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. 2023 Mar 28;14:1149239. doi: 10.3389/fendo.2023.1149239

Table 1.

Clinically used antihyperglycemic drugs to improve IR.

Type Listed drugs Mechanisms References
Biguanides Metformin Augmentation of peripheral glucose utilization by induction of GLUT4 expression and its translocation to the plasma membrane. (293)
TZD Pioglitazone, rosiglitazone Enhancing insulin-mediated glucose uptake also inhibits the production of pro-inflammatory cytokines and triggers the release of adiponectin (294)
SGLT2i Canagliflozin, Dapagliflozin, Empagliflozin,
tofogliflozin
Inhibits glucose reabsorption by the proximal renal tubule and improves insulin sensitivity by reducing body weight or glucose toxicity. (295)
Sulfonylurea drugs Glimepiride, glipizide Promotes insulin receptor activation, thereby increasing the number of glucose transporter proteins and increasing insulin sensitivity (296)
GLP-1 receptor agonists Dulaglutide, Albiglutide, Liraglutide, Semaglutide Reduces inflammation and oxidative stress and regulates lipid metabolism by increasing expression of glucose transporter proteins in insulin-dependent tissues (297)