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Diabetes Care 43: 1979.","DOI":"10.2337\/dc20-S009"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2 Teck J (2022) Diabetes-associated comorbidities. Prim Care 49: 275\u2013286.","DOI":"10.1016\/j.pop.2021.11.004"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3 Nauck MA, Wefers J, Meier JJ (2021) Treatment of type 2 diabetes: challenges, hopes, and anticipated successes. Lancet Diabetes Endocrinol 9: 525\u2013544.","DOI":"10.1016\/S2213-8587(21)00113-3"},{"key":"4","doi-asserted-by":"publisher","unstructured":"4 Agius L (2009) Targeting hepatic glucokinase in type 2 diabetes: weighing the benefits and risks. Diabetes 58: 18\u201320.","DOI":"10.2337\/db08-1470"},{"key":"5","doi-asserted-by":"crossref","unstructured":"6 Toulis KA, Nirantharakumar K, Pourzitaki C, Barnett AH, Tahrani AA (2020) Glucokinase activators for type 2 diabetes: challenges and future developments. 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(1999) Mutants of glucokinase cause hypoglycaemia- and hyperglycaemia syndromes and their analysis illuminates fundamental quantitative concepts of glucose homeostasis. Diabetologia 42: 1175\u20131186.","DOI":"10.1007\/s001250051289"},{"key":"37","doi-asserted-by":"crossref","unstructured":"38 Matschinsky FM (2009) Assessing the potential of glucokinase activators in diabetes therapy. Nat Rev Drug Discov 8: 399\u2013416.","DOI":"10.1038\/nrd2850"},{"key":"38","doi-asserted-by":"crossref","unstructured":"39 Nakamura A, Terauchi Y (2015) Present status of clinical deployment of glucokinase activators. J Diabetes Investig 6: 124\u2013132.","DOI":"10.1111\/jdi.12294"},{"key":"39","doi-asserted-by":"crossref","unstructured":"40 Wu Y, Wang K, Su J, Liu X (2024) Efficacy and safety of dorzagliatin, a novel glucokinase activators, in the treatment of T2DM: a meta-analysis of randomized controlled trials. 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