[1]张月田,刘世平.二甲双胍治疗2型糖尿病的不良反应及联合用药的应用[J].医学信息,2021,34(06):64-68.[doi:10.3969/j.issn.1006-1959.2021.06.017]
 ZHANG Yue-tian,LIU Shi-ping.Adverse Reactions of Metformin in the Treatment of Type 2 Diabetes and the Application of Combined Medication[J].Medical Information,2021,34(06):64-68.[doi:10.3969/j.issn.1006-1959.2021.06.017]
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二甲双胍治疗2型糖尿病的不良反应及联合用药的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年06期
页码:
64-68
栏目:
综述
出版日期:
2021-03-15

文章信息/Info

Title:
Adverse Reactions of Metformin in the Treatment of Type 2 Diabetes and the Application of Combined Medication
文章编号:
1006-1959(2021)06-0064-05
作者:
张月田刘世平
(川北医学院附属医院全科医学科,四川 南充 637000)
Author(s):
ZHANG Yue-tianLIU Shi-ping
(Department of General Medicine,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)
关键词:
2型糖尿病口服降糖药二甲双胍联合用药
Keywords:
Type 2 diabetesOral hypoglycemic drugsMetforminCombination medication
分类号:
R587.1
DOI:
10.3969/j.issn.1006-1959.2021.06.017
文献标志码:
A
摘要:
二甲双胍是目前临床上应用最广泛的降糖药物之一,被多数指南推荐为基础初始用药,但单药治疗时仍可能无法有效控制血糖,已有将二甲双胍与其他类型口服降糖药的联合应用治疗2型糖尿病,包括磺脲类、格列奈类、噻唑烷二酮类、α-葡萄糖苷酶抑制剂、二基肽基酶4抑制剂以及钠-葡萄糖协同转运蛋白2抑制剂等,有效地控制血糖、改善胰岛素抵抗、控制体重、干预肥胖、减轻不良反应,帮助控制血压、降低心血管疾病风险,对改善患者预后有明显作用。本文现对二甲双胍治疗的不良反应及其作为基础的口服降糖药物联合其他药物治疗治疗2型糖尿病的应用进行综述,以期为临床2型糖尿病的治疗提供参考。
Abstract:
Metformin is currently one of the most widely used hypoglycemic drugs in clinical practice. It is recommended by most guidelines as the basic initial medication. However, it may not be able to effectively control blood sugar during single-agent therapy. Metformin has been used in combination with other types of oral hypoglycemic drugs. Treatment of type 2 diabetes, including sulfonylureas, glinides, thiazolidinediones, α-glucosidase inhibitors, dipeptidylase 4 inhibitors and sodium-glucose cotransporter 2 inhibitors, etc., effectively control blood sugar, improve insulin resistance, control weight, interfere with obesity, reduce adverse reactions, help control blood pressure, reduce the risk of cardiovascular disease, and have a significant effect on improving the prognosis of patients.This article reviews the adverse effects of metformin treatment and the application of the basic oral hypoglycemic drugs combined with other drugs in the treatment of type 2 diabetes, in order to provide a reference for the clinical treatment of type 2 diabetes.

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