title: [Cardiovascular effects and safety of glucose-lowering drugs: current situation].
abstract: Diabetes mellitus is an independent cardiovascular risk factor. Therefore, in addition to normalising blood glucose, the aim of the treatment for diabetes mellitus should be to prevent cardiovascular complications. However, the evidence available on the cardio-protective role of the different glucose-lowering drugs is scarce and poor, particularly as regards with the risk of major cardiovascular events. In this context, the regulatory agencies have modified the regulations for the approval of glucose-lowering drugs, now requiring to demonstrate the glucose-lowering effect together with a robust assessment of the cardiovascular safety. The aim of this work is to review the cardiovascular effects of the different glucose-lowering drugs, focusing on their impact on the risk of major cardiovascular events.
authors.affiliation: Servicio de Endocrinología, Hospital Son Llàtzer, Palma de Mallorca, España. Electronic address: lmasmiquel@hsll.es.
authors.forename: L
authors.initials: L
authors.lastname: Masmiquel
mesh_terms: D001786:Blood Glucose / Q000187:drug effects; D002318:Cardiovascular Diseases / Q000209:etiology* / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000188:drug therapy*; D006801:Humans; D007004:Hypoglycemic Agents / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D012307:Risk Factors
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents
keywords: Anti-diabetics; Antidiabéticos; Cardiovascular risk; Diabetes mellitus; Eventos cardiovasculares mayores; Glucose-lowering drugs; Hipoglucemiantes; Major cardiovascular events; Riesgo cardiovascular