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Copyright ©The Author(s) 2025.
World J Diabetes. Apr 15, 2025; 16(4): 98995
Published online Apr 15, 2025. doi: 10.4239/wjd.v16.i4.98995
Table 1 Current commercial medications for type 2 diabetes mellitus treatment
Classification
Medication
Target
Adverse reaction
Limitation
Insulin secretagogueGlibenclamideATP-sensitive potassium channelHypoglycemia; weight gain; gastrointestinal disordersContraindicated in patients with sulfonamide allergies
TirzepatideGlucagon-like peptide-1 receptorRisk of thyroid myeloid tumorsContraindicated in patients with medullary thyroid carcinoma or multiple endocrine neoplastic syndrome type 2
SemaglutideRisk of thyroid myeloid tumors
ExenatideRisk of pancreatitis
SitagliptinDipeptidyl peptidase-4Risk of pancreatitis; metabolic and nutritional disordersContraindicated in patients with severe liver and kidney dysfunction
Non-insulin antidiabetic agentRosiglitazonePeroxisome proliferator-activated receptor γHeart failure; risk of fracturesContraindicated during pregnancy and lactation
Acarboseα-GlucosidaseAbdominal discomfort; flatulenceContraindicated in patients with chronic gastrointestinal dysfunction
MetforminAMP-activated protein kinaseRisk of lactic acidosis; vitamin B12 deficiencyContraindicated in patients with metabolic acidosis
CanagliflozinSodium-glucose cotransporter 2Polyuria and urinary tract infection; risk of diabetes ketoacidosis and amputationsUsed with caution during urinary system infections