PMID- 26845016 OWN - NLM STAT- MEDLINE DCOM- 20160609 LR - 20191210 IS - 1533-7294 (Electronic) IS - 0094-3509 (Linking) VI - 64 IP - 12 Suppl DP - 2015 Dec TI - Hot Topics in Primary Care: Considerations in the Selection of Antihyperglycemic Therapy for Older Patients With Type 2 Diabetes Mellitus: A Focus on Newer Therapies. PG - S59-66 LID - jfp_6412x [pii] AB - Treatment of type 2 diabetes mellitus (T2DM) in older patients is complicated by a variety of factors and requires an individualized approach. Benefits of intensive glycemic control must be weighed against associated risks. Dipeptidyl peptidase-4 inhibitors, glucagon-like peptide-1 receptor agonists, and sodium-glucose cotransporter-2 inhibitors are newer antihyperglycemic agents that effectively lower glycated hemoglobin levels, with a low risk of hypoglycemia, and have a neutral or beneficial effect on weight. The purpose of this review is to discuss challenges in treating older patients with T2DM, and the efficacy and safety of these newer classes based on clinical trials in older populations. FAU - Freeman, Jeffrey AU - Freeman J AD - Professor of Internal Medicine, Chairman, Division of Endocrinology and Metabolism, Department of Internal Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Fam Pract JT - The Journal of family practice JID - 7502590 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (GLP1R protein, human) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) SB - IM MH - Age Factors MH - Aged MH - Diabetes Mellitus, Type 2/*drug therapy MH - Dipeptidyl-Peptidase IV Inhibitors/therapeutic use MH - Drug Interactions MH - Glucagon-Like Peptide-1 Receptor/antagonists & inhibitors MH - Humans MH - Hypoglycemia/chemically induced/prevention & control MH - Hypoglycemic Agents/*therapeutic use MH - Polypharmacy MH - Sodium-Glucose Transporter 2 MH - Sodium-Glucose Transporter 2 Inhibitors EDAT- 2016/02/06 06:00 MHDA- 2016/06/10 06:00 CRDT- 2016/02/05 06:00 PHST- 2016/02/05 06:00 [entrez] PHST- 2016/02/06 06:00 [pubmed] PHST- 2016/06/10 06:00 [medline] AID - jfp_6412x [pii] PST - ppublish SO - J Fam Pract. 2015 Dec;64(12 Suppl):S59-66.