The Role of Sodium-Glucose Cotransporter 2 Inhibitors in the Management of Type 2 Diabetes

被引:18
作者
Steen, Oren [1 ]
Goldenberg, Ronald M. [2 ]
机构
[1] LMC Diabet & Endocrinol, 1929 Bayview Ave,Suite 107, Toronto, ON M4G 3E8, Canada
[2] LMC Diabet & Endocrinol, Thornhill, ON, Canada
关键词
type; 2; diabetes; sodium-glucose cotransporter 2 inhibitors; cardiovascular safety; canagliflozin; dapagliflozin; empagliflozin; INADEQUATE GLYCEMIC CONTROL; DOUBLE-BLIND; SGLT2; INHIBITORS; BLOOD-PRESSURE; ADD-ON; KIDNEY-DISEASE; EMPAGLIFLOZIN; DAPAGLIFLOZIN; SAFETY; EFFICACY;
D O I
10.1016/j.jcjd.2017.08.241
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sodium-glucose cotransporter 2 (SGTL2) inhibitors are a novel class of antihyperglycemic agents that work in an insulin-independent manner by promoting urinary glucose excretion. In addition to efficacious glucose lowering, they exert beneficial effects on blood pressure and weight while avoiding hypoglycemia unless combined with insulin or insulin secretagogues. This review explores the mechanism of action of SGLT2 inhibitors, their effects on glycated hemoglobin, weight, blood pressure and hypoglycemia, potential adverse effects, renal considerations and cardiovascular outcomes. (C) 2017 Canadian Diabetes Association.
引用
收藏
页码:517 / 523
页数:7
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