Class of medication
SGLT2 inhibitors (also called gliflozins or flozins ) are a class of medications that inhibit sodium-glucose transport proteins in the nephron (the functional units of the kidney ), unlike SGLT1 inhibitors that perform a similar function in the intestinal mucosa . The foremost metabolic effect of this is to inhibit reabsorption of glucose in the kidney and therefore lower blood sugar .[ 1] They act by inhibiting sodium/glucose cotransporter 2 (SGLT2). SGLT2 inhibitors are used in the treatment of type 2 diabetes . Apart from blood sugar control, gliflozins have been shown to provide significant cardiovascular benefit in people with type 2 diabetes .[ 2] [ 3] As of 2014[update] , several medications of this class had been approved or were under development.[ 4] In studies on canagliflozin , a member of this class, the medication was found to enhance blood sugar control as well as reduce body weight and systolic and diastolic blood pressure .[ 5]
^ Shubrook J, Baradar-Bokaie B, Adkins S (2015). "Empagliflozin in the treatment of type 2 diabetes: Evidence to date" . Drug Design, Development and Therapy . 9 : 5793–803. doi :10.2147/DDDT.S69926 . PMC 4634822 . PMID 26586935 .
^ Usman MS, Siddiqi TJ, Memon MM, Khan MS, Rawasia WF, Talha Ayub M, et al. (2018). "Sodium-glucose co-transporter 2 inhibitors and cardiovascular outcomes: A systematic review and meta-analysis" . European Journal of Preventive Cardiology . 25 (5): 495–502. doi :10.1177/2047487318755531 . PMID 29372664 . S2CID 3557967 .
^ Bonora BM, Avogaro A, Fadini GP (2020). "Extraglycemic Effects of SGLT2 Inhibitors: A Review of the Evidence" . Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy . 13 : 161–174. doi :10.2147/DMSO.S233538 . PMC 6982447 . PMID 32021362 .
^ Scheen AJ (2014). "Pharmacodynamics, Efficacy and Safety of Sodium–Glucose Co-Transporter Type 2 (SGLT2) Inhibitors for the Treatment of Type 2 Diabetes Mellitus". Drugs . 75 (1): 33–59. doi :10.1007/s40265-014-0337-y . PMID 25488697 . S2CID 9350259 .
^ Haas B, Eckstein N, Pfeifer V, Mayer P, Hass MD (2014). "Efficacy, safety and regulatory status of SGLT2 inhibitors: Focus on canagliflozin" . Nutrition & Diabetes . 4 (11): e143. doi :10.1038/nutd.2014.40 . PMC 4259905 . PMID 25365416 .