Abstract
Type 2 diabetes (T2D), which affects many people around the world, is one of
the diseases that is on the rise. Various studies have revealed that insulin resistance and
lessened insulin production have been associated with T2D, and they also show that this
disease can have a genetic origin and is associated with different genes, such as KCNQ1,
PPAR-γ, calpain-10, ADIPOR2, TCF7L2, which can be utilized as therapeutic targets. Different
therapeutic approaches and strategies such as exercise and diet, pharmacological approaches,
and utilization of nanoparticles in drug delivery and gene therapy can be effective
in the treatment and control of T2D. Glucagon-like peptide 1 (GLP-1) and sodiumglucose
cotransporter-2 (SGLT2) have both been considered as drug classes in the treatment
of T2D and T2D-related diseases such as cardiovascular disease and renal disease,
and have considerable influences such as diminished cardiovascular mortality in individuals
with T2D, ameliorated postprandial glycaemia, ameliorated fasting glycaemia, and diminished
bodyweight on disease treatment and improvement process. In the present review
article, we have attempted to explore the risk factors, genes, and diseases associated with
T2D, therapeutic approaches in T2D, the influences of drugs such as dapagliflozin, metformin,
acarbose, Januvia (sitagliptin), and ertugliflozin on T2D in clinical trials and animal
model studies. Research in clinical trials has promising results that support the role of
these drug approaches in T2D prophylaxis and ameliorate safety even though additional
clinical research is still obligatory.
Keywords:
Diabetes mellitus, type 2 diabetes, GLP-1, SGLT2, therapeutic approaches, hyperglycemia.
Graphical Abstract
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