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Prevention of type 2 diabetes: role of metformin.

机译:预防2型糖尿病:二甲双胍的作用。

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摘要

Metformin lowers moderate (nondiabetic) fasting hyperglycaemia in individuals at risk for type 2 diabetes without causing hypoglycaemia. In addition, it has demonstrated favourable action on several cardiovascular risk factors that are often present in these individuals: it favours the maintenance of diet-induced weight loss and its associated improvement in fibrinolysis; and it lowers plasma concentrations of fasting insulin, total and low density lipoprotein-cholesterol, free fatty acids, and of two markers of endothelial damage--tissue plasminogen activator antigen and von Willebrand factor. These effects together with the good tolerability profile of the drug position metformin as a first-line agent for the prevention of type 2 diabetes.
机译:二甲双胍可降低处于2型糖尿病风险的个体的中度(非糖尿病)空腹高血糖症,而不会引起低血糖症。此外,它已显示出对这些个体中经常存在的几种心血管危险因素的有益作用:它有利于维持饮食引起的体重减轻及其相关的纤维蛋白溶解改善;它降低了空腹胰岛素,总和低密度脂蛋白胆固醇,游离脂肪酸以及内皮损伤的两个标志物-组织纤溶酶原激活物抗原和von Willebrand因子的血浆浓度。这些效果与药物二甲双胍作为预防2型糖尿病的一线药物的良好耐受性有关。

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