Type 2 Diabetes Medication Review

Am J Med Sci. 2016 Apr;351(4):342-55. doi: 10.1016/j.amjms.2016.01.019. Epub 2016 Feb 2.

Abstract

Background: Patients with type 2 diabetes and their healthcare providers have a variety of medication options available for treating elevated blood glucose values. These medication choices have expanded drastically over the last 10 years with a large number of glucose lowering medications gaining FDA approval.

Methods: Here, we have included an extensive search of the type 2 diabetes literature focusing on articles which impact patient-oriented evidence that maters (POEMs).

Results: Choosing the best agent(s) can be challenging and requires weighing the risks and benefits of each particular medication. Tailoring medications to individual patients should be prioritized based on trials with cardiovascular outcome data, potential hemoglobin A1c reduction/goal, serious medication precautions and side-effects, co-morbid medical conditions, and cost.

Conclusions: This paper will provide the reader with an overview of the pros and cons for each antiglycemic medication class and specific drugs where appropriate. Data relevant to most patient centered encounters will be provided, including safety, tolerability, efficacy, cost, and simplicity of use.

Keywords: Medications; Newer drugs; Pharmacotherapy; Systemic review; Type 2 diabetes.

Publication types

  • Review

MeSH terms

  • Anticholesteremic Agents / adverse effects
  • Anticholesteremic Agents / therapeutic use
  • Colesevelam Hydrochloride / adverse effects
  • Colesevelam Hydrochloride / therapeutic use
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / epidemiology
  • Drug Utilization Review / methods*
  • Drug Utilization Review / standards
  • Humans
  • Hypoglycemic Agents / adverse effects
  • Hypoglycemic Agents / therapeutic use*
  • Insulin / adverse effects
  • Insulin / therapeutic use

Substances

  • Anticholesteremic Agents
  • Hypoglycemic Agents
  • Insulin
  • Colesevelam Hydrochloride