Sodium glucose cotransporter 2 inhibitors

Med Clin North Am. 2015 Jan;99(1):131-43. doi: 10.1016/j.mcna.2014.08.020. Epub 2014 Oct 16.

Abstract

SGLT2 inhibition offers a novel mechanism to mitigate hyperglycemia in patients with diabetes and the introduction of SGLT2 has added a significant new tool to the antihyperglycemic armamentarium. At present, 2 agents are approved for use in the United States and several more are in development. SGLT2 inhibitors are generally associated with a reduction in A1C of between 0.5% and 1%. SGLT2 inhibitors are associated with an increased incidence of urinary tract and genital infections but these infections are typically mild, responsive to treatment, and are not use limiting.

Keywords: Antihyperglycemic agents; SGLT2; SGLT2 inhibitors; Sodium glucose cotransporter 2; Type 2 diabetes.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus, Type 2* / drug therapy
  • Diabetes Mellitus, Type 2* / metabolism
  • Drug Monitoring / methods
  • Glucose / metabolism*
  • Glycated Hemoglobin / analysis
  • Humans
  • Hypoglycemia / chemically induced
  • Hypoglycemia / prevention & control
  • Hypoglycemic Agents / pharmacology
  • Kidney / metabolism
  • Sodium-Glucose Transporter 2 Inhibitors
  • Sodium-Glucose Transporter 2* / metabolism
  • Treatment Outcome

Substances

  • Glycated Hemoglobin A
  • Hypoglycemic Agents
  • Sodium-Glucose Transporter 2
  • Sodium-Glucose Transporter 2 Inhibitors
  • Glucose