Troglitazone was discovered by Sankyo Co. Ltd, in 1982. It represents
a new class of antidiabetic agents targeted at ameliorating insulin re
sistance in type 2 diabetes patients. It is unrelated both chemically
and functionally to the sulfonylurea and biguanide classes of oral ant
idiabetic agents. Troglitazone was found to reverse insulin resistance
by its ability to increase insulin-stimulated glucose utilization and
reduce hepatic glucose production. It has also been suggested that tr
oglitazone exerts its insulin-enhancing effects by interacting with pe
roxisome proliferation activated receptor gamma (PPAR gamma) regulated
gene transcription.