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ANTIDIABETIC DRUG AND COMBINATION THERAPY

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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.
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289-294

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