Review Articles

Where do sulphonylureas fit in the type 2 diabetes guidelines?

Gail Mkele
South African Family Practice | Vol 56, No 4 : July/August| a4190 | DOI: https://doi.org/10.4102/safp.v56i4.4190 | ©
Submitted: 01 December 2014 | Published: 14 July 2014

About the author(s)

Gail Mkele,, South Africa

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Abstract

Sulphonylureas act by binding to sulphonylurea receptors and stimulating insulin secretion from pancreatic beta cells. This class of oral hypoglycaemic agents is still widely used in the management of type 2 diabetes in patients where lifestyle changes alone are insufficient. Although the older-generation sulphonylureas no longer have a place in therapy, the newer-generation sulphonylureas are a widely recognised choice, either as monotherapy, or in combination with insulin and/or other oral hypoglycaemic agents.

Keywords

sulphonylureas; glibenclamide; gliclazide; glipizide; glimepiride; chlorpropamide; type 2 diabetes

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