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Review Article

An Overview of Prospective Drugs for Type 1 and Type 2 Diabetes

Author(s): Ping Wu, Zhenyu Liu, Xiaohong Jiang and Hao Fang*

Volume 21, Issue 5, 2020

Page: [445 - 457] Pages: 13

DOI: 10.2174/1389450120666191031104653

Price: $65

Abstract

Aims: The aim of this study is to provide an overview of several emerging anti-diabetic molecules.

Background: Diabetes is a complex metabolic disorder involving the dysregulation of glucose homeostasis at various levels. Insulin, which is produced by β-pancreatic cells, is a chief regulator of glucose metabolism, regulating its consumption within cells, which leads to energy generation or storage as glycogen. Abnormally low insulin secretion from β-cells, insulin insensitivity, and insulin tolerance lead to higher plasma glucose levels, resulting in metabolic complications. The last century has witnessed extraordinary efforts by the scientific community to develop anti-diabetic drugs, and these efforts have resulted in the discovery of exogenous insulin and various classes of oral anti-diabetic drugs.

Objective: Despite these exhaustive anti-diabetic pharmaceutical and therapeutic efforts, long-term glycemic control, hypoglycemic crisis, safety issues, large-scale economic burden and side effects remain the core problems.

Methods: The last decade has witnessed the development of various new classes of anti-diabetic drugs with different pharmacokinetic and pharmacodynamic profiles. Details of their FDA approvals and advantages/disadvantages are summarized in this review.

Results: The salient features of insulin degludec, sodium-glucose co-transporter 2 inhibitors, glucokinase activators, fibroblast growth factor 21 receptor agonists, and GLP-1 agonists are discussed.

Conclusion: In the future, these new anti-diabetic drugs may have broad clinical applicability. Additional multicenter clinical studies on these new drugs should be conducted.

Keywords: Molecule drugs, diabetes therapeutics, insulin degludec, SGLT2 inhibitors, glucokinase activators, FGF21 receptor agonists, GLP agonists.

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