SGLT2 inhibitors: the future for treatment of type 2 diabetes mellitus and other chronic diseases

Diabetologia. 2018 Oct;61(10):2134-2139. doi: 10.1007/s00125-018-4678-z. Epub 2018 Aug 22.

Abstract

Individuals with diabetes mellitus exhibit an increased propensity to develop cardiovascular disorders such as coronary artery disease, stroke and heart failure. Over recent decades, numerous cardiovascular outcome trials in individuals with type 2 diabetes have been published, with data showing a reduction of cardiovascular morbidity and mortality by sodium-glucose cotransporter 2 (SGLT2) inhibitors. These results not only provide novel therapeutic options for this high-risk population but also advance our current understanding of cardiovascular risk reduction in diabetes. The current overview article summarises these aspects and discusses future treatment strategies with SGLT2 inhibitors in diabetic and non-diabetic individuals with chronic kidney disease, liver disease and heart failure.

Keywords: Diabetes mellitus; Diabetic kidney disease; Heart failure; Non-alcoholic fatty liver disease; Non-diabetic chronic kidney disease; Review.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Benzhydryl Compounds / therapeutic use
  • Blood Glucose / metabolism*
  • Cardiovascular Diseases / drug therapy*
  • Chronic Disease
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Glucosides / therapeutic use
  • Heart Failure
  • Humans
  • Hypoglycemic Agents / therapeutic use*
  • Non-alcoholic Fatty Liver Disease / metabolism
  • Renal Insufficiency, Chronic / metabolism
  • Risk
  • Sodium-Glucose Transporter 2 / metabolism
  • Sodium-Glucose Transporter 2 Inhibitors / therapeutic use*

Substances

  • Benzhydryl Compounds
  • Blood Glucose
  • Glucosides
  • Hypoglycemic Agents
  • SLC5A2 protein, human
  • Sodium-Glucose Transporter 2
  • Sodium-Glucose Transporter 2 Inhibitors