Abstract
These two large studies, PROspective pioglitAzone Clinical Trial In macroVascular Events (PROactive) and Diabetes REduction Assessment with ramipril and rosiglitazone Medication (DREAM), had very different aims. PROactive asked whether the peroxisome proliferator-activated receptor gamma (PPARγ) agonist pioglitazone could decrease macrovascular morbidity and mortality in people with type 2 diabetes who were already taking maximum preventive treatment.1DREAM asked whether rosiglitazone and ramipril (PPARγ agonist and angiotensin-converting enzyme (ACE) inhibitor, respectively), either in combination or individually, could decrease the rate of progression to diabetes in people with abnormal glucose tolerance.2,3
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