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of carbutamide (l-butyl-3-p-aminobenzene sulfony lurea) (BZ-55; Invenol, Nadisan) into clinical use in Germany in 1955 (1, 2) quickly aroused widespread interest in oral hypoglycemic agents. This led to an extraordinary amount of activity throughout the world both in research laboratories and in clinics, resulting in a huge volume of publications during the past five years. Because of the difficulty soon encountered in elucidating was turned anew to the nature of the underlying defect in diabetes and the certain agents were given clinical trial with large numbers of patients. Fol the mode and site of action of the oral agents, the attention of investigators m�thod and place of action of insulin, still-not well understood. In succession, lowing closely on the heels of carbutamide came tolbutamide (l-butyl-3-p toluene sulfonylurea) (D860; Orinase, Artosin, Dolipol, Rastinon). Then chlorpropamide (1-propyl-3-p-chlorobenzene sulfonylurea) (Diabinese), and later metahexamide (WP 40) (1-cyclohexyl-3-[m-amino-p-methylbenzene sulfonylurea]), were introduced. In addition to these closely related aryl tients. Of the biguanides, the ones used most extensively have been phen formin (phenethylbiguanide) (W32; DB!) and butyl-biguanide (W37; DBV). In almost unprecedented number and frequency from 1956 until the fall of 1959, symposia were held at which laboratory workers and clinicians pre sented data
Annual Review of Medicine – Annual Reviews
Published: Feb 1, 1961
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