Type 2 diabetes can be prevented with early pharmacological intervention

Posted by: admin on: March 6, 2012

Catching the pre-diabetics or those with impaired glucose tolerance, early enough and giving them a regimen of diet, exercise and anti diabetic drugs, will increase their insulin sensitivity, preserve their β cells of the pancreas and delay onset of type 2 diabetes. Here is a study.


In the U.S., 21 × 10(6) individuals have type 2 diabetes, and twice as many have impaired glucose tolerance (IGT). Approximately 40-50% of individuals with IGT will progress to type 2 diabetes over their lifetime.

Therefore, treatment of high-risk individuals with IGT to prevent type 2 diabetes has important medical, economic, social, and human implications. Weight loss, although effective in reducing the conversion of IGT to type 2 diabetes, is difficult to achieve and maintain. In contrast, pharmacological treatment of IGT with oral antidiabetic agents that improve insulin sensitivity and preserve β-cell function uniformly have been shown to prevent progression of IGT to type 2 diabetes.

The most consistent results have been observed with the thiazolidinediones (Troglitazone in the Prevention of Diabetes [TRIPOD], Pioglitazone in the Prevention of Diabetes [PIPOD], Diabetes Reduction Assessment with Ramipril and Rosiglitazone Medication [DREAM], and Actos Now for the Prevention of Diabetes [ACT NOW]), with a 50-70% reduction in IGT conversion to diabetes. Because individuals in the upper tertile of IGT are maximally/near-maximally insulin resistant, have lost 70-80% of their β-cell function, and have an ∼ 10% incidence of diabetic retinopathy, pharmacological intervention, in combination with diet plus exercise, should be instituted.

Ref: http://www.docguide.com/type-2-diabetes-can-be-prevented-early-pharmacological-intervention?hash=80445d1a&eid=19996&alrhash=2efbb8-880279c42369cc2f8adcb48a6daaf3d2

Leave a Reply

Your email address will not be published. Required fields are marked *


CMHF Accredited by Maharashtra Medical Council

Subscribe to our Posts

Enter your email address:

  • drchasrani: Difficult to get such a data, authenticated at that. Try Times of India online library
  • rakesh pore: hi, where can i get genuine information about "10 most common drugs sold in india?" i want it for a local project
  • nilesh dutta: sir, Plz give detail about MBA Sports Management Thanks and Regards

Calculate Your Body Mass Index

Check your Body Mass Index »

    Prune - 310 kcal in 100g
    Prune - 310 kcal in 100g
    by Noni