Type 2 Diabetes Management: Choosing the Best Therapies

Anne L. Peters, MD; Eleuterio Ferrannini, MD, PhD

Disclosures

October 09, 2015

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An Explosion of New Diabetes Treatments

Anne L. Peters, MD: Hi. I'm Dr Anne Peters. I'm here today with Dr Ele Ferrannini, who is a professor of medicine at the University of Pisa. Today we are going to tackle the difficult question of how to synthesize all that is new in the treatment of diabetes and how to make it practicable.

Why don't you tell us what your perspective is, an overview of what we have for treating diabetes that has come up in the past few years?

Eleuterio Ferrannini, MD, PhD: I think what is really striking about diabetes is that over a relatively short period of time, a number of new drugs and approaches have become available, whereas previously, the treatment and management of diabetes was essentially in a phase of stagnation. This is in contrast to what has been seen with hypertension, where there has been a steady development of new drugs over the course of time.

The other thing that is interesting is that there are multiple targets. It's not just the glucose or the glycated hemoglobin (A1c), but it's also the weight, the prevention of hypoglycemiaand correction of the basic pathophysiologic defects in diabetes. On the one hand, this should not be too surprising because we know that diabetes is a systemic, multifactorial, and polygenic disease.

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