The constraints of intensive multifactorial management of type 2 diabetes d
ictate a need for effective, well-tolerated agents with simple administrati
on regimens. Sulfonylureas remain the most frequently used agents, and repr
esent a rational approach when consideration is given to the pathophysiolog
y of this common condition. Trials of gliclazide modified release in varied
populations have yielded very acceptable clinical results that support its
first-line use in type 2 diabetes, including obese, elderly, and mild-to-m
oderate renal insufficient patients. The simplicity of its dose regimen and
its efficacy and tolerance profile may significantly contribute to improvi
ng compliance. Copyright (C) 2000 by W.B. Saunders Company.