medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-4-20-27medsovet-2327Research ArticleСАХАРНЫЙ ДИАБЕТDIABETES MELLITUSМетформин – общепризнанный препарат первого выбора у больных сахарным диабетом 2-го типаMetformin is the most recognized first choice drug for patients with type 2 diabetes mellitusМкртумянА. М.MkrtumyanA. M.

Доктор медицинских наук, профессор

MD, Prof

Московский государственный медико-стоматологический университет им. А.И. ЕвдокимоваРоссияA.I.Yevdokimov Moscow State University of Medicine and DentistryRussian Federation201829032018042027Copyright © Мкртумян А.М., 20182018Мкртумян А.М.Mkrtumyan A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2327

Для терапии сахарного диабета 2-го типа могут использоваться препараты сульфонилмочевины, глиниды, ингибиторы a-глюкозидазы, тиазолидиндионы, инкретины, аналоги ГПП-1, иНГЛТ-2 и, конечно, метформин. Он занимает центральную позицию, учитывая его роль в снижении гипергликемии и риска развития угрожающих жизни осложнений. Международная федерация по сахарному диабету ежегодно подтверждает целесообразность назначения метформина в качестве первого шага для лечения сахарного диабета 2-го типа наряду с модификацией образа жизни [1].

Many anti-diabetic drugs are now available to treat type 2 diabetes mellitus, including sulfonylureas, glinides, α-glucosidase inhibitors, thiazolidinediones, incretin-related drugs, glucagon-like peptide-1 (GLP-1) analogues, sodium-glucose co-transporter 2 (SGLT2) inhibitors and, certainly, metformin. It holds a central position, given its role in reducing hyperglycemia and the risk of life-threatening complications. The International Diabetes Federation annually confirms the appropriateness of the appointment of metformin as a first step in the treatment of type 2 diabetes mellitus along with lifestyle modification [1].

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The authors declare that there are no conflicts of interest present.