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) |