional tool to treat patients with T2DM. This review discusses the underlying pathophysiology of T2DM, clinical guidelines, and available and emerging treatment options, with particular emphasis on sodium-glucose cotransporter 2 inhibitors. FAU - Cornell, Susan AU - Cornell S AD - Chicago College of Pharmacy, Midwestern University, Downers Grove, IL, USA. LA - eng PT - Journal Article PT - Review DEP - 20150416 PL - New Zealand TA - Ther Clin Risk Manag JT - Therapeutics and clinical risk management JID - 101253281 PMC - PMC4404882 OTO - NOTNLM OT - diabetes OT - hyperglycemia OT - oral antidiabetic therapies OT - pharmacotherapy OT - sodium-glucose cotransporter 2 EDAT- 2015/05/02 06:00 MHDA- 2015/05/02 06:01 PMCR- 2015/04/16 CRDT- 2015/05/02 06:00 PHST- 2015/05/02 06:00 [entrez] PHST- 2015/05/02 06:00 [pubmed] PHST- 2015/05/02 06:01 [medline] PHST- 2015/04/16 00:00 [pmc-release] AID - tcrm-11-621 [pii] AID - 10.2147/TCRM.S67387 [doi] PST - epublish SO - Ther Clin Risk Manag. 2015 Apr 16;11:621-32. doi: 10.2147/TCRM.S67387. eCollection 2015.