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Nature Medicine 11, 822 - 824 (2005)
doi:10.1038/nm0805-822

TZDs and diabetes: testing the waters

Clay F Semenkovich1

  1. The author is in the Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, Missouri 63110, USA. e-mail: csemenko@wustl.edu


The use of thiazolidinediones, drugs for type 2 diabetes that may also be useful for other chronic inflammatory disorders, is limited by fluid retention. Research in mice identifies a mechanism for this side effect and introduces a potential remedy (pages 861–866).


Many individuals with type 2 diabetes find that taking their medications introduces new medical problems into their lives. Thiazolidinediones (TZDs) enhance insulin sensitivity, lower blood glucose and suppress inflammation—but they can also cause life-threatening fluid retention and edema.

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