This chapter includes a summary of the mechanism of action, history, and ADME properties compounds selected from four classes of marketed drugs for the treatment of type 2 diabetes. These include the biguanides (metformin), α‐glucosylase inhibitors, sulfonylureas, and glinides. In addition, a discussion of several advanced, emerging classes of drugs together with lead structures is provided. The mechanistic classes of emerging drugs include inhibitors of the sodium glucose cotransporter 2 (SGLT2), glucokinase activators (GKAs), inhibitors of fructose‐1,6‐bisphosphatase (FPase), inhibitors of 11‐β‐sterol dehydrogenase (11‐β‐HSD1), agonists acting on the G‐coupled‐protein receptor GPR119, and mimics of the sirtuin family member SIRT1.