PMID- 30754166 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1744-8417 (Electronic) IS - 1744-6651 (Linking) VI - 7 IP - 4 DP - 2012 Jul TI - Acarbose revisited for efficacy, safety and cardiovascular benefits: a key role for controlling glycemic variability. PG - 395-405 LID - 10.1586/eem.12.35 [doi] AB - There is a growing body of evidence to illustrate the effect of postprandial hyperglycemia (PPHG) in cardiovascular disease development and as a key component of diurnal hyperglycemia. Agents such as acarbose, which has been shown to reduce 24-h glycemia and glycated hemoglobin (mainly via its effects on PPHG), may have the potential to reduce the risk of adverse cardiovascular outcomes as indicated in secondary analyses of the STOP-NIDDM trial. Although the results of the NAVIGATOR trial showed no effect of PPHG reduction on cardiovascular outcomes, acarbose has a different mode of action to nateglinide. This could lead to marked cardiovascular differences, and it is important to fully investigate this. The ongoing ACE trial will determine the effect of acarbose on a composite primary end point of cardiovascular outcomes. FAU - Hanefeld, Markolf AU - Hanefeld M AD - a Center for Clinical Studies, GWT - Technical University Dresden, Fiedlerstrasse 34, 01307 Dresden, Germany. hanefeld@gwtonline-zks.de. LA - eng PT - Journal Article PL - England TA - Expert Rev Endocrinol Metab JT - Expert review of endocrinology & metabolism JID - 101278293 OTO - NOTNLM OT - PPHG OT - Type 2 diabetes OT - acarbose OT - cardiovascular disease OT - glycemic variability EDAT- 2012/07/01 00:00 MHDA- 2012/07/01 00:01 CRDT- 2019/02/14 06:00 PHST- 2019/02/14 06:00 [entrez] PHST- 2012/07/01 00:00 [pubmed] PHST- 2012/07/01 00:01 [medline] AID - 10.1586/eem.12.35 [doi] PST - ppublish SO - Expert Rev Endocrinol Metab. 2012 Jul;7(4):395-405. doi: 10.1586/eem.12.35.