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WFM / MEJFM February 2024

SGLT2 role in diabetes management and cardiorenal protection

Zein Abdelhamid Suleiman Al Najada1, Fadi Ziad Sbeih Sbeih1, Adeel Irshad Arain1, Ishfark Ahmed1

(1) Primary Health Care Corporation, Qatar

Corresponding author:
Ishfark Ahmed
MBChb MRCGP
Primary Health Care Corporation, Qatar
Tel: 0097455704693
Email: Ishfarkahmed@gmail.com

Received: December 2023. Accepted: January 2024; Published: February 1, 2024.Citation: Zein Abdelhamid Suleiman Al Najada, Fadi Ziad Sbeih Sbeih, Adeel Irshad Arain, Ishfark Ahmed. SGLT2 role in diabetes management and cardiorenal protection. World Family Medicine. December 2024; 22(2): 11-21.
DOI: 10.5742/MEWFM.2024.95257011



Abstract


Type 2 diabetes mellitus (T2DM) is a chronic and intricate metabolic condition. Sodium-glucose co-transporter 2 (SGLT2) inhibitors are the recent category of oral medicines that are FDA-approved for treating T2DM. Significant advancements have been made in this class of drugs’ safety and effectiveness over the previous years. By decreasing renal tubular glucose uptake, SGLT2 inhibitors lower blood sugar levels without triggering the release of insulin. The beneficial impacts of SGLT2 in T2DM have been confirmed in preliminary clinical studies with satisfactory safety and high tolerability. SGLT2 inhibitors have recently received FDA approval for a variety of uses, including heart failure (HF) treatment for reduced and preserved ejection fraction, diabetic kidney disease (DKD) treatment, and reduction of hospitalizations for HF in patients with T2DM and DKD. In T2DM persons with cardiovascular disease (CVD), these advantages include lowering cardiovascular mortality as well as the risk of cardiac arrest and stroke. The present article summarizes the SGLT2 inhibitors and their clinical benefits in diabetes management and cardiorenal protection.

Keywords: Diabetes mellitus; Sodium-glucose cotransporter-2 (SGLT2) inhibitors; cardiac protection, renal protection; Insulin





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