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What evidence should guide the use of thiazolidinediones?

Evidence about the relative risks and benefits of thiazolidinediones, such as rosiglitazone and pioglitazone, for the treatment of type 2 diabetes mellitus has been inconsistent. Meta-analyses and epidemiologic reviews suggest that rosiglitazone may increase cardiovascular risk, but two randomized trials do not. A novel epidemiologic analysis has been a focal point of recent FDA deliberations on this issue.

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The author declares an association with the following companies: Amylin Pharmaceuticals (grant or research support/ consultant/ lecture honoraria), Eli Lilly (grant or research support/ consultant/ lecture honoraria), GlaxoSmithKline (grant or research support), Pfizer (consultant), Hoffman–La Roche (consultant), Sanofi-aventis (grant or research support/ consultant/ lecture honoraria). In addition to the above, M. C. Riddle serves on the Steering Committee of the TIDE trial, and is one of the clinical site investigators for TIDE. TIDE is supported by GlaxoSmithKline and operated by Population Health Research Institute at McMaster University, Hamilton, Ontario.

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Riddle, M. What evidence should guide the use of thiazolidinediones?. Nat Rev Endocrinol 6, 600–602 (2010). https://doi.org/10.1038/nrendo.2010.156

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