PMID- 33106148 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20211025 IS - 2212-3911 (Electronic) IS - 1574-8863 (Linking) VI - 16 IP - 2 DP - 2021 TI - Efficacy and Cardiovascular Safety of Thiazolidinediones. PG - 233-249 LID - 10.2174/1574886315666201026125530 [doi] AB - Type 2 diabetes mellitus (T2DM) is characterized by a progressive beta cell dysfunction in the setting of peripheral insulin resistance. Insulin resistance in subjects with type 2 diabetes and metabolic syndrome is primarily caused by an ectopic fat accumulation in the liver and skeletal muscle. Insulin sensitizers are particularly important in the management of T2DM. Though thiazolidinediones (TZDs) are principally insulin sensitizers, they possess an ability to preserve pancreatic beta-cell function and thereby exhibit durable glycemic control. Cardiovascular outcome trials (CVOTs) have shown that Glucagon-like-peptide 1 receptor agonists (GLP-1 RAs) and sodium glucose transporter-2 inhibitors (SGLT2i) have proven cardiovascular safety. In this era of CVOTs, drugs with proven cardiovascular (CV) safety are often preferred in patients with preexisting cardiovascular disease or at risk of cardiovascular disease. In this review, we will describe the three available drugs belonging to the TZD family, with special emphasis on their efficacy and CV safety. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Raveendran, Arkiath Veettil AU - Raveendran AV AD - Department of Internal Medicine, Badr Al Samaa group of hospitals, Barka, Oman. FAU - Fernandez, Cornelius James AU - Fernandez CJ AD - Department of Endocrinology and Metabolism, Pilgrim Hospital, Boston,PE21 9QS, United Kingdom. FAU - Jacob, Koshy AU - Jacob K AD - Department of Endocrinology and Metabolism, Eastbourne Hospital, Eastbourne, BN21 2UD, United Kingdom. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Drug Saf JT - Current drug safety JID - 101270895 RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0 (Thiazolidinediones) SB - IM MH - *Cardiovascular Diseases/chemically induced/diagnosis/epidemiology MH - *Diabetes Mellitus, Type 2/diagnosis/drug therapy MH - Humans MH - Hypoglycemic Agents/adverse effects MH - *Sodium-Glucose Transporter 2 Inhibitors MH - *Thiazolidinediones OTO - NOTNLM OT - Pioglitazone OT - cardiovascular disease OT - glycemic control OT - heart failure OT - insulin resistance OT - rosiglitazone EDAT- 2020/10/28 06:00 MHDA- 2021/10/26 06:00 CRDT- 2020/10/27 05:35 PHST- 2020/05/10 00:00 [received] PHST- 2020/07/27 00:00 [revised] PHST- 2020/08/02 00:00 [accepted] PHST- 2020/10/28 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2020/10/27 05:35 [entrez] AID - CDS-EPUB-110902 [pii] AID - 10.2174/1574886315666201026125530 [doi] PST - ppublish SO - Curr Drug Saf. 2021;16(2):233-249. doi: 10.2174/1574886315666201026125530.