Figure 1:
![Difference in glucose metabolism between normal and cancer cells [22].](https://sciendo-parsed.s3.eu-central-1.amazonaws.com/6471cdf2215d2f6c89db169a/j_fco-2023-0041_fig_001.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA6AP2G7AKJ32U2Z6C%2F20260304%2Feu-central-1%2Fs3%2Faws4_request&X-Amz-Date=20260304T131254Z&X-Amz-Expires=3600&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEOv%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDGV1LWNlbnRyYWwtMSJIMEYCIQC657taJAD336DBoVw%2BqKVT2DgdtcbKvCmKQ4K30gJPIAIhAMY8AKgiG5vEKxQwtYacKdVGBioif4WsKyK1yWQqcaWyKsYFCLT%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEQAhoMOTYzMTM0Mjg5OTQwIgxa9MZ7Ch7ZJs7pq1AqmgV4YZuEVokPoArnZKylBGbk3w%2BBySUaXH04V7xZ4%2FM%2FD3BMIY78dZoGsaBmGY6qqtxkKPH24oT%2BeNqL%2BUiv8JLBwYgaPfvdXjXczxQjEAOcsxjkk1OazUTXF8bhRBLws4s22rmJfe47EY1rjtNvcLx0UKQ2G6ZNvLoeCFpobvVuDadnrgWfHa6LXA7i8FpBDjUedzR80zjmD9mzpRrSTjPfF9638f9I7oO3dkca212p0Oe9nJAKr8m9drbrDuLxWL%2FSsHaDkCXHjBAxZ4xw1V7aaetn5bkjXWxixfeRxmDpNGEVM94DvY4eV0JMli8cL6samgYEVrkrcJ1hKDOVC11uRCKlTiS1y91NIZ9Wr8J67ztxThhHhDttl1YZKyKQh4qVHi2%2Bv6XL8xShV6jw1iT05IRF3%2BUJK%2Blc3kTjtXaOGRRd12xTo1ZUxXTYfVTAffh9sX49LEMsdBBngrB7146oD1bEahWVfjZt1z%2BI0JAKpVVcLGn3e%2FmuqixCEO2vQ1XAZO0lCDxP56HmhOwbhzEzNv5siWf%2FAnopqXOUx7wsMtvZMWP5sRyoRL4oXWUeDKRwpHRilsDlGswnOUlfrk2WQUpM0xCPqWN8jhTV%2BIHTmqKQWcEUAspWrN8gPj%2BIy40nFq233ov9zETU6UZqAHHhQT2J3I%2Fo2c49jA1dyXW28ri62ODlcRyX2IyLpfEHwDa%2BYoiLpUYxCvM%2FqSICQjkRfjZMJdm1jm%2BgY8UL75frW3VQbtqQJ8%2FoEfYl%2FvxSdW3ZyixDMlf8ZYy9WXFD8lfsSfDf%2F%2Fv%2FYwTRwmYGqWo4uiP9IU575g4FY3B%2BnB32ZRhC8mwTQ0s9fUeRBefKXXpdGWU9goFzYKc1OMP1tnNhKIg5oRpdLL2rPb4wmqmgzQY6sAFEa%2B8ZDogK3fDVSa%2Fw6PSeGcehvpStdxJzWj2ExqZHE0WRkuJ0IxTkhzsApgPoyCYaKWM9%2BF1%2FQ%2BXm%2FbkUs3i8DfbrIIqhMvbkoW9W7fNQp3X9pD3R%2BEKD7FJ78leuP0JrOvjPfnPbo%2FnmFjbmE0e7PXHq9EzdA1BMTNjsyfnLPNMSlO8Ht5IOxEiDGupgiwya8bLapRPxs8m%2Fn1sOLEVS4dEKwUwc5M9GO3sZ36u2rQ%3D%3D&X-Amz-Signature=2925cc851c5b1b8f2cd59dcb738b521e254fe4126fedb52f7e4969a5d5464b88&X-Amz-SignedHeaders=host&x-amz-checksum-mode=ENABLED&x-id=GetObject)
Figure 2:

Summary of the cytotoxic effects of some antidiabetic drugs_
| Antidiabetics class | Drug name | Tumor types | References |
|---|---|---|---|
| Biguanide | Metformin | Breast cancer | [45] |
| Colorectal cancer | [46] | ||
| Endometrial cancer | [47] | ||
| Ovarian cancer | [183] | ||
| Skin cancer | [184,185] | ||
| Thyroid cancer | [186] | ||
| Head and neck cancer | [175] | ||
| Pancreatic cancer | [187] | ||
| Lung cancer | [54] | ||
| Sulfonylurea | Glibenclamide | Gastric cancer | [76] |
| Breast cancer | [69] | ||
| Hepatocellular carcinoma | [70,73] | ||
| Colon cancer | [75] | ||
| Glioblastoma | [72] | ||
| Thiazolidinedione | Rosiglitazone | Neuroblastoma | [83] |
| Gliptins | Vildagliptin and sitagliptin | Colorectal cancer | [96,102] [97] |
| Vildagliptin, sitagliptin, and gemigliptin | Thyroid cancer | [93,104,105] | |
| Vildagliptin, sitagliptin, and sitagliptin | Chronic myeloid leukemia | [106,107] | |
| Vildagliptin | Lung cancer | [103] | |
| Sitagliptin | Gastric cancer | [94] | |
| Breast cancer | [98] | ||
| Endometrial cancer | [95] | ||
| Cervical carcinoma | [99] | ||
| Glioblastoma cancer in the brain | [100,101] | ||
| GLP-1 agonists | Exenatide-4 | Hepatocellular carcinoma | [112,113] |
| Breast cancer | [114] | ||
| Prostate cancer | [115] | ||
| Endometrial cancer | [116] | ||
| Liraglutide | Endometrial cancer | [116] | |
| SGLT2 inhibitors | Dapagliflozin | Pancreatic carcinoma | [38,123] |
| Renal carcinoma (in humans) | [129] | ||
| Human colon carcinoma | [188] | ||
| Canagliflozin | Pancreatic cancer and early-stage lung cancer | [38,125,189] [130] | |
| Hepatocellular carcinoma (in humans) | [190] | ||
| Lung cancer | [191] | ||
| Breast cancer | [191,192] | ||
| Prostate cancer | [192] | ||
| Thyroid cancer | [131] | ||
| Ipragliflozin | Breast carcinoma | [128] | |