The role of SGLT2 inhibitors in managing type 2 diabetes

被引:19
作者
Tat, Velen [1 ,2 ]
Forest, Christopher P. [3 ,4 ]
机构
[1] Arrowhead Reg Med Ctr, Colton, CA 92324 USA
[2] Univ Southern Calif, Keck Sch Med, Primary Care PA Program, Alhambra, CA USA
[3] Calif State Univ Monterey Bay, Hlth Sci & Human Serv, Seaside, CA USA
[4] Master Sci PA Program, Seaside, CA USA
来源
JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS | 2018年 / 31卷 / 06期
关键词
SGLT2; inhibitor; diabetes; canagliflozin; dapagliflozin; empagliflozin; ertugliflozin; major adverse cardiac event; COTRANSPORTER; 2; INHIBITORS;
D O I
10.1097/01.JAA.0000533660.86287.04
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The sodium glucose cotransporter 2 (SGLT2) inhibitors canagliflozin, dapagliflozin, empagliflozin, and ertugliflozin represent a novel class of medications to manage type 2 diabetes through urinary excretion of glucose. These drugs block glucose reabsorption by the kidneys to increase glucosuria. These drugs provide hemoglobin A1C reduction, promote weight loss, and remain hypoglycemic-neutral when not used in combination with insulin or secretagogues. Canagliflozin and empagliflozin have shown cardiovascular benefit. The potential to reduce the risk of cardiovascular death in patients with type 2 diabetes, along with the benefit of weight reduction, makes these new agents useful tools for the primary care provider.
引用
收藏
页码:35 / 40
页数:6
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