oral hypoglycemic agent
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Introduction
Hypoglycemic agents taken by mouth.
Indications
- treatment of diabetes mellitus type 2
Adverse effects
- hypoglycemia*
- hepatotoxicity[2]
- thiazolidinediones least associated with hepatocellular carcinoma
- GLP-1 receptor agonist least associated with hepatic decompensation, variceal bleeding & hepatic encephalopathy
- SGLT2 inhibitors were least associated with cirrhosis 7 liver-related mortality[2]
* hypoglycemic agents least likely to cause hypoglycemia
- metformin
- SGLT2 inhibitors (flozins)
- GLP-1 receptor agonists (incretin mimetics, glutides)
- tirzepatide
- thiazolidinediones (glitazones)
- dipeptidyl peptidase-4 inhibitors (gliptins)
Laboratory
More general terms
More specific terms
- alpha glucosidase inhibitor
- gliptin; dipeptidyl peptidase-4 inhibitor; DPP-4 inhibitor
- glitazar
- meglitinide (Meglitinido, Meglitinidum)
- metformin (Glucophage)
- oral insulin
- SGLT-2 inhibitor; oral glucosuric agent; flozin
- sulfonylurea
- thiazolidinedione; glitazone; TZD
References
- ↑ NEJM Knowledge+ Endocrinology
- ↑ 2.0 2.1 2.2 Passos PRC, Motta R, Oliveira Costa Filho V, et al Hepatic Events Prevention by Antihyperglycemic Therapies and Intervention Comparisons in Type 2 Diabetes: The HEPATIC-T2DM Network Meta-analysis. Diabetes Care. 2026 Apr 13:dc260336. PMID: https://pubmed.ncbi.nlm.nih.gov/41973508