Actual position of metformin in the treatment of type 2 diabetes mellitus

Czech version

Authors: Peter Galajda; Martin Jozef Péč; Simona Horná; Marián Mokáň
Authors‘ workplace: I. interná klinika JLF UK a UNM, Martin
Published in: Forum Diab 2024; 13(2): 90-95
Category: Review Article

Overview

According to actual algorithm of treatment of type 2 diabetic patients metformin is indicated as drug of first choice only in patients with low cardiovascular risk. However metformin has potential cardioprotective and nephroprotective effects, and it is important drug due to its mechanism of action. Activation of AMPK system by metformin is associated not only with improving of insulin sensitivity, but also with various extraglycemic effects such as beneficial remodelling of fat tissue with reducing of visceral and ectopic adiposity and induction of brown adipose tissue, reduction of systemic and local inflammatory reaction a antiatherothrombotic effects. Metformin has important anti-inflammatory and anticancer effect as well as preventive effect on origin of type 2 diabetes mellitus.

Keywords:

type 2 diabetes mellitus – cardiovascular benefit – anticancer effect – prediabetic states – type 2 diabetes preven-tion

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Article was published in

Forum Diabetologicum

2024 Issue 2