Cardiovascular Safety of Oral Antidiabetic Agents: The Insulin Secretagogues

Abstract

In Brief

This article reviews and dispels concerns about the potential cardiotoxicity of insulin and oral diabetes drugs, specifically the insulin secretagogues, in patients with type 2 diabetes. The authors focus on insulin and the sulfonylurea drugs but also briefly discuss meglitinide analogs.

Footnotes

  • Michael T. Caulfield, MD, is a senior fellow, and Kevin D. O’Brien, MD, is an associate professor in the Division of Cardiology at the University of Washington School of Medicine in Seattle.

  • Note of disclosure: Dr. O’Brien has received honoraria for speaking engagements from Novartis and Aventis. Both companies manufacture secretagogues for the treatment of type 2 diabetes.

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