PMID- 38028989 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231201 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 16 DP - 2023 TI - Can Antidiabetic Medications Affect Telomere Length in Patients with Type 2 Diabetes? A Mini-Review. PG - 3739-3750 LID - 10.2147/DMSO.S428560 [doi] AB - The fight against aging is an eternal pursuit of humankind. The aging rate of patients with type 2 diabetes mellitus (T2DM) is higher than that of healthy individuals. Reducing the aging rate of patients with T2DM and extending their life expectancy are challenges that endocrinologists are eager to overcome. Many studies have shown that antidiabetic medications have potent anti-aging potential. Telomeres are repetitive DNA sequences located at the ends of chromosomes, and telomere shortening is a hallmark of aging. This review summarizes clinical trials that have explored the association between antidiabetic medications and telomere length (TL) in patients with T2DM and explore the mystery of delaying aging in patients with T2DM from the perspective of telomeres. Various antidiabetic medications may have different effects on TL in patients with T2DM. Metformin and sitagliptin may protect telomeres in patients with T2DM, while exogenous insulin may promote telomere shortening in patients with T2DM. The effect of acarbose and glyburide on TL in patients with T2DM is still uncertain due to the absence of evidence from longitudinal studies. CI - (c) 2023 Qin. FAU - Qin, Baoding AU - Qin B AUID- ORCID: 0009-0003-5518-6156 AD - Department of Endocrinology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, People's Republic of China. LA - eng PT - Journal Article PT - Review DEP - 20231122 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC10676684 OTO - NOTNLM OT - aging OT - antidiabetic medications OT - telomere length OT - type 2 diabetes COIS- The author reports no conflicts of interest in this work. EDAT- 2023/11/29 18:43 MHDA- 2023/11/29 18:44 PMCR- 2023/11/22 CRDT- 2023/11/29 17:20 PHST- 2023/07/02 00:00 [received] PHST- 2023/10/07 00:00 [accepted] PHST- 2023/11/29 18:44 [medline] PHST- 2023/11/29 18:43 [pubmed] PHST- 2023/11/29 17:20 [entrez] PHST- 2023/11/22 00:00 [pmc-release] AID - 428560 [pii] AID - 10.2147/DMSO.S428560 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2023 Nov 22;16:3739-3750. doi: 10.2147/DMSO.S428560. eCollection 2023.