PMID- 31365088 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230412 IS - 1945-7197 (Electronic) IS - 0021-972X (Linking) VI - 104 IP - 9 DP - 2019 Sep 1 TI - Medications Affecting the Biochemical Conversion to Type 2 Diabetes: A Systematic Review and Meta-Analysis. PG - 3986-3995 LID - 10.1210/jc.2019-01269 [doi] AB - CONTEXT: The extent to which some pharmacological interventions reduce or increase the risk of biochemical conversion to type 2 diabetes mellitus (T2DM) in at-risk individuals is unclear. METHODS: We searched MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, and Scopus through 24 August 2017 for randomized controlled trials evaluating the effect of drugs suspected to modify the risk of biochemical conversion to T2DM. RESULTS: We included 43 trials with 192,156 subjects (mean age, 60 years; 56% men; mean body mass index, 30.4 kg/m2). alpha-Glucosidase inhibitors, angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, metformin, orlistat, phentermine/topiramate, and pioglitazone significantly reduced the risk of biochemical conversion to T2DM, whereas statins and nateglinide increased the risk. There was insufficient direct evidence regarding the effects of sulfonylureas, glucagon-like peptide-1 receptor agonists, dipeptidyl peptidase-4 inhibitors, and sodium-glucose cotransporter-2 inhibitors. Most trials were brief and evaluated this outcome during treatment without a withdrawal or washout period. CONCLUSIONS: Several drugs modify the risk of biochemical conversation to T2DM, although whether this effect is persistent and clinically relevant is unclear. Future studies need to focus on cardiovascular disease prevention, mortality, and patient-important outcomes instead of biochemical conversion to T2DM. CI - Copyright (c) 2019 Endocrine Society. FAU - Domecq, Juan Pablo AU - Domecq JP AD - Evidence-Based Practice Center, Mayo Clinic, Rochester, Minnesota. FAU - Prutsky, Gabriela AU - Prutsky G AD - Evidence-Based Practice Center, Mayo Clinic, Rochester, Minnesota. FAU - Elraiyah, Tarig AU - Elraiyah T AD - Evidence-Based Practice Center, Mayo Clinic, Rochester, Minnesota. AD - Division of Nephrology, Department of Medicine, Drexel University College of Medicine, Philadelphia, Pennsylvania. FAU - Wang, Zhen AU - Wang Z AD - Evidence-Based Practice Center, Mayo Clinic, Rochester, Minnesota. FAU - Mauck, Karen F AU - Mauck KF AD - Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota. FAU - Brito, Juan Pablo AU - Brito JP AD - Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota. AD - Division of Endocrinology, Mayo Clinic, Rochester, Minnesota. FAU - Undavalli, Chaitanya AU - Undavalli C AD - Evidence-Based Practice Center, Mayo Clinic, Rochester, Minnesota. FAU - Sundaresh, Vishnu AU - Sundaresh V AD - Evidence-Based Practice Center, Mayo Clinic, Rochester, Minnesota. AD - Division of Endocrinology, Metabolism, and Diabetes, University of Utah, Salt Lake City, Utah. FAU - Prokop, Larry J AU - Prokop LJ AD - Evidence-Based Practice Center, Mayo Clinic, Rochester, Minnesota. FAU - Montori, Victor M AU - Montori VM AD - Evidence-Based Practice Center, Mayo Clinic, Rochester, Minnesota. AD - Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota. AD - Division of Endocrinology, Mayo Clinic, Rochester, Minnesota. FAU - Murad, M Hassan AU - Murad MH AUID- ORCID: 0000-0001-5502-5975 AD - Evidence-Based Practice Center, Mayo Clinic, Rochester, Minnesota. LA - eng PT - Journal Article PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 SB - IM EDAT- 2019/08/01 06:00 MHDA- 2019/08/01 06:01 CRDT- 2019/08/01 06:00 PHST- 2019/06/05 00:00 [accepted] PHST- 2019/06/04 00:00 [received] PHST- 2019/08/01 06:01 [medline] PHST- 2019/08/01 06:00 [pubmed] PHST- 2019/08/01 06:00 [entrez] AID - 5540923 [pii] AID - 10.1210/jc.2019-01269 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2019 Sep 1;104(9):3986-3995. doi: 10.1210/jc.2019-01269.