You are here

ANTIDIABETIC DRUG AND COMBINATION THERAPY

Journal Name:

Publication Year:

Abstract (2. Language): 
Diabetes is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction,and failure of different organs, especially the eyes, kidneys, nerves, heart, and blood vessel. Diet remains the mainstay of treatment. If diet alone is unsuccessful then, for most patients, short-acting sulphonylurea agents are the treatment of choice. Second line agents include the biguanide, or an α-glucosidase inhibitor. As Diabetes mellitus is concerned with other complications so combined therapy is beneficial as Combination therapy has various advantages over monotherapy. voglibose is an alpha-glucosidase inhibitor which reduces intestinal absorption of starch, dextrin, and disaccharides by inhibiting the action of á-glucosidase in the intestinal brush border. Metformin lowers both basal and postprandial blood glucose. Metformin decreases hepatic glucose production, decrease intestinal absorption of glucose and improves peripheral glucose uptake and utilization. Metformin is the first-line drug of choice for the treatment of type 2 diabetes, particularly in overweight and obese people and those with normal kidney function. Bi-layered tablets increases patient compliance and also allows for designing and modulating the dissolution and release characteristics and they are prepared with one layer of drug for immediate release while second layer designed to release drug latter in sustained release manner.
FULL TEXT (PDF): 
289-294

REFERENCES

References: 

1. Expert Committee on the Diagnosis and
Classification of Diabetes Mellitus. Report of the
Expert Committee on the Diagnosis and
Classification of Diabetes Mellitus.Diabetes Care
1997.
2. Diabetes Overview. National Diabetes Information
Clearinghouse.
http://diabetes.niddk.nih.gov/dm/pubs/overview/
index.htm#top. Accessed August 14, 2008.
3. Turner RC, Cull C, Frighi V et al. Glycemic control
wit diet, sulfonylurea, metformin, or insulin in
patients with type 2 diabetes mellitus. Progressive
requirement for multiple therapies (UKPDS 49).
JAMA 1999; 281:005–2012.
4. Nathan DM, Buse JB, Davidson MB et al.
Management of Hyperglycaemia in type 2 diabetes:
a consensus algorithm for the initiation and
adjustment of therapy. A consensus statement from
the American Diabetes Association and the
European Association for the Study of Diabetes.
Diabetologia 2006; 49: 1711–1721; Diabetes Care
2006; 29: 1963–72.
5. Kahn SE. The relative contributions of insulin
resistance and beta-cell dysfunction to the
pathophysiology of type 2 Diabetes. Diabetologia
2003; 46: 3–19.
6. Stumvoll M, Oldstein BJ, van Haeften TW. Type 2
diabetes: principles of pathogenesis and therapy.
Lancet 2005; 365: 1333–1348.
7. Chan JC, Malik V, Jia W, et al. Diabetes in Asia:
Epidemiology, risk factors, and pathophysiology.
JAMA 2009;301:2129–40
8. Mohan V, Pradeepa R. Epidemiology of diabetes in
different regions of India. Health Administrator
2009;22:1–18.
9. Ramachandran A, Snehalatha C, Kapur A, et al. High
prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey.
Diabetologia 2001;44:1094–101.
10. Mohan V, Pradeepa R. Epidemiology of diabetes in
different regions of India. Health Administrator
2009;22:1–18.
11. IDF Diabetes Atlas, 4th edition. International
Diabetes Federation, 2009.
12. Ramachandran A, Snehalatha C. Current scenario of
diabetes in India. J Diabetes 2009;18–28.
13. Type 2 drugs. American Diabetes Association.
http://www.diabetes.org/uedocuments/df-rgtype2-
drugs-0108.pdf. Accessed August 14, 2008.:-
14. Tripathi KD Japyee Brothers Pvt. Ltd. Essential of
medical pharmacology.2008. 6th edition.614.615,
266-271.
15. Leon Lachman, Herbert A. Liberman, Joseph L.
Kanig., The Theory And Practice Of Industrial
pharmacy, Varghese Publication House,Bombay,
3rdedition,1987.
16. Podczeck F., Drake K.R., Neton J.M., and Harian I.,
The strength of bi-layered tablet. European Journal
of Pharmaceutical Sciences, 2008,1-14.
17. Pandey H, Tiwari VK and Prajapati SK, Sustained
release bi-layered tablets of domperidone maleate
using hydrophilic matrix system, Indian drugs.
2007, 44(4), 261-263.
18. Robinson JR, Ding X, Extended release and targeted
drug delivery system, Remington- The science and
practice of pharmacy, Lippincott William & wilkins
publication. 21st edition, Vol-I, 939.

Thank you for copying data from http://www.arastirmax.com