Table 3.
The common therapeutic strategies and disadvantages for the DM and its complications.
| Disease | Therapy | Treatment principle | Adverse effect | Reference |
|---|---|---|---|---|
| T1DM | Insulin | Exogenous insulin improves glucose metabolism | Substandard dose control can induce hypoglycemia, ketoacidosis | (82) |
| T2DM | Insulin | Exogenous insulin improves glucose metabolism | Substandard dose control induces hypoglycemia, ketoacidosis | (82) |
| Metformin | Improving peripheral tissue glucose uptake | Gastrointestinal tract response | (83) | |
| Sulfonylureas/meglitinides | Stimulating insulin secretion | Hypoglycemia, hypoleucocytosis, hemolytic anemia, increased risk of major cardiovascular events, weight gain | (84, 85) | |
| DPP-4 inhibitors/GLP-1/GIP receptor agonist | Stimulating insulin secretion, suppressing glucagon secretion, slowing gastric emptying, increasing β-cell mass and function | Renal impairment, hypoglycemia | (86–90) | |
| α-Glucosidase inhibitor | Delaying food decomposition, enhancing GLP-1 secretion | Flatulence, diarrhea | (91–94) | |
| Diabetic cardiomyopathy | Antianginal therapy, percutaneous intervention, surgical revascularization | Reduce myocardial fibrosis, revascularization | Surgical risk, little benefit, other risk factors | (95, 96) |
DM, diabetes mellitus; T1DM, type 1 diabetes mellitus; T2DM, type 2 diabetes mellitus.