PMID- 29407048 OWN - NLM STAT- MEDLINE DCOM- 20190109 LR - 20190109 IS - 1558-4410 (Electronic) IS - 0889-8529 (Linking) VI - 47 IP - 1 DP - 2018 Mar TI - Personalizing Glucose-Lowering Therapy in Patients with Type 2 Diabetes and Cardiovascular Disease. PG - 137-152 LID - S0889-8529(17)30116-0 [pii] LID - 10.1016/j.ecl.2017.10.011 [doi] AB - Twelve drug categories are marketed in the United States to lower blood glucose concentrations in type 2 diabetes mellitus (T2DM). After metformin, there is disagreement about the optimal next choice for combination therapy. Guidelines advise balancing potency, risks, benefits, and costs. For T2DM and cardiovascular disease (CVD), emerging evidence suggests that certain options may have specific advantages. Specific members of the thiazolidinedione, sodium-glucose cotransporter-2 inhibitor, and glucagon-like peptide-1 receptor agonist classes have been associated with significant reductions in major adverse cardiovascular events, generally in those with established CVD. A personalized approach should consider these evidence-based therapies to optimize clinical outcomes. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Inzucchi, Silvio E AU - Inzucchi SE AD - Yale Endocrinology, Fitkin 106, Box 208020, New Haven, CT 06520-8020, USA. Electronic address: silvio.inzucchi@yale.edu. LA - eng PT - Journal Article PT - Review PL - United States TA - Endocrinol Metab Clin North Am JT - Endocrinology and metabolism clinics of North America JID - 8800104 RN - 0 (Hypoglycemic Agents) SB - IM MH - Cardiovascular Diseases/*drug therapy/metabolism MH - Diabetes Mellitus, Type 2/*drug therapy/metabolism MH - Humans MH - Hypoglycemic Agents/administration & dosage/adverse effects/*pharmacology OTO - NOTNLM OT - Cardiovascular disease OT - Glucose-lowering therapy OT - Type 2 diabetes EDAT- 2018/02/07 06:00 MHDA- 2019/01/10 06:00 CRDT- 2018/02/07 06:00 PHST- 2018/02/07 06:00 [entrez] PHST- 2018/02/07 06:00 [pubmed] PHST- 2019/01/10 06:00 [medline] AID - S0889-8529(17)30116-0 [pii] AID - 10.1016/j.ecl.2017.10.011 [doi] PST - ppublish SO - Endocrinol Metab Clin North Am. 2018 Mar;47(1):137-152. doi: 10.1016/j.ecl.2017.10.011.