» Articles » PMID: 23093911

Critical Evaluation of the Role of Acarbose in the Treatment of Diabetes: Patient Considerations

Overview
Publisher Dove Medical Press
Specialty Endocrinology
Date 2012 Oct 25
PMID 23093911
Citations 60
Authors
Affiliations
Soon will be listed here.
Abstract

The alpha-glucosidase inhibitor acarbose has been used for more than 20 years in the management of hyperglycemia. Owing to its unique mode of action in the gastrointestinal tract, its properties are very different from other antidiabetic medications. Patients on long-term treatment to control a chronic disease are not only interested in good treatment efficacy, but are also even more interested in the safety and side effects of their medications. Significant aspects of acarbose predominantly regarding safety and tolerability in the management of type 2 diabetes and prediabetes are reviewed. It is concluded that acarbose is a convenient long-term treatment option, with benefits for both type 2 diabetics and patients in a prediabetic state.

Citing Articles

Grape Pomace as a Source of Phenolics for the Inhibition of Starch Digestion Enzymes: A Comparative Study and Standardization of the Efficacy.

Sri Harsha P, Lavelli V Foods. 2025; 13(24.

PMID: 39767045 PMC: 11675744. DOI: 10.3390/foods13244103.


Kinetic and Mechanistic Release Studies on Hyaluronan Hydrogels for Their Potential Use as a pH-Responsive Drug Delivery Device.

Erikci S, van den Bergh N, Boehm H Gels. 2024; 10(11).

PMID: 39590087 PMC: 11594241. DOI: 10.3390/gels10110731.


Evaluating the antidiabetes and antioxidant activities of halogenated Schiff bases derived from 4-(diethylamino)salicylaldehyde: in vitro antidiabetes, antioxidant and computational investigation.

Oladipo S, Luckay R, Olofinsan K Sci Rep. 2024; 14(1):27073.

PMID: 39511294 PMC: 11543988. DOI: 10.1038/s41598-024-78460-w.


Alpha-Glucosidase Inhibitory Effect of Ethanol Extract Growing in Gayo Highland, Aceh Province, Indonesia.

Zumaidar Z, Asmilia N, Saudah S, Husnah M F1000Res. 2024; 13:489.

PMID: 39429642 PMC: 11487234. DOI: 10.12688/f1000research.149029.2.


Suppression of the postprandial hyperglycemia in patients with type 2 diabetes by a raw medicinal herb powder is weakened when consumed in ordinary hard gelatin capsules: A randomized crossover clinical trial.

Moreira F, Reis C, Gallassi A, Moreira D, Welker A PLoS One. 2024; 19(10):e0311501.

PMID: 39383145 PMC: 11463819. DOI: 10.1371/journal.pone.0311501.


References
1.
Shimabukuro M, Higa N, Chinen I, Yamakawa K, Takasu N . Effects of a single administration of acarbose on postprandial glucose excursion and endothelial dysfunction in type 2 diabetic patients: a randomized crossover study. J Clin Endocrinol Metab. 2005; 91(3):837-42. DOI: 10.1210/jc.2005-1566. View

2.
Kado S, Murakami T, Aoki A, Nagase T, Katsura Y, Noritake M . Effect of acarbose on postprandial lipid metabolism in type 2 diabetes mellitus. Diabetes Res Clin Pract. 1998; 41(1):49-55. DOI: 10.1016/s0168-8227(98)00062-x. View

3.
Festa A, DAgostino Jr R, Tracy R, Haffner S . C-reactive protein is more strongly related to post-glucose load glucose than to fasting glucose in non-diabetic subjects; the Insulin Resistance Atherosclerosis Study. Diabet Med. 2002; 19(11):939-43. DOI: 10.1046/j.1464-5491.2002.00824.x. View

4.
Salvatore T, Giugliano D . Pharmacokinetic-pharmacodynamic relationships of Acarbose. Clin Pharmacokinet. 1996; 30(2):94-106. DOI: 10.2165/00003088-199630020-00002. View

5.
Phung O, Scholle J, Talwar M, Coleman C . Effect of noninsulin antidiabetic drugs added to metformin therapy on glycemic control, weight gain, and hypoglycemia in type 2 diabetes. JAMA. 2010; 303(14):1410-8. DOI: 10.1001/jama.2010.405. View