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Combination therapy of oral hypoglycemic agents in patients with type 2 diabetes mellitus

Authors
 Min Kyong Moon  ;  Kyu Yeon Hur  ;  Seung-Hyun Ko  ;  Seok-O Park  ;  Byung-Wan Lee  ;  Jin Hwa Kim  ;  Sang Youl Rhee  ;  Hyun Jin Kim  ;  Kyung Mook Choi  ;  Nan-Hee Kim  ;  Committee of Clinical Practice Guidelines of the Korean Diabetes Association 
Citation
 Korean Journal of Internal Medicine, Vol.32(6) : 974-983, 2017 
Journal Title
 Korean Journal of Internal Medicine 
ISSN
 1226-3303 
Issue Date
2017
Abstract
The Korean Diabetes Association (KDA) recently updated the Clinical Practice Guidelines on antihyperglycemic agent therapy for adult patients with type 2 diabetes mellitus (T2DM). In combination therapy of oral hypoglycemic agents (OHAs), general recommendations were not changed from those of the 2015 KDA guidelines. The Committee on Clinical Practice Guidelines of the KDA has extensively reviewed and discussed the results of meta-analyses and systematic reviews of effectiveness and safety of OHAs and many clinical trials on Korean patients with T2DM for the update of guidelines. All OHAs were effective when added to metformin or metformin and sulfonylurea, although the effects of each agent on body weight and hypoglycemia were different. Therefore, selection of a second agent as a metformin add-on therapy or third agent as a metformin and sulfonylurea add-on therapy should be based on the patient's clinical characteristics and the efficacy, side effects, mechanism of action, risk of hypoglycemia, effect on body weight, patient preference, and combined comorbidity. In this review, we address the results of meta-analyses and systematic reviews, comparing the effectiveness and safety among OHAs. It will help to choose the appropriate drug for an individual patient with T2DM.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161523
DOI
10.3904/kjim.2017.354
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
이병완(Lee, Byung Wan)
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