A method for enhancing glycemic control and/or insulin sensitivity in a human subject having diabetic nephropathy and/or metabolic syndrome comprises administering to the subject a selective endothelin A (ET
A
) receptor antagonist in a glycemic control and/or insulin sensitivity enhancing effective amount. A method for treating a complex of comorbidities in an elderly diabetic human subject comprises administering to the subject a selective ET
A
receptor antagonist in combination or as adjunctive therapy with at least one additional agent that is (i) other than a selective ET
A
receptor antagonist and (ii) effective in treatment of diabetes and/or at least one of said comorbidities other than hypertension. A therapeutic combination useful in such a method comprises a selective ET
A
receptor antagonist and at least one antidiabetic, anti-obesity or antidyslipidemic agent other than a selective ET
A
receptor antagonist.
一种增强患有糖尿病肾病和/或代谢综合征的人类受试者的血糖控制和/或
胰岛素敏感性的方法,包括向该受试者施用一种选择性内皮素A(E
TA)受体
拮抗剂,其剂量足以增强血糖控制和/或
胰岛素敏感性。一种治疗老年糖尿病人类受试者中复合共病的方法,包括向该受试者施用一种选择性E
TA受体
拮抗剂,与至少一种其他药物联合或作为辅助治疗,该其他药物(i)不是选择性E
TA受体
拮抗剂,且(ii)在治疗糖尿病和/或至少一种除高血压外的上述共病中有效。适用于此类方法的治疗组合包括一种选择性E
TA受体
拮抗剂和至少一种非选择性E
TA受体
拮抗剂的抗糖尿病、抗肥胖或抗血脂异常药物。