Preventing type 2 diabetes in high risk patients: an overview of lifestyle and pharmacological measures

dc.contributor.authorLiberopoulos, E. N.en
dc.contributor.authorTsouli, S.en
dc.contributor.authorMikhailidis, D. P.en
dc.contributor.authorElisaf, M. S.en
dc.date.accessioned2015-11-24T18:56:45Z
dc.date.available2015-11-24T18:56:45Z
dc.identifier.issn1389-4501-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19086
dc.rightsDefault Licence-
dc.subjectAnti-Obesity Agents/administration & dosage/therapeutic useen
dc.subjectAntihypertensive Agents/administration & dosage/therapeutic useen
dc.subjectBody Weight/drug effectsen
dc.subjectDiabetes Mellitus, Type 2/*prevention & controlen
dc.subjectEstrogen Replacement Therapyen
dc.subjectHumansen
dc.subjectHypoglycemic Agents/administration & dosage/therapeutic useen
dc.subjectHypolipidemic Agents/administration & dosage/therapeutic useen
dc.subject*Life Styleen
dc.subjectRisken
dc.titlePreventing type 2 diabetes in high risk patients: an overview of lifestyle and pharmacological measuresen
heal.abstractBACKGROUND: Type 2 diabetes mellitus (T2DM) is a common disease that is associated with an increased risk of vascular complications. The incidence of T2DM is also increasing. It follows that T2DM prevention is important. METHODS: Relevant articles (review articles, randomised studies and large cohort and case-control studies) were identified through a Medline search (up to March 2005). RESULTS: The first trials on T2DM prevention were based on lifestyle intervention. The results of these studies were impressive since they demonstrated that even a small reduction in weight could significantly reduce the incidence of T2DM. However, the main disadvantage of lifestyle measures is that they are difficult to achieve and sustain. Therefore, pharmacological interventions have also been evaluated. The results of trials using metformin, orlistat, nateglinide, acarbose, thiazolidinediones, hormone replacement therapy, statins or fibrates are either encouraging or require more extensive evaluation. In addition, studies using antihypertensive drugs (mainly angiotensin-converting enzyme inhibitors and angiotensin II receptor antagonists) showed that these drugs could also reduce the progression to T2DM in high risk individuals. CONCLUSIONS: T2DM has major quality of life and cost implications. Therefore, more research is needed to establish safe and cost effective ways to prevent this modern epidemic.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/16475962-
heal.journalNameCurr Drug Targetsen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2006-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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