We discussed the
primary goal of medication therapies for types 1 and 2
diabetes as the maintenance of an acceptable level of
glycemic control, which may vary according to the patient
risks and conditions.
Primary goals in treatment with diabetes medications
Maintenance of glycemic control: glucose and A1c
levels
In addition, we listed and briefly discussed a number of
medications that may fall into several categories, including
exogenous replacement of insulin, increasing production and
availability of endogenous insulin, improvement of insulin
sensitivity, reduction of liver glucose release, and
medications that slow gastric motility or other mechanisms
to reduce absorption rate of dietary carbohydrates.
Categories of medications used in treatment of diabetes
Insulin replacement
Medications that increase insulin production and
secretion
Medications that improve insulin sensitivity
Medications that reduce liver glucose production
Medications that slow carbohydrate absorption
And
we also
briefly discussed the barriers to both insulin and oral
medication uses, including the patient-centric and
non-patient-centric factors associated with non-adherence.
Barriers to insulin and oral medication use |