Type II (non-insulin-dependent) diabetes mellitus is characterizedby insulin resistance, increased hepatic glucose production,and impaired secretion of insulin by pancreatic beta cells.Although the primary defect underlying these abnormalities isstill not known, previous longitudinal studies have indicatedthat insulin resistance precedes any evidence of glucose intolerancein most patients.
The goal of oral therapy with antidiabetic drugs is to lowerblood glucose concentrations toward normal by improving thepathophysiologic abnormalities. Several classes of drugs arenow available for the management of type II diabetes mellitus.The oldest are the sulfonylurea compounds. Although they mayhave some extrapancreatic actions, . . . [Full Text of this Article]
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