SGLT2 inhibitors in the treatment of diabetes mellitus

Česká verzia

Authors: Peter Jackuliak; Magdaléna Kovářová; Juraj Payer
Authors place of work: V. interná klinika LF UK a UNB, Nemocnica Ružinov, Bratislava
Published in the journal: Forum Diab 2020; 9(2): 104-108
Category:

Summary

SGLT2 inhibitors are the latest class of antidiabetic drugs. Initial scepticism about the mechanism of action – glycosuria – was replaced by a strong enthusiasm over the complex cardio metabolic effect of this group of antidiabetic drugs. Inhibitors SGLT2 in the management of a patient with type 2 diabetes mellitus significantly reduces glycemia, without the risk of hypoglycaemia, have a positive effect on blood pressure decrease, improve the heart failure. Cardiovascular oriented trials (CVOT) have shown a significant benefit in reducing cardiovascular mortality and reducing the risk of individual cardiovascular events (stroke, acute coronary syndrome and cardiovascular death). All benefits significantly overweigh the risks of these drugs. According to the latest treatment algorithms is this group in the second-line (in Slovakia for indication constraints in the third-line), preferred for patients with atherosclerotic cardiovascular disease, heart failure and chronic kidney disease.

Keywords:

cardiovascular benefits – type 2 diabetes mellitus – inhibitors SGLT2

Zdroje

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