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. 2021 Oct 26;12:756581. doi: 10.3389/fendo.2021.756581

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 (8690)
α-Glucosidase inhibitor Delaying food decomposition, enhancing GLP-1 secretion Flatulence, diarrhea (9194)
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.